|
I)-Causes Related Prescribing Phase
|
|
a. New staff
|
9
|
|
b. Poor handwriting orders
|
24
|
|
c. Verbal order
|
14
|
|
d. Unapproved abbreviations
|
22
|
|
e. Understaffing
|
14
|
|
f. Metric system
|
19
|
|
g. Lack of knowledge on the medication
|
7
|
|
h. Unnecessary decimal points
|
16
|
|
i. Lack of information on the patient
|
11
|
|
II)-Causes Related Dispensing Phase
|
|
j. Poor assessment of order
|
12
|
|
k. Outdated references
|
3
|
|
l. Labeling & packaging problems
|
8
|
|
m. Poor designed Work area
|
9
|
|
n. Inadequate Distribution system
|
9
|
|
o. Poor inventory arrangement
|
4
|
|
III)-Causes Related Administration Phase
|
|
p. Failure to follow order instructions
|
8
|
|
q. Workload/fatigue
|
15
|
|
r. Medication unavailable
|
10
|
|
s. Inadequate checking
|
6
|
|
t. Extended delay of administration due to other department (Lab levels, x-ray,.)
|
8
|
|
u. Incompliant Patient
|
11
|
|
v. Inadequate medication device
|
4
|
|
w. Lack of information
|
11
|
|
x. Drug given but not documented
|
13
|
|
y. Drug documented but not given
|
1
|
|
IV)-Causes Related Monitoring Phase
|
|
z. Failure to recognize adverse reactions
|
5
|
|
aa. Failure to report adverse reactions
|
4
|
|
bb. Failure to educate patients about potential side effects
|
12
|
|
cc. Failure to use appropriate clinical or laboratory data for adequate assessment of patient response to prescribed therapy
|
2
|
|
dd. Inappropriate patient behavior regarding adherence to a prescribed medication regimen
|
13
|
|
ee. Failure to follow established policies and procedures
|
15
|
|
ff. Policies and procedure NOT established
|
7
|
