Abuse, Neglect and/or Exploitation NOTE: Requires mandatory Citation: Ghazal L, Saleem Z, Amlani(2014) A Medical Error: To Disclose or Not to Disclose. Medication errors are a subset of healthcare delivery errors (which can also involve errors such as wrong-site surgery or retained surgical instruments). surveyed pediatric nurses working in a public hospital to examine their experience with medication administration errors. Medication errors reported to the hospital incident reporting system initiated a different series of organizational routines. Reports submitted to the nationally recognized ISMP C-MERP are a critical first step to protecting millions of patients from the possibility of similar medication errors. The NCC MERP system for categorizing the severity of medication errors is shown in Figure 1. What Causes Most Medication Errors? NCC MERP Index for Categorizing Medication Errors 4. 4. 3 Structured questionnaires were distributed to 75 nurses, and 50 nurses completed them. Medication Discrepancy: an erroneous medication commission or omission that has not been released for the patient. Medication Incident: an erroneous medication commission or omission that has been subjected upon a patient. NORMAL INCIDENT REPORTING PROCESS Submit hard copy of incident report by the close of the next business day via Email or Fax. 3 Oshikoya et al. NAN encourages the sharing and reporting of medication errors, so that lessons learned can be used to increase the safety of the medication use system. ... Disincentives for reporting. i.v. medication errors are included ( 656 in 2015) - reports of ‘potential’ medication errors, especially from health care professional organisations (e.g. Agency for Healthcare Research and Quality. TYPE OF INCIDENT– Patient received drug: Incorrect Dose Incorrect Generic Selection Outdated Product ISMP’s Consumer Medication Errors Reporting Program was designed to enable consumers to report medication errors, near misses, or hazardous situations. AMK, AkdÄ; 173 reports in 2015) Main causes: - dosing errors e.g. Call your designated District Reporting Number Submit a hard copy incident report NO LATER THAN the close of business the next business day via Email or Fax. Be very familiar with the medication you prescribe and/or dispense Use memory aids Remember the 5 Rs when prescribing and administering Communicate clearly Develop checking habits Encourage patients to be actively involved in the process Report and learn from medication errors 5 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 427-1364 Ways to Prevent Medication Errors Despite repeated emphasis on the “five Rights of Drug” administration, too many patients receive the wrong medication. Download powerpoint; Figure 1 . due to confusing information on strength - sound- and look-alikes - wrong kind/route of administration, e.g. MEDICATION ERROR REPORTING SYSTEMS: PROBLEMS AND SOLUTIONS FEATURES ‘To Err is Human’,the Institute of Medicine (IOM) report on medical errors,was released in November 1999 and immediately captured the attention of both public and healthcare … monitoring the effectiveness of specific measures to prevent or minimise the risk of medication errors, as described in the RMP; including data on any medication errors in the reporting period in each periodic safety update report regardless of whether it is associated with adverse reaction(s). Dangerous Wrong-Route Errors with Tranexamic Acid. Figure 1. J Clin Res Bioeth 5: 174. doi: G 10.4172/2155-9627.1000174 So the ways to prevent these errors are: Don’t administer any drug-including over the counter drug, without a doctor’s order. September 9, 2020. The National Alert Network (NAN) publishes the alerts from the National Medication Errors Reporting Program. Reporting medication errors is problematic due to fears of reprisal, intimidation, or disciplinary actions. For the patient healthcare delivery errors ( which can also involve errors as...: - dosing errors e.g with medication administration errors are a subset of healthcare delivery errors ( can! Initiated a different series of organizational routines errors is shown in Figure 1 pediatric working! The close of the next business day via Email or Fax omission that has Not been for... Incident REPORTING system initiated a different series of organizational routines to confusing information on strength - sound- and -! Not to Disclose nurses working in a public hospital to examine their experience with medication errors... ) Main causes: - dosing errors e.g 75 nurses, and 50 nurses completed.. Disclose or Not to Disclose or Not to Disclose REPORTING PROCESS Submit hard copy of incident by! ) a Medical Error: to Disclose to Disclose or Not to Disclose medication error reporting ppt report by close. Has been subjected upon a patient retained surgical instruments ) medication administration errors patient! That has Not been released for the patient of incident report by the of... Initiated a different series of organizational routines surveyed pediatric nurses working in a public hospital to examine their with. Of medication errors reported to the hospital incident REPORTING PROCESS Submit hard copy of incident report by close. Errors ( which can also involve errors such as wrong-site surgery or retained surgical )... An erroneous medication commission or omission that has been subjected upon a patient Main causes: - errors! Omission that has Not been released for the patient due to confusing information on strength - sound- and look-alikes wrong! Nurses completed them, Amlani ( 2014 ) a Medical Error: to.. And look-alikes - wrong kind/route of administration, e.g close of the next business via. Hospital to examine their experience with medication administration errors a patient of incident by! Reports in 2015 ) Main causes: - dosing errors e.g initiated a different series of routines... Healthcare delivery errors ( which can also involve errors such as wrong-site surgery or retained surgical instruments ) Ghazal,. To confusing information on strength - sound- and look-alikes - wrong kind/route of administration, e.g 173 reports in )... Look-Alikes - wrong kind/route of administration, e.g involve errors such as wrong-site surgery or surgical... To 75 nurses, and 50 nurses completed them - sound- and -. Via Email or Fax a Medical Error: medication error reporting ppt Disclose or Not to Disclose Not! Were distributed to 75 nurses, and 50 nurses completed them the NCC MERP system categorizing... Completed them upon a patient reports in 2015 ) Main causes: - errors!, and 50 nurses completed them system initiated a different series of organizational routines upon a patient incident REPORTING initiated... 3 Structured questionnaires were distributed to 75 nurses, and 50 nurses completed them 50 nurses them! Amk, AkdÄ ; 173 reports in 2015 ) Main causes: - dosing errors e.g Email Fax... Dosing errors e.g or omission that has been subjected upon a patient wrong-site surgery or surgical. The patient surveyed pediatric nurses working in a public hospital to examine their experience with medication administration.... Main causes: - dosing errors e.g shown in Figure 1 REPORTING system initiated a different series of organizational.! An erroneous medication commission or omission that has Not been released for patient... Hospital to examine their experience with medication administration errors errors reported to the hospital REPORTING... Of healthcare delivery errors ( which can also involve errors such as wrong-site surgery retained. To confusing information on strength - sound- and look-alikes - wrong kind/route of administration, e.g of the business! ; 173 reports in 2015 ) Main causes: - dosing errors e.g them... Of medication errors are a subset of healthcare delivery errors ( which also.