Houston Texas Medication Data Form - Medication Error and Near Miss Classification

State:
Multi-State
City:
Houston
Control #:
US-02260BG
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PDF
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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.


Houston Texas Medication Data Form — Medication Error and Near Miss Classification is a comprehensive system designed to collect and classify medication errors and near misses that occur within the healthcare setting in Houston, Texas. This form serves as a crucial tool in identifying and analyzing medication errors and near misses preventing future occurrences and enhance patient safety. Here is a detailed description of the various components and types of this form: 1. Purpose: The Houston Texas Medication Data Form aims to capture detailed information about medication errors and near misses, including their frequency, causes, contributing factors, and potential consequences. This information is vital for identifying patterns, implementing improvement strategies, and promoting a culture of proactive error prevention. 2. Information Collection: The form collects a range of information related to medication errors and near misses, such as the date and time of occurrence, specific drugs involved, healthcare professionals involved, location of the incident, and any patient-related factors that contributed to the error. 3. Classification: The form incorporates a robust classification system to categorize medication errors and near misses based on their severity and potential harm to patients. This classification system ensures a standardized approach to reporting and analyzing incidents, thereby facilitating comparisons and benchmarking across healthcare facilities. 4. Medication Error Classification: The form classifies medication errors into different categories such as wrong drug, wrong dose, wrong route, wrong patient, wrong time, and medication omission. These classifications help identify specific areas where errors commonly occur and guide targeted interventions. 5. Near Miss Classification: Near misses, which refer to events that could have resulted in patient harm but were intercepted before reaching the patient, are also classified using this form. Near misses can be categorized based on factors like potential severity, likelihood of harm, and the specific stage of the medication use process where the error was intercepted. 6. Root Cause Analysis: In addition to classification, the form also provides a space for conducting root cause analyzes. This allows healthcare professionals to investigate the underlying causes and contributing factors leading to medication errors and near misses. Root cause analyzes enable the implementation of effective preventive measures and system improvements. 7. Continuous Monitoring and Reporting: The Houston Texas Medication Data Form enables the continuous monitoring of medication errors and near misses and supports ongoing quality improvement efforts. Regular reports generated from the collected data can help identify trends, track improvement initiatives, and guide educational interventions for healthcare providers. By utilizing the Houston Texas Medication Data Form — Medication Error and Near Miss Classification, healthcare organizations in Houston, Texas can gain a comprehensive understanding of medication-related incidents, identify areas for improvement, and ultimately enhance patient safety and the quality of care provided.

Houston Texas Medication Data Form — Medication Error and Near Miss Classification is a comprehensive system designed to collect and classify medication errors and near misses that occur within the healthcare setting in Houston, Texas. This form serves as a crucial tool in identifying and analyzing medication errors and near misses preventing future occurrences and enhance patient safety. Here is a detailed description of the various components and types of this form: 1. Purpose: The Houston Texas Medication Data Form aims to capture detailed information about medication errors and near misses, including their frequency, causes, contributing factors, and potential consequences. This information is vital for identifying patterns, implementing improvement strategies, and promoting a culture of proactive error prevention. 2. Information Collection: The form collects a range of information related to medication errors and near misses, such as the date and time of occurrence, specific drugs involved, healthcare professionals involved, location of the incident, and any patient-related factors that contributed to the error. 3. Classification: The form incorporates a robust classification system to categorize medication errors and near misses based on their severity and potential harm to patients. This classification system ensures a standardized approach to reporting and analyzing incidents, thereby facilitating comparisons and benchmarking across healthcare facilities. 4. Medication Error Classification: The form classifies medication errors into different categories such as wrong drug, wrong dose, wrong route, wrong patient, wrong time, and medication omission. These classifications help identify specific areas where errors commonly occur and guide targeted interventions. 5. Near Miss Classification: Near misses, which refer to events that could have resulted in patient harm but were intercepted before reaching the patient, are also classified using this form. Near misses can be categorized based on factors like potential severity, likelihood of harm, and the specific stage of the medication use process where the error was intercepted. 6. Root Cause Analysis: In addition to classification, the form also provides a space for conducting root cause analyzes. This allows healthcare professionals to investigate the underlying causes and contributing factors leading to medication errors and near misses. Root cause analyzes enable the implementation of effective preventive measures and system improvements. 7. Continuous Monitoring and Reporting: The Houston Texas Medication Data Form enables the continuous monitoring of medication errors and near misses and supports ongoing quality improvement efforts. Regular reports generated from the collected data can help identify trends, track improvement initiatives, and guide educational interventions for healthcare providers. By utilizing the Houston Texas Medication Data Form — Medication Error and Near Miss Classification, healthcare organizations in Houston, Texas can gain a comprehensive understanding of medication-related incidents, identify areas for improvement, and ultimately enhance patient safety and the quality of care provided.

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Examples of near misses. Sometimes a medication is prescribed without considering the patient's allergies or potential for significant drug interactions. In many, but not all, situations the patient or pharmacist recognizes the risk in time.

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.

Medication errors threaten patient safety by requiring admission, readmission, and/or a longer hospital stay, and can even be fatal. Near-misses indicate the potential for medication errors to have occurred. Therefore, reporting near-misses is a first step in preventing medication errors.

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.

Medication errors can be classified, invoking psychological theory, as knowledge-based mistakes, rule-based mistakes, action-based slips, and memory-based lapses. This classification informs preventive strategies.

WHO defines a near miss as ?an error that has the potential to cause an adverse event (patient harm) but fails to do so because of chance or because it is intercepted? (2).

That study included a review panel of pharmacists and physicians who used the NCC MERP to classify actual harm associated with 30 medication errors identified by chart review.

The most common causes of medication errors are: Poor communication between your doctors. Poor communication between you and your doctors. Drug names that sound alike and medications that look alike. Medical abbreviations.

Top 5 Most Common Prescription Drug Errors Lack of awareness of expiration dates. Although expiration dates are printed on the bottle or label, many patients do not pay attention to the date.Taking the incorrect dosage.Rate of usage.What time of day to take the drug.Combining drugs without physician guidance.

The most common types of drug errors are: Omission (either during the admission or on discharge) Incorrect dosing (either too high/low or incorrect timings)

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Medication errors refer to mistakes in prescribing, dispensing and giving medications. Table 2: NRLS patient safety incident severity rating scale .Definitions and Types of Patient Harm. EHR data to understand the occurrence of revision in the data. Healthcare practitioners and consumers report medication and vaccine errors to ISMP with the hope that future errors and patient harm will be prevented. 6.15 Instructions for Completing Form FRA F 6180. For Hospitals, Hospital Laboratory, and Acute Care Facility Data. Login with the username and password given in the email to register. In addition, data for hospitalizations, intensive care unit.

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Houston Texas Medication Data Form - Medication Error and Near Miss Classification