Error |
Count |
Dose missed |
92 |
Wrong time |
83 |
Wrong drug |
76 |
Over dose |
59 |
Wrong patient |
53 |
Wrong route |
27 |
Wrong calculation |
16 |
Duplicated drugs |
9 |
Under dose |
7 |
Wrong IV rate |
4 |
Technique error |
3 |
Unauthorized drug |
1 |
As seen from above table;
Category A = Top 75% = Dose missed, Wrong time, wrong drug, overdose
Category B = next 20% = Wrong patient, wrong route, wrong calculation
Category C = other reasons = balance 5%
We prepare pareto chart as follows:
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