Pennsylvania 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.

The Pennsylvania Medication Data Form — Medication Error and Near Miss Classification serves as a crucial tool in documenting and analyzing medication errors and near misses in healthcare facilities across the state of Pennsylvania. This form helps to identify and classify incidents, promoting a better understanding of medication errors and facilitating the implementation of appropriate preventive measures. Keywords: Pennsylvania Medication Data Form, medication error, near miss, classification, healthcare facilities, incidents, preventive measures. Different Types of Pennsylvania Medication Data Form — Medication Error and Near Miss Classification: 1. Medication Error Classification: This section of the form focuses on documenting medication errors. It allows healthcare professionals to classify the specific type of error that occurred. Common classifications include prescribing errors, administration errors, dispensing errors, and monitoring errors. 2. Near Miss Classification: This section focuses on near misses, which are incidents where an error could have occurred but was intercepted or corrected before reaching the patient. Healthcare professionals can classify different types of near misses such as prescribing near miss, administration near miss, and dispensing near miss. 3. Severity Assessment: The Pennsylvania Medication Data Form includes a severity assessment section that allows healthcare providers to grade the impact of the medication error or near miss on patient safety. The severity levels commonly used include minor, moderate, major, and critical. 4. Contributing Factors: This section enables the identification and documentation of factors that may have contributed to the medication error or near miss. Some common contributing factors include miscommunication, workload factors, lack of training, distraction, and equipment failure. 5. Outcome Assessment: This part helps in evaluating the outcome of the medication error or near miss. Healthcare professionals can classify the outcome as harm, no harm, intervention required, or death. 6. Root Cause Analysis: The Pennsylvania Medication Data Form also includes a section dedicated to conducting a root cause analysis. This analysis aims to identify the underlying causes and system failures that contributed to the medication error or near miss, providing valuable insights for quality improvement initiatives. By utilizing the Pennsylvania Medication Data Form — Medication Error and Near Miss Classification, healthcare facilities can gather important data to identify patterns, trends, and systemic issues related to medication errors. This information is vital for implementing proactive strategies to enhance patient safety, improve medication management practices, and ultimately prevent medication errors and near misses in Pennsylvania's healthcare settings.

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FAQ

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.

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

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.

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 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.

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%.

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by ZR Wolf · 2008 · Cited by 231 — Background. This chapter examines reporting of health care errors (e.g., verbal, written, or other form of communication and/or recording of near miss and ... Individual Incident, Medication Error, Restraint or Optionally Reportable Event. Click on the appropriate link and complete the screens. For more information, ...A total of 889 medication-error reports listed HIT as a factor contributing to the event submitted to the Pennsylvania Patient Safety Authority between January ... 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 ... Mar 1, 2021 — All incident categories (with the exception of medication errors and physical restraints) shall be reported in the Department's information ... AN ACT. Reforming the law on medical professional liability; providing for patient safety and reporting; establishing the Patient Safety Authority and the ... by JK Aronson · 2009 · Cited by 443 — Medication errors can occur in deciding which medicine and dosage regimen to use (prescribing faults—irrational, inappropriate, and ineffective ... Medication Error Reporting System (MERS) is used to report all medication errors (including near miss and actual error) ... Fill in the Medication Error Reporting ... Nov 8, 2017 — A system for reporting and reviewing errors is an es- sential component of a medication safety system; the goal is to enhance patient safety and ... □ Recall the local medication errors / near misses data. □ Explain the mistake lesson learning cycle. Page 3. Why Report? □ Ethical / medico-legal ...

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Pennsylvania Medication Data Form - Medication Error and Near Miss Classification