Medication Error Severity
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Drug Event AlgorithmRecommendations / StatementsFor Consumers 20 Years of Medication Safety Advocacy Read about NCC MERP's advancements in promoting safe medication use in its ncc merp index for categorizing medication errors Anniversary Report. Medication Error Index Learn how NCC MERP helps
Ncc Merp Medication Error Definition
the health care industry track and classify medication errors through the Medication Error Index.
Ncc Merp Taxonomy Of Medication Errors
Consumer Information for Safe Medication Use Visit our Consumer Information for Safe Medication Use page to learn how you may help to decrease
Medication Error Index Categories
the number of preventable deaths caused by medication errors. 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 medication error severity scale Error Reporting and Prevention: Leading national health care organizations are meeting, collaborating, and 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
for Medication Error Reporting and Prevention (NCCMERP) has released a document recommending steps needed to correct error-prone aspects of prescription writing. It includes a recommendation that prescription communications include the medication's purpose as ismp medication error categories a way to help prevent medication dispensing errors. The document also addresses illegibility merp error categories of prescriptions and medication orders and contains a list of dangerous abbreviations, developed in cooperation with ISMP, that should medication error severity classification never be used in prescription writing. While the ideas will be familiar to many health care practitioners, the NCCMERP action adds a new level of importance since the group is represented by major http://www.nccmerp.org/ professional organizations and regulatory authorities such as USP, FDA, AMA, APhA, ANA, AHA, PhRMA, JC and NABP. In a second action, NCCMERP also began promoting a new medication error categorization index. The index was designed to help health care professionals track medication errors consistently and systematically by establishing severity levels to provide a focus for improvement efforts. The new index, based on one designed by https://www.ismp.org/newsletters/acutecare/articles/19960911.asp Hartwig et al (Hartwig SC et al. A severity-indexed, incident-report based medication-error reporting program. Am J Hosp Pharm. 1991;48:2611-6) appears below. Medication Error Index for Categorizing Errors TYPE OF ERROR/ CATEGORY RESULT NO ERROR Category A Circumstances or events that have the capacity to cause error ERROR, NO HARM Category B An error occurred but the medication did not reach the patient Category C An error occurred that reached the patient but did not cause patient harm Category D An error occurred that resulted in the need for increased patient monitoring but no patient harm ERROR, HARM Category E An error occurred that resulted in the need for treatment or intervention and caused temporary patient harm Category F An error occurred that resulted in initial or prolonged hospitalization and caused temporary patient harm Category G An error occurred that resulted in permanent patient harm Category H An error occurred that resulted in a near-death event (e.g., anaphylaxis, cardiac arrest) ERROR, DEATH Category I An error occurred that resulted in patient death Resources Acute Care Main Page Current Issue Past Issues Highlighted articles Action Agendas - Free CEs Special Error Alerts Subscribe Newsletter Ed
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListBr J Clin Pharmacolv.67(6); http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723196/ 2009 JunPMC2723196 Br J Clin Pharmacol. 2009 Jun; 67(6): 599–604. doi: 10.1111/j.1365-2125.2009.03415.xPMCID: PMC2723196Medication errors: definitions and classificationJeffrey K AronsonDepartment of Primary Health Care, Oxford, UKCorrespondence Dr Jeffrey K. Aronson, MA, DPhil, MBChB, FRCP, FBPharmacolS, FFPM (Hon), Department of Primary Health Care, Rosemary Rue Building, Old Road Campus, Headington, Oxford OX3 7LF, UK. Tel: +44 (0) 1865 medication error 289288 Fax: +44 (0) 1865 289287 E-mail: ku.ca.xo.mrahpnilc@nosnora.yerffejAuthor information ► Article notes ► Copyright and License information ►Accepted 2009 Mar 18.Copyright Journal compilation © 2009 The British Pharmacological SocietyThis article has been cited by other articles in PMC.AbstractTo understand medication errors and to identify preventive strategies, we need to classify them and define the terms that describe medication error severity them.The four main approaches to defining technical terms consider etymology, usage, previous definitions, and the Ramsey–Lewis method (based on an understanding of theory and practice).A medication error is ‘a failure in the treatment process that leads to, or has the potential to lead to, harm to the patient’.Prescribing faults, a subset of medication errors, should be distinguished from prescription errors. A prescribing fault is ‘a failure in the prescribing [decision-making] process that leads to, or has the potential to lead to, harm to the patient’. The converse of this, ‘balanced prescribing’ 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’. This excludes all forms of prescribing faults, such as irrational, inappropriate, and ineffective prescribing, underprescribing and overprescribing.A prescription error is ‘a failure in the prescription writing process that results in a wrong instruction about one or more of the normal