Procedural medication administration errors at baseline
| Procedure | Baseline (preintervention) procedural error rate | ||||
| Control wards | Intervention wards | Combined all wards | |||
| Errors/applicable administrations (n) | Procedural rate per 100 administrations (95% CI) | Errors/applicable administrations (n) | Procedural error rate per 100 administrations (95% CI) | Procedural error rate per 100 administrations | |
| Check infusion pump: two nurses | 21/33 | 63.6 (47.2 to 80) | 2/3 | 66.7 (13.3 to 100) | 63.9 (48.2 to 79.6) |
| Check patient identification | 1420/2463 | 57.7 (55.7 to 59.6) | 503/1713 | 70.6 (68.5 to 72.8) | 63.0 (61.5 to 64.4) |
| Witness administration: two nurses | 101/208 | 48.6 (41.8 to 55.3) | 115/223 | 51.6 (45 to 58.1) | 50.1 (45.4 to 54.8) |
| Check pulse and/or blood pressure | 3/17 | 17.6 (0 to 35.8) | 6/21 | 28.6 (9.2 to 47.9) | 23.7 (10.2 to 37.2) |
| No temporary storage | 439/2463 | 17.8 (16.3 to 19.3) | 125/1713 | 7.3 (6.1 to 8.5) | 13.5 (12.5 to 14.5) |
| Use aseptic technique | 179/2463 | 7.3 (6.2 to 8.3) | 83/1713 | 4.8 (3.8 to 5.9) | 6.3 (5.5 to 7) |
| Check preparation S4/S8*/injection: two nurses | 35/763 | 4.6 (3.1 to 6.1) | 37/591 | 6.3 (4.3 to 8.2) | 5.3 (4.1 to 6.5) |
| Record/sign medication administration | 100/2463 | 4.1 (3.3 to 4.8) | 106/1713 | 6.2 (5.0 to 7.3) | 4.9 (4.3 to 5.6) |
| Drugs of dependence register: two nurses | 9/208 | 4.3 (1.6 to 7.1) | 11/223 | 4.9 (2.1 to 7.8) | 4.6 (2.7 to 6.6) |
| Read medication label | 76/2463 | 3.1 (2.4 to 3.8) | 113/1713 | 6.6 (5.4 to 7.8) | 4.5 (3.9 to 5.2) |
| Administrations with ≥1 procedural errors | 1740/2463 | 70.6 (68.8 to 72.4) | 1356/1713 | 79.2 (77.2 to 81.1) | 74.1 (72.8 to 75.5) |
*S4 and S8 drugs are listed as controlled substances according to legislation and regulations. They include drugs of addiction such as opioids.