Pennsylvania healthcare facilities submitted 2,685 event reports to the Authority from January 2008 to June 6, 2009, that mentioned medication errors involving the use of insulin products.
The predominant medication error event types associated with insulin (see Table) were drug omission (24.7%) followed by wrong drug (13.9%) and wrong dose/overdosage (13%).
Event Type | Number | % of Total Reports (N = 2,685)* |
Dose omission | 662 | 24.7% |
Wrong drug | 374 | 13.9% |
Wrong dose/overdosage | 348 | 13% |
Other (specify) | 309 | 11.5% |
Extra dose | 227 | 8.5% |
Wrong dose/underdosage | 137 | 5.1% |
* Sum of percentages exceeds 76.6% due to rounding. | | |