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Click ‘Get Form’ to open the Medication Error Report Form in the editor.
Begin by filling in the Provider/Facility name and address, along with the Facility telephone number. This information is crucial for identifying where the error occurred.
Enter the child's name and date of birth. Accurate identification is essential for proper documentation.
Specify the date of the medication error and select the type of error from the provided options, such as incorrect child or incorrect medication.
Complete the section regarding authorized medication details, including name, dosage, route of administration, and frequency. This ensures clarity on what was supposed to be administered.
Describe the incident thoroughly, including all individuals involved. This section is vital for understanding how the error occurred.
Indicate actions taken post-error notification, ensuring that parents and healthcare providers are informed as required.
Finally, print your name, complete the date form completed, and provide your signature to finalize the report.

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Who to report self-reporting medication errors?

Health care professionals and consumers have the opportunity to report the occurrence of medication errors to a variety of organizations. Examples include the Institute of Safe Medication Practices (ISMP) and the Food and Drug Administration (FDA). These organizations collectively review error submissions.

How to write a medication error report?

A medication error report should include details of the error, patient information, medication details, personnel involved, error description, impact on the patient, corrective actions taken, and recommendations for preventing future errors.

How do you report a medication error?

Write a note in the medical record documenting what happened, the impact on the patient, treatment provided, and results. You can include who was told about it, what they were told, and when.

What are the required reporting requirements for a medication error?

What is required: Pharmacies must report medication errors within 14 days of discovery to a Board-approved third-party.

How to document a medical error?

If a patient believes that they received the wrong drug or the right drug in the wrong dose, they should report the error to the pharmacist team immediately. The patient should also contact their doctor, who will document the error in their medical record.

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