Documentation Error Medication Reporting
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therapy or failing to receive it as prescribed or intended. Medication errors happen for many reasons. However, failing to follow the six rights of medication administration is probably the most basic cause. how to document medication error in medical record Whether or not the patient was harmed or had an adverse reaction as medication error reporting form a result of the error, all medication errors must be reported, not only for patient safety but for quality-improvement
Medication Error Reporting Procedure
purposes. When you or a colleague makes a medication error, the patient’s safety and well-being are your first priority. Monitor the patient closely and notify the provider and your nurse manager as
Medication Error Reporting Format
soon as possible. Once the patient is stable, the person who made the error must complete an incident, variance, or quality-assurance report as soon as possible, but generally within 24 hours of the incident. The report should include the following information and any additional information required by facility policy: patient information, the location and time of the incident, a description of what happened and what medication error reporting categories was done about it, the condition of the patient, and the nurse’s signature. The incident report does not become a permanent part of the patient’s medical record; do not mention it in your documentation on the patient’s chart. The intent of this is not to hide the fact that an error occurred, but to protect the nurse and the facility. Depending on the error that occurred and the outcome, the facility may be required to report the incident to the Joint Commission. Nurses should feel comfortable reporting a medication error and not fear disciplinary action. Incident reports should not be used for disciplinary purposes but to improve systems and processes. Managers who use incident reports for disciplinary purposes run the risk of increased failure to report errors and of the same mistakes being made again and again. Medication incident report form References Bentz, P. M., & Ellis, J. R. (2007). Modules for basic nursing skills (7th ed.). Philadelphia: Lippincott Williams & Wilkins. p. 828. Duell, D. J., Martin, B. C., & Smith, S. F. (2004). Clinical nursing skills: Basic to advanced skills (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc. pp. 518-519.
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Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood http://www.fda.gov/drugs/drugsafety/medicationerrors/ & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Drug Safety and Availability Medication Errors Medication Errors Related to Drugs Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Within the Center for Drug Evaluation and Research (CDER), the Division of Medication Error Prevention and medication error Analysis (DMEPA) reviews medication error reports on marketed human drugs including prescription drugs, generic drugs, and over-the-counter drugs. DMEPA uses the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of a medication error. Specifically, a medication error is "any preventable event that may cause or lead to inappropriate medication error reporting medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. 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."DMEPA includes a medication error prevention program staffed with healthcare professionals. Among their many duties, program staff review medication error reports sent to MedWatch, evaluate causality, and analyze the data to provide solutions to reduce the risk of medication errors to industry and others at FDA.Additionally, DMEPA prospectively reviews proprietary names, labeling, packaging, and product design prior to drug approval to help prevent medication errors.Although DMEPA encourages manufacturers to perform their due diligence when naming their drug products and we strive to avoid approving confusing proprietary names for drug products, there are cases of adverse events where a name of a m