Table 1 Error types

 Wrong medication

The dispensed medication was not prescribed in the eMAR.

 Omission of dose

The prescribed dose of the medication was not dispensed to the patient.

 Wrong dose

The dose deviated from the prescribed dose.

 Wrong administration form

The form of the dispensed medication deviated from the eMAR prescription.

 Wrong strength per unit

The strength of the dispensed medication deviated from the prescription in the eMAR.

For example, 1 tablet of 100 mg was prescribed in the eMAR but 2 tablets of 50 mg were dispensed. If this deviation was not documented in the eMAR, it was regarded a procedural error.

 Lack of documentation of a substitution

A substitution was made but not documented in the eMAR.

 Lack of documentation of the dispensing

The medication was not documented as “dispensed” in the eMAR.