Type of incident | Number | Description |
Unlabelled drug | 2 | Unlabelled morphine used to dilute antibiotics |
Syringe swap | 3 | Drugs given mistakenly as Antibiotics: Morphine, Rocuronium, Phenylephrine |
Drug or ampoule substitution | 6 | Ergometrine for syntocinon Ephedrine for heparin for arterial line infusion Naloxone for maxolon (similar name) Naloxone for dexamethasone Protamine for tranexamic acid (similar ampoule) Ondansetron for epidural fentanyl |
Patient with drug allergy | 5 | Drug was given to allergic patient 4 involving antibiotics and 1 non-steroidal anti-inflammatory drug |
Others | 2 | Suxamethonium in a patient with recent cervical spine injury Administration of both Naproxen and Arcoxia to a patient (prescriber did not check previous drugs) |