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Example Report (continued)
Continuation of the example report begun on Slide 16.
| Wrong medication administered |
Medication Error |
Wrong drug name |
2 |
2.1 |
2.66% |
0.21-2.82 |
2.05% |
| Wrong dose of drug |
Medication Error |
Wrong dose |
2 |
2.1 |
2.66% |
0-2.24 |
1.29% |
| Adverse drug reaction |
Adverse Drug Reaction |
Any adverse drug reaction such as skin rash, vomiting, or hypotension |
0 |
0 |
0% |
0-0.59 |
1.67% |
| Patient misidentification |
Admission Discharge Transfer |
Wrong patient, more than one ID, or incorrect ID bracelet |
2 |
2.1 |
2.66% |
0-2.48 |
2.24% |
| Specimen |
Wrong label or specimen obtained from wrong patient |
| Surgery Invasive Procedure |
Wrong patient |
| Treatment |
Wrong patient |
| Medication Error |
Order written, transcribed, dispensed or administered to the wrong patient |
| Blood Transfusion |
Order written, transcribed, dispensed or administered to the wrong patient |
| Total number of events reported |
42 |
2097 |
Notes:
Total number of events reported—Represents total number of events in the ORM system and will not be the sum of events in the report indicators
Percent of events—percent of events that fell into an event category. Since not all events are in a category. The sum of percents will not add to 100%.
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