Medication Error Reporting Systems Us
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Medication Error Reporting Procedure
Event and Medication Error Reporting System for Ambulatory Care (MEADERS)Atif Zafar, MD,1 John Hickner, MD,2 Wilson Pace, MD,3
Medication Error Reporting Format
and William Tierney, MD41,4 Indiana University School of Medicine, Regenstrief Institute for Healthcare, Inc.2University of Chicago,3 University of Colorado Health Sciences CenterAuthor information ► Copyright and License information ►Copyright ©2008
Medication Error Reporting In Nursing Homes Identifying Targets For Patient Safety Improvement
AMIA - All rights reserved.This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purposeThis article has been cited by other articles in PMC.AbstractThe Institute of Medicine (IOM) has identified the mitigation of Adverse Drug Events (ADEs) and Medication Errors (MEs) as top national priorities. Currently available reporting tools are medication error reporting categories fraught with inefficiencies that prevent widespread adoption into busy primary care practices. Using expert panel input we designed and built a new reporting tool that could be used in these settings with a variety of information technology capabilities. We pilot tested the system in four Practice Based Research Networks (PBRNs) comprising 24 practices. Over 10 weeks we recorded 507 reports, of which 370 were MEs and 137 were ADEs. Clinicians found the system easy to use, with the average time to generating a report under 4 minutes. By using streamlined interface design techniques we were successfully able to improve reporting rates of ADEs and MEs in these practices.IntroductionAdverse drug events (ADEs) and medication errors (MEs) are a significant national problem15. An ADE is generally defined as a side effect (anticipated or unanticipated) of an administered medication. A medication error (ME) is an error in process that can or does lead to an ADE (for example, higher than acceptable dose prescribed, medication prescribed that interacts with another prescribed medication).Traditional ambulatory error reporting systems have met with limited success because of
Drug Event AlgorithmRecommendations / StatementsFor Consumers 20 Years of Medication Safety Advocacy Read about NCC MERP's advancements in promoting safe medication use in its Anniversary Report. Medication Error Index medication error reporting and prevention Learn how NCC MERP helps the health care industry track medication error reporting a survey of nursing staff and classify medication errors through the Medication Error Index. Consumer Information for Safe Medication Use medication error reporting flow chart Visit our Consumer Information for Safe Medication Use page to learn how you may help to decrease the number of preventable deaths caused by medication errors. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656098/ The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) is an independent body composed of 27 national organizations. In 1995, the United States Pharmacopeial Convention (USP) spearheaded the formation of the National Coordinating Council for Medication Error Reporting and Prevention: Leading national health care organizations are meeting, collaborating, and http://www.nccmerp.org/ cooperating to address the interdisciplinary causes of errors and to promote the safe use of medications. USP is a founding member and the Secretariat for NCC MERP. Medication Errors Definition What is a Medication Error? See Definition Taxonomy Provides a standard language and structure when analyzing medication error reports. See Taxonomy Index NCC MERP adopted a Medication Error Index that classifies an error according to the severity of the outcome. See Category Index NAN Alert The National Alert Network (NAN) publishes the alerts from the National Medication Errors Reporting Program. 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. September 15, 2016 Observe for possible fluid leakage when preparing parenteral syringes Subscribe Archive Upcoming Meetings There is no meeting avaiable. Previous Meetings Report Medication ErrorsISMP Medication Errors Reporting Program (MERP) Go U.S. Food and Drug Administration's
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco http://www.fda.gov/drugs/drugsafety/medicationerrors/ Products Drugs Home Drugs Drug Safety and Availability Medication Errors Medication Errors http://onlinelibrary.wiley.com/doi/10.1177/0091270003254831/pdf 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 Analysis (DMEPA) reviews medication error reports on marketed human drugs including prescription drugs, generic medication error 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 use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such medication error reporting 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 marketed product is identified as a source of confusion and error. Therefore, we continue to encourage healthcare providers, patients and consumers to report all medication errors to MedWatch so that we can be made aware of potential problems related to drug names a
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