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South Carolina 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.
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.
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
SECTION 40-43-30. Definitions. For purposes of this chapter: (1) "Administer" means the direct application of a drug or device pursuant to a lawful order of a practitioner to the body of a patient by injection, inhalation, ingestion, topical application, or any other means.
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.
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.
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.
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 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 ...
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.