Skip to main content

Table 1 Category and detail of prescribing errors

From: Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children’s hospital

Category

Type of errors (n0, %)

Detail of errors (n/n0, %')

Incomplete

Omission of other diagnosisa (251, 47.00%)

Top 3

Vaginitis (89/251, 35.46%)

Acute upper respiratory tract infection (36/251, 14.34%)

Mastitis (10/251, 3.98%)

Omission of other drugs

Not applicable

Incorrect

Improper dose (135, 25.28%)

Overdose (typing errorsb) (48/135, 35.56%)

Underdose (typing errors) (35/135, 25.93%)

Wrong unit leading to wrong dose (typing errors) (32/135, 23.70%)

Underdose (conscious actc) (11/135, 8.15%)

Overdose (conscious act) (10/135, 7.41%)

Wrong frequency (45, 8.43%)

Top 3

‘Bidd’ prescribed wrong as ‘Qd’ (19/45, 42.22%) eg. Cefuroxime, Doxycycline

‘Qd’ prescribed wrong as ‘Tid’ (5/45, 11.1%) eg. Azithromycin

‘Qd’ prescribed wrong as ‘Bid’ (4/45, 8.89%) eg. Desloratadine

Wrong diagnosis (36, 6.74%)

Eg.

Induced abortion prescribed wrong as pregnant state

Female infertility prescribed wrong as pregnant state

Breast tumor prescribed wrong as breast mass

Wrong route of administration (33, 6.18%)

Top 3

External use prescribed wrong as oral use (4/33, 12.12%)

Intramuscular injection prescribed wrong as intravenous injection (3/33, 9.09%)

Oral use prescribed wrong as sublingual use (2/33, 6.06%)

Wrong drug (10, 1.87%)

Top 3

Low molecular weight heparin prescribed wrong as unfractionated heparin (2/10, 20%)

Levofloxacin ear drops prescribed wrong as levofloxacin eye drops (1/10, 10%)

Penicillin injection prescribed wrong as penicillin for skin test (1/10, 10%)

Contraindication (6, 1.12%)

Top3

Compound cold medication used under 2-year-old (4/6, 66.67%)

Albendazole used under 2 years old (1/6, 16.67%)

Ursodeoxycholic acid used during first trimester of pregnancy (1/6, 16.67%)

Adverse drug-drug interaction (3, 0.56%)

Azithromycin powder diluted with wrong solvent 10% dextrose (2/3, 66.67%)

Recombinant Human Growth Hormone diluted with wrong solvent 0.9% saline (1/3, 33.33%)

Wrong strength (2, 0.37%)

Using 100 ml of 0.9% saline for intravenous bolus injection (1/2, 50%)

Using 0.4 g/tablet of folic acid for treatment of anemia (1/2, 50%)

Others (13, 2.43%)

Any error not falling into one of the above

Total

534 (100%)

 
  1. a The missing diagnosis was recognized through the communication with physicians
  2. b Typing error was defined as error which was not caused by the physician’s intention, e.g. typing the wrong name of a drug which is similar to another drug, or typing the wrong measurement like “100 ml” as “10 ml” by mistake
  3. c Conscious act was defined as error caused by physician due to not updating the knowledge of related drug or prescribing an unfamiliar drug
  4. d ‘Bid’ refers to twice per day; ‘Qd’ refers to once per day; ‘Tid’ refers to thrice per day