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Rhode Island Medication Data Form - Medication Error and Near Miss Classification
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Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses.
Types of Medication Errors Prescribing. Omission. Wrong time. Unauthorized drug. Improper dose. Wrong dose prescription/wrong dose preparation. Administration errors include the incorrect route of administration, giving the drug to the wrong patient, extra dose, or wrong rate.
A medication error is defined as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer,? ing to the National Coordinating Council for Medication Error Reporting and Prevention.
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.
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.
Wrong dose, missing doses, and wrong medication are the most commonly reported administration errors. Contributing factors to patient and caregiver error include low health literacy, poor provider?patient communication, absence of health literacy, and universal precautions in the outpatient clinic.
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 ...
Wrong dose, missing doses, and wrong medication are the most commonly reported administration errors. Contributing factors to patient and caregiver error include low health literacy, poor provider?patient communication, absence of health literacy, and universal precautions in the outpatient clinic.