pISSN 1226-6051
eISSN 2508-786X
eISSN 2508-786X
Top 10 medications involved in patient safety incidents and medication error from KAERs data and survey from pharmacists in charge of medication safety
| Medication class/ingredients | N | % | Medication class/ingredients | N | % |
|---|---|---|---|---|---|
| Total patient incident reports (N=5078) | Common medications involved in dispensing errors from survey (N=39) | ||||
| total parenteral nutrition | 133 | 2.6 | total parenteral nutrition | 9 | 23.7 |
| acetylcysteine | 81 | 1.6 | morphine | 7 | 18.4 |
| potassium chloride | 59 | 1.2 | lansoprazole | 6 | 15.8 |
| ceftriaxone | 54 | 1.1 | quetiapine | 6 | 15.8 |
| diclofenac | 51 | 1.0 | piperacillin/tazobactam | 5 | 13.2 |
| morphine | 46 | 0.9 | tacrolimus | 5 | 13.2 |
| lorazepam | 46 | 0.9 | ceftriaxone | 5 | 13.2 |
| furosemide | 43 | 0.8 | carvedilol | 5 | 13.2 |
| fluorouracil | 42 | 0.8 | acetaminophen | 4 | 10.5 |
| regular insulin |
41 | 0.8 | acetylcysteine | 4 | 10.5 |
| heparin | 41 | 0.8 | |||
| norepinephrine | 41 | 0.8 | |||
| Reports that caused patient harm (N=3363) | Common medications involved in prescribing errors from survey (N=39) | ||||
| total parenteral nutrition | 72 | 3.8 | esomeprazole | 18 | 46.2 |
| acetylcysteine | 40 | 2.1 | acetaminophen/tramadol | 16 | 41.0 |
| potassium chloride | 33 | 1.7 | lansoprazole | 16 | 41.0 |
| regular insulin | 32 | 1.7 | famotidine | 15 | 38.5 |
| norepinephrine | 28 | 1.5 | metoclopramide | 15 | 38.5 |
| heparin | 27 | 1.4 | aspirin | 14 | 35.9 |
| diclofenac | 27 | 1.4 | mosapride | 14 | 35.9 |
| morphine | 26 | 1.4 | pantoprazole | 12 | 30.8 |
| fluorouracil | 22 | 1.2 | levofloxacin | 11 | 28.2 |
| lorazepam | 22 | 1.2 | metformin | 11 | 28.2 |
| Reports that caused patient harm due to medication characteristics (N =1037) | Medication errors that caused serious ADE from KAERs data (N=80) | ||||
| total parenteral nutrition | 63 | 5.8 | oxcarbazepine | 8 | 10.0 |
| acetylcysteine | 36 | 3.3 | aspirin | 7 | 8.8 |
| regular insulin |
31 | 2.9 | lamotrigine | 7 | 8.8 |
| potassium chloride | 28 | 2.6 | aripiprazole | 6 | 7.5 |
| morphine | 25 | 2.3 | methotrexate |
6 | 7.5 |
| heparin | 22 | 2.0 | teriparatide | 5 | 6.3 |
| ketamine | 21 | 1.9 | tacrolimus | 3 | 3.8 |
| diclofenac | 20 | 1.8 | phenytoin | 2 | 2.5 |
| norepinephrine | 18 | 1.7 | gemcitabine | 2 | 2.5 |
| lorazepam | 15 | 1.4 | levetiracetam | 2 | 2.5 |
| telmisartan | 2 | 2.5 | |||
| carbamazepine | 2 | 2.5 | |||
| warfarin |
1 | 1.3 | |||
| anti-androgen |
1 | 1.3 | |||
*medications involved in mortality cases