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Montana Medication Data Form - Medication Error and Near Miss Classification
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Near misses are 'a dispensing error detected by the checker before the patient receives the prescription'.
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.
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 ...
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.
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 ...
An ADE is generally defined as a side effect (anticipated or unanticipated) of an administered medication. A medication error (ME) is an error in process that can or does lead to an ADE (for example, higher than acceptable dose prescribed, medication prescribed that interacts with another prescribed medication).
An incident includes any irregularity in the process of medication use. It might represent an ADE, potential ADE, medication error, or none of these?it is essentially a ?catch all? term for what to call something before it has been classified.
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%.