Medication Error Logs Pharmaceutical Journal
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to complaints and concerns General Pharmaceutical Council This document provides guidance on how to minimise the risk of making a dispensing error and what to do if you make a dispensing error. It also gives guidance on dealing with complaints and concerns raised by patients, the public and other healthcare professionals. Source: pharmacyregulation.org Pharmacy Resource: Guidance Register to Access Content: No Last Checked: 06/11/13 Link Error: Report http://www.pharmaceutical-journal.com/opinion/correspondence/error-logs-miss-the-point-of-good-governance/10004329.article It Recommendations to Enhance Accuracy of Dispensing Medications National Coordinating Council for Medication Error Reporting and Prevention Source: nccmerp.org Pharmacy Resource: Recommendations Register to Access Content: No Last Checked: 19/10/15 Last Checked: Report It Medication Errors Prevention and Reduction Guidelines New Brunswick Pharmaceutical Society Given the complexity of http://www.resourcepharm.com/pharmacist/medication-errors.html the processes required to safely and accurately process a prescription from receipt of the order to issuing to the patient, it is critical that pharmacists be alert and focused at all times while working. Data has shown that more errors occur when pharmacists are either very busy or relatively quiet with regard to prescription workload. Source: nbpharmacists.ca Pharmacy Resource: Guideline Register to Access Content: No Last Checked: 02/12/13 Last Checked: Report It Reducing Medication Errors Associated with At-risk Behaviors by Healthcare Professionals National Coordinating Council for Medication Error Reporting and Prevention Source: nccmerp.org Pharmacy Resource: Recommendations Register to Access Content: No Last Checked: 19/05/15 Last Checked: Report It Royal Pharmaceutical Society | Near Miss Error Log This guidance and error log will help you, and your pharmacy team, to work through mistakes and learn from them. Source: rpharms.com Pharmacy Resource: Guidance and Error Log Sheet Regist
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issue Rights & permissions Journal disclaimer SubmitInstructions to authors Online submission Self-archiving policy Referee information Open access options Subscribe AdvertiseCorporate services Advertising Reprints and ePrints Sponsored supplements Books and custom publishing EditorProfessor Seamas Donnelly. Impact factor2.8245 Year impact factor2.634 Published on behalf ofThe Association of Physicians. Medication errors: what they are, how they happen, and how to avoid them You have accessRestricted access J.K. Aronson DOI: http://dx.doi.org/10.1093/qjmed/hcp052 513-521 First published online: 20 May 2009 ArticleFigures & dataInformation & metricsExplorePDF Abstract A medication error is a failure in the treatment process that leads to, or has the potential to lead to, harm to the patient. Medication errors can occur in deciding which medicine and dosage regimen to use (prescribing faults—irrational, inappropriate, and ineffective prescribing, underprescribing, overprescribing); writing the prescription (prescription errors); manufacturing the formulation (wrong strength, contaminants or adulterants, wrong or misleading packaging); dispensing the formulation (wrong drug, wrong formulation, wrong label); administering or taking the medicine (wrong dose, wrong route, wrong frequency, wrong duration); monitoring therapy (failing to alter therapy when required, erroneous alteration). They can be classified, using a psychological classification of errors, as knowledge-, rule-, action- and memory-based errors. Although medication errors can occasionally be serious, they are not commonly so and are often trivial. However, it is important to detect them, since system failures that result in minor errors can later lead to serious errors. Reporting of errors should be encouraged by creating a blame-free, non-punitive environment. Errors in prescribing include irrational, inappropriate, and ineffective prescribing, underprescribing and overprescribing (collectively called prescribing faults) and errors in writing the prescription (including illegibility). Avoiding medication errors is important in balanced prescribing, which is the use of a medicine that is appropriate to the patient's condition and, within the limits created by the uncertainty that attends therapeutic decisions, in a dosage regimen that optimizes the balance of benefit to harm. In balanced prescribing the mechanism of action of the drug should be married to the pathophysiology of the disease. Introduction In 2000, an expert group on learning from adverse events in the NHS, chaired by the Chief Medical Officer, reported that since 1