Table 2

Medication errors observed in the peristaltic pump (created by the authors)

Primary or secondaryMedicationType of errorDescriptionMERP category
1PrimaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Incomplete doseSignificant amount of volume left in bagD
2PrimaryAlbumin 5% 25 gm/500 mLWrong doseWrong dose, reprogramed before infusion startB
3PrimaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Incomplete doseSignificant amount of volume left in bagD
4PrimaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Incomplete doseSignificant amount of volume left in bagD
5SecondaryVancomycin 1.75 gm/500 mLWrong timeWrong time due to clamped secondary lineD
6SecondaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Incomplete doseSignificant amount of volume left in bagD
7SecondaryAcetaminophen 1000 mg/50 mL/15 minWrong timeWrong time due to clamped secondary lineD
8SecondaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Wrong rate and wrong doseMD entered room at same time infusion rate was programmed. Wrong choice was chosen in the drug library, leading to wrong rate/dose comboD
9SecondaryMagnesium sulphate 2 gm/50 mL/hourWrong timeWrong time due to clamped secondary lineD
10SecondaryPiperacillin/tazobactam 3.375/100 mL 4 hour)Incomplete doseSignificant volume remaining at end of infusion, not infused second dose programed and startedD
11SecondaryMagnesium sulphate 2 gm/50 mL/hourWrong time and incomplete doseApproximately 1/4 of bag remaining on completion, volume infused but 1 hour post scheduled completionD