-
Lack
of knowledge about the drug.
-
Failure to follow the hospital policies /procedures.
-
Faulty drug identity.
-
Incorrect use of infusion pumps & parenteral delivery systems
-
Inadequate patient monitoring
-
Transcription errors.
-
Illegible or incomplete prescriptive orders.
-
Faulty dose checking.
-
Lack
of patient information.
-
Chaotic work environment.
-
Verbal orders.
-
Borrowing drugs from another cart
-
Incompetent or impaired personnel.
-
Lack
of dosage or interaction checks for high-risk drugs ,e.g., coumadin, Plavix, &
ASA ordered for same patient.
-
Math errors, e.g., 12/4=4.
-
Defective or similar packaging or labeling..
-
Use
of multidose vials.
-
IV
solutions not premixed.
-
Names
of medications that sound alike & look-alike, e.g., Lamical or Lamisil; Celexa
or Celebrex; Zyprexa or Zyrtec.
