Alaska 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.

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FAQ

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%.

An ADE is generally defined as a side effect (anticipated or unanticipated) of an administered medication. A medication error (ME) is an error in process that can or does lead to an ADE (for example, higher than acceptable dose prescribed, medication prescribed that interacts with another prescribed medication).

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.

Near misses are 'a dispensing error detected by the checker before the patient receives the prescription'.

The ASHP classifies errors as prescribing error, dispensing error, omission error, wrong time error, unauthorized drug error, improper dose error, wrong dosage-form error, wrong drug-preparation error, wrong administration-technique error, deteriorated drug error, monitoring error, compliance error, and other ...

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 ...

An incident includes any irregularity in the process of medication use. It might represent an ADE, potential ADE, medication error, or none of these?it is essentially a ?catch all? term for what to call something before it has been classified.

What is the difference between a medication error and a near miss? A medication error reaches the patient, while a near miss is caught before it gets to the patient.

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Alaska Medication Data Form - Medication Error and Near Miss Classification