Medication Error Reporting Systems
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I. Introduction The recently released Institute of Medicine (IOM) report, "To Err is Human: Building a Safer Health System," outlines broad recommendations to improve patient safety and reduce medical error. The recommendations are designed for medication error reporting and prevention implementation at the public policy level to encourage organizations and practitioners to enhance patient medication error reporting form safety at the care delivery level. Although no single recommendation or activity offers a full solution to medical error, error
Medication Error Reporting Procedure
prevention experts agree that successful error reduction strategies depend heavily on responsible detection and open reporting of errors. To that end, two of the nine recommendations call for the establishment and/or expansion of external
Medication Error Reporting Format
mandatory and voluntary reporting programs. According to the IOM report, reporting programs, whether voluntary or mandatory, must satisfy two primary purposes: To hold providers accountable for performance and patient safety; and To provide information that leads to new knowledge and improved patient safety. II. Mandatory and Voluntary Reporting Systems Both voluntary and mandatory reporting systems are operating currently throughout the nation with varying levels of success. A brief medication error report form template look at the success of these programs in meeting the IOM goals listed above may provide guidance in designing a reporting system model. Mandatory Reporting Systems Experience shows that current mandatory reporting programs have not been as successful as perhaps originally envisioned. While mandatory reporting systems have the potential to produce useful data, compliance with reporting requirements has been inconsistent, as evidenced by significant variation in the volume of reports and amount of useful information received by most mandatory systems. Such underreporting, despite any mandate, is understandable when you consider that disclosure has typically exposed organizations and individual practitioners to financial penalties, punitive actions concerning professional and organizational licenses, and legal and public scrutiny. Any reporting program that has at its core the punishment of healthcare practitioners and organizations is bound to fail in terms of gaining new knowledge about errors, as well as holding providers accountable for patient safety. While punishment may be warranted in rare instances for illegal or malicious behavior, mandatory reporting in today's health systems typically results in punitive measures against health care professionals and organizations involved in medical error, whether punishment is warranted or not. Therefore, mandatory reporting, with its attendant threat of punishment, has had the undenia
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Pharmacy Error Reporting Form
Submit Case CME / CEU Training Catalog Info Glossary About PSNet Help medication error reporting massachusetts & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy reporting medication errors in nursing Policy External Link Disclaimer Patient Safety Primer Last Updated: August 2014 Voluntary Patient Safety Event Reporting (Incident Reporting) Topics Resource Type Patient Safety Primers Approach to Improving Safety Error https://www.ismp.org/Tools/whitepapers/concept.asp Reporting Institutional Reporting More Share Facebook Twitter Linkedin Email Print Background Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect patient safety events and quality problems. Incident reporting is frequently used as a general term for all voluntary patient safety event reporting systems, which rely on those involved in https://psnet.ahrq.gov/primers/primer/13/voluntary-patient-safety-event-reporting-incident-reporting events to provide detailed information. Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it (e.g., the nurse, pharmacist, or physician caring for a patient when a medication error occurred), rather than management or patient safety professionals. Voluntary event reporting is therefore a passive form of surveillance for near misses or unsafe conditions, in contrast to more active methods of surveillance such as direct observation of providers or chart review using trigger tools. The Patient Safety Primer Detection of Safety Hazards provides a detailed discussion of other methods of identifying errors and latent safety problems. Characteristics of Incident Reporting Systems An effective event reporting system should have four key attributes: Box. Key Components of an Effective Event Reporting System Institution must have a supportive environment for event reporting that protects the privacy of staff who report occurrences. Reports should be received from a broad range of personnel. Summaries of reported events must be disseminated in a timely fashion. A structured mechanism must be
Portal Advanced search Portal Home Search Titles A-Z Subjects Keywords Series and Periodicals Publishers Authors A-Z Regions Countries Index Sub-collections Public sub-collections Loading... Subjects & KeywordsAll > http://apps.who.int/medicinedocs/en/d/Js17803en/ Quality and Safety: Medicines > Quality AssuranceAll > Quality and Safety: Medicines > Safety and EfficacyKeywords > guidelinesKeywords > inappropriate useKeywords > medication errorsKeywords > quality assuranceKeywords > reportingKeywords > reporting systemKeywords > safetyGuideline on Medication Error Reporting, First Edition, July 2009 - Malaysia (2009; 30 pages) Abstract The Pharmaceutical Services Division, Ministry of Health Malaysia had introduced the medication error Pharmacy Quality Assurance Program since the 1980’s. Data collected related to medication safety includes prescriptions intervened, wrongly dispensed medications and wrongly filled medications (but detected before dispensing) at hospitals and clinics. However, the information obtained was only limited to prescribing and dispensing practices. There were no data available on other processes in the medicines management cycle such as preparation medication error report and administration of medications. Hence, there is a need for a reporting system that incorporates all processes involved in the management of medicines to collect and collate relevant information for necessary remedial actions. With guidance and cooperation of the Medication Safety Technical Advisory Committee, the Pharmaceutical Services Division has embarked on a reporting system called the Medication Error Reporting System (MERS). The aim of this system is to establish a database on medication errors which includes all error reports related to medication use in the prescribing, administration, dispensing and preparation... View the PDF document Sitemap Search Titles A-Z Subjects Keywords Series and Periodicals Publishers Authors A-Z Regions Countries Index Sub-collections Public sub-collections Help and Services Contacts FAQs Employment Feedback Privacy E-mail scams WHO.INT WHO Home WHO Health Systems and Services WHO Medicines WHO sites Connect with WHO RSS Feeds WHO YouTube channel Follow WHO on Twitter WHO Facebook page © WHO 2016 The WHO Essential Medicines and Health Products Information Portal was designed and is maintained by Human Info NGO. Last updated: September 2, 2016
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