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Table 3 Procedural deviations by trust

From: Procedural and documentation variations in intravenous infusion administration: a mixed methods study of policy and practice across 16 hospital trusts in England

Trust

All trusts

Trust A

Trust B

Trust C

Trust D

Trust E

Trust F

Trust G

Trust H

Trust I

Trust J

Trust K

Trust L

Trust M

Trust N

Trust O

Trust P

Number of infusions

2008

90

130

131

97

74

282

84

143

139

73

103

114

152

124

111

161

 Giving set not labelled correctly

537 (26.8%)

7 (7.8)

12 (9.2)

3 (2.3)

70 (72.2)

 

79 (28.0)

52 (61.9)

67 (46.9)

  

86 (83.5)

    

161 (100)

  No label (where required)

496

7 (7.8)

12 (9.2)

3 (2.3)

70 (72.2)

 

74 (26.2)

52 (61.9)

64 (44.8)

  

86 (83.5)

    

128 (79.5)

  Incomplete or incorrect label

41

     

5 (1.8)

 

3 (2.1)

       

33 (20.5)

   Start date

37

     

3

 

1

       

33

   Discard date

2

       

2

        

   Name of drug/fluid

2

     

2

          

   Other

5

     

2

 

2

       

1

 Additive label missing or incorrect

219 (10.9%)

18 (20.0)

24 (18.5)

22 (16.8)

9 (9.3)

6 (8.1)

12 (4.3)

1 (1.2)

8 (5.6)

23 (16.5)

4 (5.5)

27 (26.2)

3 (2.6)

8 (5.3)

37 (29.8)

2 (1.8)

15 (9.3)

  No additive label (where required)

15

  

1 (0.8)

  

2 (0.7)

 

2 (1.4)

2 (1.4)

4 (5.5)

1 (1.0)

 

1 (0.7)

2 (1.6)

  

  Label obscured (not visible in pump)

42

1 (1.1)

 

2 (1.5)

 

3 (4.1)

3 (1.1)

  

7 (5.0)

 

15 (14.6)

1 (0.9)

2 (1.3)

7 (5.6)

 

1 (0.6)

  Incomplete or incorrect additive label

162

17 (18.9)

24 (18.5)

19 (14.5)

9 (9.3)

3 (4.1)

7 (2.5)

1 (1.2)

6 (4.2)

14 (10.1)

 

11 (10.7)

2 (1.8)

5 (3.3)

28 (22.6)

2 (1.8)

14 (8.7)

   Patient identity (name, hospital number or date of birth)

45

11

3

10

     

1

 

8

  

10

 

2

   Time

57

3

2

6

2

 

4

  

3

 

20

 

2

9

 

6

   Expiry date

50

   

4

1

   

12

 

25

  

5

 

3

   Hung by

39

 

2

2

     

1

 

15

 

3

12

 

4

   Volume

29

1

1

 

4

1

  

3

1

 

16

1

  

1

 

   Date

33

   

1

    

3

 

20

  

7

 

2

   Dose

23

  

1

1

2

2

 

1

  

11

  

4

1

 

   Drug name

12

1

       

1

 

5

1

 

4

  

   Patient’s location (ward)

13

3

         

9

    

1

   Other

68

 

24

5

  

2

1

3

  

2

 

2

24

 

5

 Patient identificationa

116 (5.8%)

9 (10.0)

18 (13.8)

2 (1.5)

9 (9.3)

5 (6.8)

 

3 (3.6)

11 (7.7)

14 (10.1)

1 (1.4)

2 (1.9)

8 (7.0)

2 (1.3)

21 (16.9)

3 (2.7)

8 (5.0)

  1. Numbers in brackets refer to percentage of infusions with at least one deviation
  2. aDeviations are counted per infusion; this figure includes patient identification deviations (i.e. no name band) applied to all infusions for those patients