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Medication Errors

Types of medication errors include: 1) Prescribing errors such as inappropriate drug selection, dose, or administration route. 2) Omission errors where a patient does not receive a scheduled dose. 3) Administration errors like giving the wrong drug, dose, time, route, or patient. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) categorizes medication errors and their associated level of harm, from near misses to death. Medication reconciliation aims to avoid errors by comparing a patient's medication orders to their current regimen.

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Fahad Alkenani
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430 views2 pages

Medication Errors

Types of medication errors include: 1) Prescribing errors such as inappropriate drug selection, dose, or administration route. 2) Omission errors where a patient does not receive a scheduled dose. 3) Administration errors like giving the wrong drug, dose, time, route, or patient. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) categorizes medication errors and their associated level of harm, from near misses to death. Medication reconciliation aims to avoid errors by comparing a patient's medication orders to their current regimen.

Uploaded by

Fahad Alkenani
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Eslam Fahmy

https://t.me/splenotes
00201011922837
Type of medication errors

Prescribing • Inappropriate drug selection, dose, dosage form or route of administration ‫الدكتور غلط في اختيار الدوا – جرعته – طريقة أخذه‬ ▪

Omission • Patient doesn't receive a scheduled dose of medication. ‫ن‬


)‫مرتي (نىس جرعة‬ ‫ مرات يوميا – هو خد‬3 ‫الدوا مثال‬ ▪
• 2nd most common error in the medication use process.
Unauthorized drug • Drug was not authorized by an appropriate prescriber ‫الل ن يف الروشتة أو من غي روشتة خالص‬
‫المريض خد دوا غي ي‬ ▪
‫ن‬ ‫ن‬ ▪
• Medication given to wrong patient ‫مريضي‬ ‫تان – عكست دوا‬
‫الممرضة أدت دوا لمريض ي‬

Wrong time • Drug not administered in accordance to the interval ‫ ن يف األخطاء‬1 ‫رقم‬ ▪
• 1st common error in the medication use process.
Wrong dose • The dose administered is different from that prescribed ‫الل ن يف الروشتة‬
‫خد جرعة غلط غي ي‬ ▪

Wrong dosage form • Dosage form different from that prescribed ‫مكتوبلة نيورتون حقن و انت اديتله نيوروتون أقراص‬ ▪

Wrong preparation • Reconstitution error ‫المريض غلط و هو بيحل المضاد الحيوي‬ ▪


• IV admixture compounding error
Wrong administration • Drug is given to a patient inappropriately ‫الدوا اتاخد غلط – هو عضل مثال و انت اديته وريد‬ ▪
• IM drug given IV

Deteriorated drug • Patient given expired or deteriorated drug ‫منته‬


‫ي‬ ‫مريض بياخد دوا بايظ أو تاري خ صالحيته‬ ▪

Monitoring • Patients are not monitored appropriately ▪

Compliance • Patients use medications in an inappropriate way ‫المريض مش عارف يستخدم الدوا‬ ▪
• Patient use metered dose inhaler in wrong way ‫ المريض مش عارف ستخدم بخاخة الصدر‬: ‫مثال‬ ▪

Duplication error • 2 drugs from the same class are prescribed. ‫مكتوبي ن يف نفس الروشتة‬
‫ن‬ ‫دوا ن‬
‫يي من نفس العيلة الدوائية‬ ▪
Eslam Fahmy
https://t.me/splenotes
NCC MERP index for categorizing
00201011922837
Classification of medication errors medication errors

Error Harm Notes


No error A ❌ ❌ • Possibility of error but no error occurred.

Error + No harm B ❌ • Error did not reach patient

C ❌ • Error reach patient → cause no harm

D ❌ • Error reach patient → cause no harm, but need ↑ Monitoring

Error + Harm E Temporary harm • Treatment and intervention

F Temporary harm • Prolonged hospitalization

G Permanent harm

H Near death harm • Anaphylaxis and cardiac arrest

Error + Death I Death

❖ Medication reconciliation
• the process of comparing a patient's medication orders to all of the medications that the patient has been taking.
• This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions.
• It should be done at every transition of care in which new medications are ordered or existing orders are rewritten

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