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Table 5 The boundaries of processes

From: Using total quality management approach to improve patient safety by preventing medication error incidences**

Processes

Goals

Deficiencies

Prescribing

Assessing the need for and select the right drug .individuals the therapeutic regimen

- Illegibility

- Abbreviations

- Improper Dosing

- Dosing Errors

- Ordering medications to which patient was allergic

- Duplicate therapy

- Unclear/incomplete medication history

Dispensing

Preparing the drug and providing it in timely manner

- Labeling errors during repackaging

- Lack of access to the right medication at the right time

- Less control over inventory

- Poor/no audit trail

Administration

Providing the right medication to the right patient when indicated

- Wrong patient

- Wrong medication

- Wrong time

- Wrong dose

- Wrong route

Monitoring

Monitoring of response and adverse events and evaluating of drug selection and regimen frequency and duration.

- Failure to recognize adverse reactions

- Failure to report adverse reactions

- Failure to educate patients about potential side effects