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Illinois Medication Data Form - Medication Error and Near Miss Classification

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US-02260BG
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This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

The Illinois Medication Data Form — Medication Error and Near Miss Classification is a comprehensive system designed to track and classify medication errors and near misses in the state of Illinois. This form serves as a standardized tool for healthcare providers to report and analyze incidents related to medication administration, ensuring patient safety and promoting continuous quality improvement. The primary purpose of the Illinois Medication Data Form is to collect data on medication errors and near misses, with the goal of identifying trends, patterns, and potential areas for improvement within the medication management process. By categorizing incidents based on their type and severity, healthcare professionals can gain valuable insights into the causes and factors contributing to medication errors, facilitating targeted interventions and educational initiatives to prevent future occurrences. Keywords: Illinois Medication Data Form, medication error, near miss classification, medication administration, patient safety, quality improvement, healthcare providers, incident reporting, medication management process, data collection, trends, patterns, areas for improvement, incident categorization, severity, causes, contributing factors, targeted interventions, educational initiatives, prevention. Different types of Illinois Medication Data Form — Medication Error and Near Miss Classification vary based on the classification system used, as hospitals or healthcare organizations may adopt different frameworks to analyze incidents. Some commonly used classification systems include: 1. National Coordinating Council for Medication Error Reporting and Prevention (NCC MERE) Index: This system categorizes medication errors into nine different types, ranging from "No Error" to "Error Resulting in Death." 2. Severity Assessment Code (SAC): SAC classification system assigns severity levels to medication errors, including "No Harm," "Temporary Harm," "Permanent Harm," and "Death" based on the potential impact on patient outcomes. 3. System and Human Factors Engineering Analysis Template (SHEA): This classification system involves a comprehensive analysis of the system-level and human factors contributing to medication errors, focusing on areas such as communication, workflow, and staffing. 4. Root Cause Analysis (RCA): RCA is a targeted approach for investigating medication errors, aiming to identify the underlying causes and contributing factors to prevent future reoccurrences. It involves a systematic process analyzing the sequence of events leading to the error. In conclusion, the Illinois Medication Data Form — Medication Error and Near Miss Classification is a crucial tool in Illinois healthcare institutions for monitoring, analyzing, and preventing medication errors and near misses. By collecting and categorizing incidents, healthcare providers can develop strategies to enhance patient safety, improve medication administration processes, and ultimately reduce the occurrence of medication errors.

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Date(s) of error(s) (month, day, year) Time(s) of error(s) Describe the medication error. (Include name of medication, dose, and route; attach an extra sheet of paper if necessary.) CAUSE(S) OF MEDICATION ERROR(S) (Check all that apply.)

Adopt a reporting system. The only way to reduce medication errors is to develop a reporting system and then make changes to prevent similar errors from reoccurring. Even a near miss should be reported. The staff should be encouraged to report without any repercussions.

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 ...

When an error is made in a medical record entry, proper error correction procedures must be followed. Draw line through entry (thin pen line). ... Initial and date the entry. State the reason for the error (i.e. in the margin or above the note if room). Document the correct information.

Reporting Medication Errors Examples include the Institute of Safe Medication Practices (ISMP) and the Food and Drug Administration (FDA). These organizations collectively review error submissions. Case reports are published to educate health care professionals regarding errors and near errors.

Write a note in the medical record documenting what happened, the impact on the patient, treatment provided, and results. You can include who was told about it, what they were told, and when. The clinical record is the wrong place to guess what happened or to blame others.

Draw a single line through the erroneous entry and write the time, date, and your name. Identify the reason for the correction. Include the rationale in your notation; for example, ?mistaken entry, wrong medication name written.? Follow facility policy when adding late information.

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.

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by ZR Wolf · 2008 · Cited by 231 — This chapter focuses on the assertion that reporting errors that result in patient harm as well as seemingly trivial errors and near misses has the potential to ... Describe the role of incident reporting in the handling of close calls, and what should be done after discovering a close call. The Case. A 77-year-old man on ...by E Rogers · 2017 · Cited by 50 — Pharmacy leaders need to understand how to classify behaviors associated with errors, set realistic expectations, instill values for staff, and promote ... by M Lisby · 2005 · Cited by 546 — The most common types of error throughout the medication process were: lack of drug form, unordered drug, omission of drug/dose, and lack of identity control. by A CHANG · 2005 · Cited by 540 — classify medical errors, adverse events, near misses, and other patient ... Arguably, the very advantage of using near-miss data to provide information on ... Oct 23, 2015 — ... the term 'near miss' is used as synonym for describing what is classified 'intercepted error' for pharmacovigilance purposes. A near miss from a. by M Hoppes · 2014 · Cited by 1 — Classify the level of harm—5 levels /1 near miss. 2. Take action guided by serious safety event classification (see Table 2/page13). Things to consider ... Answer: Med refers to medication sites. Location of programs: Question 1. Under "Location of Program", one of our program locations is missing. Answer: An error ... by MH ElLithy · 2023 — The benchmarking for medication incidents rate is not regarded as a recognized key performance measure or indicator in national or international ... by CJ Chamberlain · 2012 · Cited by 64 — Most experts agree that a confidential, anonymous, and nonpunitive reporting system for events and near misses with reporter feedback would be best, with the ...

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Illinois Medication Data Form - Medication Error and Near Miss Classification