Count of Error Class

Error Class Count of Error Class

Administration 2 Prescribing-Dispensing
Dispensing 3
Dispensing-Administration 3 Prescribing-Administration
Prescribing 4
Prescribing-Administration 1 Prescribing
Prescribing-Dispensing 6
Dispensing-Administration

Dispensing

Administration

0 1 2 3 4 5
nt of Error Class

1 2 3 4 5 6 7
MERP Index Category Count of MERP Index Category
B 8 Count of MERP Index Catego
C 7 9
D 3 8
E 1
7
6
5
4
3
2
1
0
B C D
P Index Category B
An error occurred but the error did not reach the patient
C
An error occurred that reached the patient but did not cause patie

D An error occurred that reached the patient and required monitoring to c

E An error occurred that may have contributed to or resulted in temporar

D E
rror did not reach the patient

patient but did not cause patient harm

t and required monitoring to confirm that it resulted in no harm to the patient and/or required intervention to preclude harm

ted to or resulted in temporary harm to the patient and required intervention

to preclude harm
 Occurrence of
Case No Reported person Department
Incident Date

7_01_23 Saw Khon Mai Nursing 16.7.2023

8_01_23 Aye Nyein Soe Nursing 8.8.2023

8_02_23 Aye Nyein Thu Pharmacy 9.8.2023

8_03_23 Su Myat Mon Htet Pharmacy 10.8.2023

8_04_23 Saw Khon Mai Nursing 8.8.2023

8_05_23 Saw Khon Mai Nursing 31.8.2023

8_06_23 Kyi Kyi Moe Pharmacy 18.8.2023

8_07_23 Tin Tin Thaw Nursing 24.8.2023

8_08_23 Dr Yar Zar Win A&E 28.8.2023

9_01_23 Saw Khon Mai Nursing 4.9.2023

9_02_23 Aye Nyein Soe Nursing 5.9.2023

9_03_23 Dr Nyan Win Htet IPD-MO 11.9.2023

9_04_23 Aye Nyein Soe Nursing 17.9.2023

9_05_23 Khin Pyae Sone Mon Pharmacy 12.9.2023

9_06_23 Myo Thet Khaing Pharmacy 20.9.2023

9_07_23 Nay Chi Myat Noe Pharmacy 21.9.2023

9_08_23 Sandar Soe Nursing 30.9.2023

9_09_23 Su Myat Mon Htet Pharmacy 27.9.2023

9_10_23 Saw Khon Mai Nursing 29.9.2023

Notification of
Location MERP Index Category Error Class
Incident Date

25.7.2023 Pharmacy B Prescribing-Dispensing

8.8.2023 IPD-Nursing C Dispensing-Administration

9.8.2023 Pharmacy C Prescribing-Dispensing

11.8.2023 Pharmacy D Prescribing-Dispensing

30.8.2023 Pharmacy E Dispensing

1.9.2023 Pharmacy C Prescribing-Dispensing

18.8.2023 Pharmacy B Dispensing-Administration

24.8.2023 IPD-Nursing D Administration

28.8.2023 A&E B Prescribing

12.9.2023 Pharmacy C Dispensing

5.9.2023 IPD-Nursing D Prescribing-Administration

11.9.2023 A&E B Prescribing

20.9.2023 IPD-MO B Prescribing

13.9.2023 Pharmacy C Prescribing-Dispensing

9.10.2023 Pharmacy C Prescribing-Dispensing

21.9.2023 Pharmacy B Dispensing

30.9.2023 IPD-Nursing B Prescribing

27.9.2023 Pharmacy C Dispensing-Administration

29.9.2023 OPD-Nursing B Administration

BESS Score

11

10

11

12

12

13

11

10

12

12

14

9
Department Count of Department
Nursing 10
Pharmacy 7
A&E 1
IPD-MO 1
Total Result 19
Location Count of Location
Pharmacy 11
IPD-Nursing 4
A&E 2
IPD-MO 1
OPD-Nursing 1
Total Result 19