Louisiana 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.

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FAQ

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.

USP Drug Classification AnalgesicsAntipsychoticsHormonal agents (pituitary)Anti-addiction agentsAntiviralsHormonal agents (sex hormones)AntibacterialsAnxiolyticsHormonal agents (thyroid)AnticonvulsantsBipolar agentsHormone suppressant (adrenal)Antidementia agentsBlood glucose regulatorsHormone suppressant (pituitary)11 more rows ?

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 ...

A near miss is defined as "any event that could have had adverse consequences but did not and was indistinguishable from fully fledged adverse events in all but outcome." (Some studies use the related terms "potential adverse event" and "close call.") In a near miss, an error was committed, but the patient did not ...

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

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.

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 ...

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.

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Louisiana Medication Data Form - Medication Error and Near Miss Classification