Patient taking Unknown Contraindicated drug The report states that the contraindicated drug administered patient is taking a contraindicated drug; circumstances are not provided The drug was Unknown Drug administered at administered in the inappropriate site abdomen rather than the arm muscle as recommended Patient inquired about Yes Extra dose The patient is only possible overdose administered inquiring about overdose symptoms because she symptoms (not reporting accidentally took an extra an overdose). dose Although the LLT does not capture that it was accidental, it falls under HLT Product administration errors and issues. Patient reported taking an Unknown Expired drug used expired drug for his headache Patient experienced Yes Drug administration respiratory arrest after the rate too fast nurse misprogrammed the infusion pump to deliver Inappropriate device the drug over 5 minutes programming instead of the intended 50 minutes Respiratory arrest Patient received oral Yes Wrong drug imaging agent instead of administered intended IV imaging agent. The oral imaging agent Enteral formulation was administered administered by other intravenously through a route peripheral line by mistake. The patient used a Yes Incorrect dose cracked insulin cartridge administered by which resulted in a partial device dose administered Cartridge cracked
Patient taking contraindicated drug Unknown Contraindicated drug administered The report states that the patient is taking a contraindicated drug; circumstances are not provided The drug was administered in the abdomen rather than the arm muscle as recommended Unknown Drug administered at inappropriate site Patient inquired about possible overdose symptoms because she accidentally took an extra dose Yes Extra dose administered The patient is only inquiring about overdose symptoms (not reporting an overdose). Although the LLT does not capture that it was accidental, it falls under HLT Product administration errors and issues. Patient reported taking an expired drug for his headache Unknown Expired drug used Patient experienced respiratory arrest after the nurse misprogrammed the infusion pump to deliver the drug over 5 minutes instead of the intended 50 minutes Yes Drug administration rate too fast Inappropriate device programming Respiratory arrest Patient received oral imaging agent instead of intended IV imaging agent. The oral imaging agent was administered intravenously through a peripheral line by mistake. Yes Wrong drug administered Enteral formulation administered by other route The patient used a cracked insulin cartridge which resulted in a partial dose administered Yes Incorrect dose administered by device Cartridge cracked
000199_companionptc_r1_01_jun2018.docx