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Table of Contents

SOURCE OF ERROR ERROR NUMBER
Abbreviation misinterpretation 8, 11, 20, 56, 83, 108, 111, 116, 126, 131, 146, 161, 172, 188, 189, 191
Administration Complication 7, 12, 19, 21, 40, 57, 60, 66, 70, 73, 95, 118, 129, 144, 153, 156, 163, 171, 176, 180, 183, 195, 197
Administration route mix-up 24, 100, 114, 138, 155, 188, 194, 196
Allergic reaction 1, 6, 61, 158
Documentation problem 32, 67, 149
Dosage error 5, 13, 17, 18, 28, 33, 35, 43, 49, 50, 53, 55, 72, 77, 81, 97, 105, 108, 119, 133, 141, 149, 154, 157, 163, 181, 192, 193
Drug name confusion 26, 30, 31, 38, 44, 45, 47, 54, 57, 64, 68, 74, 75, 88, 120, 125, 127, 135, 137, 140, 148, 166, 168, 175, 177, 178, 179, 186
Drug preparation problem 25, 67, 76, 89, 92, 120, 145
Equipment misuse 23, 58, 184
Infusion misuse 39, 87, 110, 122
Insulin error 5, 28, 43, 82, 133
I.V. therapy mistake 15, 29, 42, 59, 78, 86, 93, 100, 106, 115, 132, 142, 147, 169
Label confusion 3, 14, 41, 46, 63, 65, 96, 99, 104, 113, 120, 121, 124, 128, 129, 136, 141, 154, 160, 169, 199
MAR misuse 2, 44, 62, 73, 100, 109, 170
Order misunderstanding 22, 79, 80, 85, 101, 123, 130, 134, 143, 150, 159, 182, 190, 200
Patient name mix-up 4, 51, 102, 151, 187
Patient-teaching failure 37, 75
Protocol violation 36, 98
Storage problem 9, 90, 94, 139, 173
Symbol misinterpretation 34, 152
Syringe and Tubex problem 16, 42, 162
Telephone miscommunication 10, 69, 103
Transcription error 2, 52, 81, 185
Unfamiliarity and carelessness 21, 27, 48, 71, 107, 117, 158, 164, 167, 180, 192, 198
Verification failure 20, 53, 84, 91, 112, 165, 174