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Nebraska Medication Data Form - Medication Error and Near Miss Classification
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Table 2NCC MERP Definition of a medication error and Risk Assessment Index 17 CategoryDescription of categoryGAn error occurred that resulted in permanent patient harmHAn error occurred that resulted in a near-death event (e.g., anaphylaxis, cardiac arrest)Error, deathIAn error occurred that resulted in patient death21 more rows
NCC MERP adopted a Medication Error Index that classifies an error ing to the severity of the outcome.
Class A error or prohibited practice Type of action/ inaction committed by certified staff that generally involves documentation requirements, medication supply and/or security/possession of keys for medication storage areas.
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.
Medication events (including adverse drug events/reactions) Healthcare-associated infections (HAIs) Surgical errors. Laboratory errors.
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%.
The three most common dispensing errors are: dispensing an incorrect medication, dosage strength or dosage form; miscalculating a dose; and failing to identify drug interactions or contraindications. Errors caused by drug administration can be made by the health care provider or by the patient themselves.
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
Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses.