Table 3Event type versus drug class from RMEES and PHRED

Drug Class n (%)*
Event TypeCNS agentsBlood formation & coagulation agentsCardiovascular agentsHormones & syntheticsAnti-infectivesElectrolyte caloric & water balanceOtherTotal N (% of total)
Wrong dose18 (45)4 (10)3 (8)8 (20)0 (0)1 (3)6 (15)40 (17)
Wrong drug11 (28)1 (3)6 (15)6 (15)5 (13)6 (15)5 (12)40 (17)
Wrong Infusion rate2 (6)22 (63)0 (0)2 (6)1 (3)2 (6)6 (17)35 (15)
Extra dose8 (23)7 (20)10 (29)3 (9)3 (9)2 (6)2 (6)35 (15)
Missed dose5 (20)2 (8)5 (20)5 (20)4 (16)3 (12)1 (4)25 (11)
IV infiltrations0 (0)1 (17)0 (0)0 (0)4 (67)0 (0)1 (17)6 (3)
Wrong patient4 (22)1 (6)4 (22)6 (33)1 (6)1 (6)1 (6)18 (8)
Wrong Administration mode †2 (11)1 (6)2 (11)1 (6)9 (50)3 (17)0 (0)18 (8)
Other5 (24)3 (14)3 (14)1 (5)1 (5)2 (10)6 (29)21 (9)
55 (23)42 (18)33 (14)32 (13)28 (12)20 (8)28 (12)238 (100)
*

N (percent of row total). Percentages may not add to 100 due to rounding.

Wrong administration mode includes wrong time, wrong route, and wrong frequency.

Thirty preventable adverse drug events reported only in the AER system that involved radiologic contrast dyes were not included in the above table.

The majority of the events associated with the radiologic contrast dyes were IV infiltrations (36%) and adverse reactions (27%).

From: Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System

Cover of Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings)
Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings).
Henriksen K, Battles JB, Marks ES, et al., editors.

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