Medication Administration Discrepancies Persist Despite Electronic Ordering

Total Discrepancies = Orders with at lease one dose with one or more of the discrepancies listed in the table, e.g., dose shift, omission, wrong time; Dose Shifts = Orders with systematic shifting by more than 60 minutes in same direction of scheduled administrations for at least 2 consecutive doses; Unexpected Administration = Orders with at least one extra dose not matching CPOE-projected drug administration times; Omission = Orders with at least one dose omitted with no explanation for the un-administered dose. Omissions that were partially or fully explained are excluded; Multi-Dose = Orders with more than one scheduled dose for administration; One-time Dose = Orders with only one scheduled dose for administration; Wrong Dose = Orders with at least one dose given in a different amount from that prescribed; Dose Shift or Wrongtime Combined = Orders with a at lease one dose given > 60 minutes before or after scheduled administration time and/or at least two consecutive doses shifted 61 or more minutes in the same direction; Unexpected, Wrong Dose, Omission = Orders with at least one unexpected dose, wrong dose, and/or unexplained omission.