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Arkansas Medication Data Form - Medication Error and Near Miss Classification
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Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses.
The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone?patient, staff member, or visitor?is injured or involved in a situation with the potential for injury, an incident report is required.
The ASHP classifies errors as prescribing error, dispensing error, omission error, wrong time error, unauthorized drug error, improper dose error, wrong dosage-form error, wrong drug-preparation error, wrong administration-technique error, deteriorated drug error, monitoring error, compliance error, and other ...
Legal categories of medication General sales list. Pharmacy only. Prescription only medication. Controlled drugs. Herbal medicines.
These medications include antidiabetic agents (e.g., insulin), oral anticoagulants (e.g., warfarin), antiplatelet agents (such as aspirin and clopidogrel), and opioid pain medications. Together, these four medications account for more than 50% of emergency department visits for ADEs in Medicare patients.
Wrong dose, missing doses, and wrong medication are the most commonly reported administration errors. Contributing factors to patient and caregiver error include low health literacy, poor provider?patient communication, absence of health literacy, and universal precautions in the outpatient clinic.
Types of Medication Errors Prescribing. Omission. Wrong time. Unauthorized drug. Improper dose. Wrong dose prescription/wrong dose preparation. Administration errors include the incorrect route of administration, giving the drug to the wrong patient, extra dose, or wrong rate.
The Institute for Safe Medication Practices further defines a near miss as ?any event or situation that didn't produce patient injury, but only because of chance.?2 For reporting purposes, a near miss is considered an error, as is a medication error that doesn't result in patient harm.