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Table 3 All identified high-alert medications (n = 872) in the sub-sample of medication error reports (n = 743) were divided into 14 level 2 Anatomical Therapeutic Chemical (ATC) code groups and further into 26 level 3 ATC code groups

From: Medication errors related to high-alert medications in a paediatric university hospital – a cross-sectional study analysing error reporting system data

ATC group

Medications

n (%)

Blood substitutes and perfusion solutions (B05)

345 (39.6)

 IV solutions (B05B)

PN, lipid emulsion, hypertonic dextrose (20% or greater), amino acids

172 (19.7)

 IV solution additives (B05X)

Hypertonic sodium chloride (> 0.9%), potassium chloridea, potassium phosphatesa, magnesium sulfatea

170 (19.5)

 Peritoneal dialytics (B05D)

Bicavera®

2 (0.2)

 Hemodialytics and hemofiltrates (B05Z)

Prismocal®

1 (0.1)

Antineoplastic agents (L01)

139 (15.9)

 Antimetabolites (L01B)

Cytarabine, mercaptopurine, thioguanine, azacitidine, fludarabine, clofarabine, methotrexate (IV)

63 (7.2)

 Plant alkaloids and other natural products (L01C)

Vincristine, vinblastine, etoposide

39 (4.5)

 Cytotoxic antibiotics and related substances (L01D)

Doxorubicin, daunorubicin, dactinomycin, idarubicin

17 (1.9)

 Other antineoplastic agents (L01X)

Pegaspargase, carboplatin, tretinoin, asparaginase Erwinia, cisplatin

14 (1.6)

 Alkylating agents (L01A)

Treosulfan, busulfan, cyclophosphamide, temozolomide

5 (0.6)

 Protein kinase inhibitors (L01E)

Selumetinib

1 (0.1)

Analgesics (N02)

98 (11.2)

 Opioids (N02A)

Fentanyl (SL), morphine, oxycodone, tramadol

98 (11.2)

Antithrombotic agents (B01)

75 (8.6)

 Antithrombotic agents (B01A)

Heparin, enoxaparin, warfarin, urokinase, antithrombin

75 (8.6)

Cardiac therapy (C01)

68 (7.9)

 Cardiac stimulants excl. cardiac glycosides (C01C)

Dopamine, milrinone, norepinephrine, epinephrine, levosimendan

65 (7.5)

 Antiarrhythmics, class I and III (C01B)

Amiodarone

3 (0.3)

 Other cardiac preparations (C01E)

Adenosine

1 (0.1)

Anesthetics (N01)

48 (5.5)

 Anaesthetics, general (N01A)

Propofol, esketamine, ketamine, thiopental, fentanyl (IV)

45 (5.2)

 Anaesthetics, local (N01B)

Ropivacaine

3 (0.3)

Psycholeptics (N05)

39 (4.5)

 Hypnotics and sedatives (N05C)

Midazolam, dexmedetomidine

25 (2.9)

 Anxiolytics (N05B)

Diazepam, lorazepam, oxazepam

14 (1.6)

Drugs used in diabetes (A10)

32 (3.7)

 Insulins and analogues (A10A)

Insulin aspart, insulin (human, biosynthetic), insulin detemir, insulin glulisine

32 (3.7)

Other therapeutic groups (n = 6)

 

27 (3.1)

Total

 

872 (100.0)

  1. IV intravenous, PN parenteral nutrition, SL sublingual
  2. a Concentrated solution