Primary or secondary | Medication | Type of error | Description | MERP category | |
1 | Primary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Incomplete dose | Significant amount of volume left in bag | D |
2 | Primary | Albumin 5% 25 gm/500 mL | Wrong dose | Wrong dose, reprogramed before infusion start | B |
3 | Primary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Incomplete dose | Significant amount of volume left in bag | D |
4 | Primary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Incomplete dose | Significant amount of volume left in bag | D |
5 | Secondary | Vancomycin 1.75 gm/500 mL | Wrong time | Wrong time due to clamped secondary line | D |
6 | Secondary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Incomplete dose | Significant amount of volume left in bag | D |
7 | Secondary | Acetaminophen 1000 mg/50 mL/15 min | Wrong time | Wrong time due to clamped secondary line | D |
8 | Secondary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Wrong rate and wrong dose | MD entered room at same time infusion rate was programmed. Wrong choice was chosen in the drug library, leading to wrong rate/dose combo | D |
9 | Secondary | Magnesium sulphate 2 gm/50 mL/hour | Wrong time | Wrong time due to clamped secondary line | D |
10 | Secondary | Piperacillin/tazobactam 3.375/100 mL 4 hour) | Incomplete dose | Significant volume remaining at end of infusion, not infused second dose programed and started | D |
11 | Secondary | Magnesium sulphate 2 gm/50 mL/hour | Wrong time and incomplete dose | Approximately 1/4 of bag remaining on completion, volume infused but 1 hour post scheduled completion | D |
The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) system: https://www.nccmerp.org/types-medication-errors