Distribution of PIs and MEs. A median of 2.4 (range 1.4 to 8.3) more PIs and a median of 1.4 (range 0.5 to 2.6) more MEs per month were recorded during the morning shift
| Number and types of pharmacist interventions and medication errors | |||
|---|---|---|---|
| Morning | Afternoon | ||
| Pharmacist interventions (n;%) | 5018 (69) | 2303 (31) | |
| Inadequate software use | 925 (18.4) | 695 (30.2) | |
| Scheduled time change | 766 (15.3) | 326 (14 2) | |
| Dosage form change | 603 (12) | 286 (12.4) | |
| Stop treatment | 568 (11.3) | 259 (11.2) | |
| Dose change | 554 (11) | 323 (14) | |
| Start treatment | 412 (8.2) | 116 (5) | |
| Route change | 330 (6.6) | 56 (2.4) | |
| Medication change | 327 (6.5) | 86 (3.7) | |
| Frequency change | 231 (4.6) | 81 (3.5) | |
| Others | 302 (6) | 75 (3.3) | |
| Medication errors (n;%) | 640 (56) | 493 (44) | |
| Wrong dose | 166 (25.9) | 139 (28.2) | |
| Wrong/contraindicated/not indicated drug | 89 (13.9) | 75 (15.2) | |
| Wrong frequency | 72 (11.3) | 42 (8.5) | |
| Dose or drug omission | 65 (10.2) | 29 (5.9) | |
| Duplication of treatment | 62 (9.7) | 56 (11.4) | |
| Administration error (speed, route, time/day) | 29 (4.5) | 42 (8.5) | |
| Preparation, handling or packaging | 27 (4.2) | 19 (3.9) | |
| Inadequate dosage form | 22 (3.4) | 30 (6.1) | |
| Wrong patient | 20 (3.1) | 19 (3.9) | |
| Others | 88 (13.8) | 41 (8.4) | |