Medication Errors

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Safe Medication Practice

Medication Errors
Outlines
What is medication errors ?
Sources of medication errors
Categories
Why and How to report it ?
How to prevent it ?
What is Medication error
Any preventable event that may cause or lead to
inappropriate medication use or patient harm.
Such events may be related to professional practice, health
care products, procedures, and systems including:
prescribing; order communication; product labeling,
packaging and nomenclature; compounding; dispensing;
distribution; administration; education; monitoring; and
use
Can occur at any step along the way of Medication process,
from storage to the monitoring
Most common type of medical error
Sources of Medication errors
Storage :
Expiration , not right labeled , not well stored
Ordering
Reviewing orders
Preparing
Double check
Dispensing
Monitoring
Categories of Medication errors
A Circumstances or events that have the capacity to cause error
B An error occurred, but the error did not reach the patient (an error of
omission does reach the patient)
C An error occurred that reached the patient but did not cause patient
harm
D An error occurred that reached the patient and required monitoring to
confirm that it resulted in no harm to the patient and/or required
intervention to preclude harm
E An error occurred that may have contributed to or resulted in
temporary harm to the patient and required intervention
F An error occurred that may have contributed to or resulted in
temporary harm to the patient and required initial or prolonged
hospitalization
G An error occurred that may have contributed to or resulted in
permanent patient harm
H An error occurred that required intervention necessary to sustain life
I An error occurred that may have contributed to or resulted in the
patients death
Why and how to report it ?
Why ?
Improve practice and future prevention
How ?
Incidence report on I help
Thank you

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