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.
Utah Medication Data Form - Medication Error and Near Miss Classification
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MEs were assigned to nine categories as shown in Table 2: 1) wrong dose, 2) wrong drug due to mix-up of drugs, 3) wrong patient due to mix-up of patients, 4) Omission 5) unauthorized drug, 6) wrong route, 7) wrong judgement or inadequate assessment of the patient's need for treatment, 8) wrong management or storage of ...
Medical errors typically include surgical, diagnostic, medication, devices and equipment, and systems failures, infections, falls, and healthcare technology.
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
Class C error or prohibited practice Type of action/inaction committed by staff that generally involves: ? The death of a person ? Injury requiring hospitalization or medical treatment at an emergency department, clinic or health care provider's office ? Falsification of records and/or certification paperwork ? ...
Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses.
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%.
Category C An error occurred that reached the patient but did not cause patient harm. Medication reaches the patient and is administered. Medication reaches the patient but not administered.
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.