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California Medication Data Form - Medication Error and Near Miss Classification
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34.1 Category I An error occurred that may have contributed to or resulted in the patient's death. [ Classify each medication involved in a medication error. Include the intended product for use, as well as the actual product used, if these are different.
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.
WHO defines a near miss as ?an error that has the potential to cause an adverse event (patient harm) but fails to do so because of chance or because it is intercepted? (2).
Table of Contents CategoryDescriptionANo error, capacity to cause errorBError that did not reach the patientCError that reached patient but unlikely to cause harm (omissions considered to reach patient)DError that reached the patient and could have necessitated monitoring and/or intervention to preclude harm5 more rows
Near-misses can be classified as belonging to category B of the NCC MERP classification. Near-misses do not reach the patient, but can still potentially cause harm. In 1 emergency department, the rate of an error occurring but not reaching the patient was 11.8%.
Category A ? capacity to cause harm b. Category C ? error reached patient; no harm c. Category E ? error; temporary harm that required intervention d.
What is the difference between a medication error and a near miss? A medication error reaches the patient, while a near miss is caught before it gets to the patient.
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 ...