Minnesota Medication Data Form - Medication Error and Near Miss Classification

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Multi-State
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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

Common causes of medication error include incorrect diagnosis, prescribing errors, dose miscalculations, poor drug distribution practices, drug and drug device related problems, incorrect drug administration, failed communication and lack of patient education.

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.

If an error occurs, the appropriate steps should be taken to address the patient's condition. It is important to document the incident or near-miss and report it immediately to the patient's primary healthcare provider and your employer. In addition, complete any additional documentation required by your employer.

What to do as a carer when medication errors happen Stay calm. The first thing to do is to stay calm. ... Be honest. ... Seek medical advice. ... Document everything. ... Report the incident to your manager. ... Investigate the incident. ... Report the error. ... Take steps to prevent future errors.

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

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.

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.

Nurses have a responsibility to immediately report all near misses and medication errors regardless of whether a patient has been harmed. Timely reporting allows clinicians and managers to examine current processes related to medication administration and identify areas for improvement.

Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses.

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Minnesota Medication Data Form - Medication Error and Near Miss Classification