Dose error reduction software in medication safety risk management – optimising the smart infusion pump dosing limits in neonatal intensive care unit prior to implementation

Table 1 Characteristics of wrong infusion rate related medication errors (ME) (n = 21)

Characteristic	Class	n (%)
Error nature	Medication error	20 (95%)
Error nature	Near-miss	1 (5%)
Error type	Administration error	16 (76%)
	Prescribing error	4 (19%)
	Documenting error	1 (5%)
Harm to patient	Moderate harm	2 (10%)
	Minor harm	14 (66%)
	No harm	3 (14%)
	Not reported	2 (10%)
Harm to the unit	Additional work or minor procedures	20 (95%)^a
Harm to the unit	Additional costs	2 (10%)^a
Risk classification^b	Moderate risk (III)	15 (71%)
Risk classification^b	Minor risk (II)	6 (29%)

Only classes occurring in the Neonatal intensive care unit’s ME reports are presented
^a One ME report was classified into two different classes/categories
^b Risk classification is determined in the organisation’s incident reporting system (HaiPro) on a scale of I to V according to the severity of the injury and the likelihood of error recurrence

ISSN: 1471-2431