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176 A ied Heal Services 2020 | NMH Annual Rep t • Diclofenac was the medication involved in the highest percentage of reports (14.8%), followed by Antimicrobials (13.6%), Dinoprostone (10.5%), Home Medications (9.8%), and Paracetamol (5.8%) This analysis of trends will be used to inform areas for targeted improvement. 500 400 300 200 100 0 2016 2017 2018 2019 2020 90 22 159 80 14 165 19 420 21 Medication Incidents Near Misses 29 Other 101 Prescribing & Administration 144 Prescribing 61 MedRec 106 Administration TOTAL: 441 Medication Incident / Near Miss Reports 2020 by Month 60 50 40 30 20 10 0 Jan 28 Feb 39 Mar 50 Apr 53 May 47 June 52 July 23 Aug 32 Sept 19 Oct 27 Nov 38 Dec 30 Clinical Pharmacy Reviews Performed 2018 2019 2020 Number 15587 13548 21232 Number of Medications Dispensed 2016 2017 2018 2019 2020 Inpatient 22098 23466 22193 21996 20928 Outpatient / Staff 2560 3241 2723 3276 3570 Outpatient / Staff as % of total 10.4 12.1 10.9 13.0 17.1 Total 24658 26707 24916 25272 24498 Clinical Pharmacy Activity Unit 3 (ANW) Unit 4 (Gynae) Fitzwilliam Wing (PNW) Merrion Wing (PNW) Holles Wing (PNW) Maternal Medicine Clinic NICU Antimicrobial Stewardship Total Clinical Pharmacy Reviews Performed 4157 843 910 1038 5528 1269 6337 1150 21232 Pharmacy review Activities 1116 243 222 227 833 273 677 381 2972 Activity Rate per review (%) 27 29 24 22 15 22 11 33 14 Medication Incident Report by type