Read PSF030G Algorithm text version

Circumstances or events that have the capacity to cause error

NCC MERP Index for Categorizing Medication Errors Algorithm

Harm Impairment of the physical, emotional, or psychological function or structure of the body and/or pain resulting therefrom. Monitoring To observe or record relevant physiological or psychological signs. Intervention May include change in therapy or active medical/surgical treatment. Intervention Necessary to Sustain Life Includes cardiovascular and respiratory support (e.g., CPR, defibrillation, intubation, etc.)

YES

Category A

NO

Did an actual error occur?

YES

Category B

NO

Did the error reach the patient? * YES

Category C

Did the error contribute to or result in patient death? NO

*An error of omission does reach the patient.

Category I

NO Was intervention to preclude harm or extra monitoring required? YES

NO

Was the patient harmed? YES Did the error require an intervention necessary to sustain life? YES

Category E

NO

Did the error require initial or prolonged hospitalization?

YES

Category F

YES

Category D

NO

Was the harm temporary?

NO

Was the harm permanent? NO Category H

PSF030G

YES

Category G

© 2001 National Coordinating Council for Medication Error Reporting and Prevention. All Rights Reserved. * Permission is hereby granted to reproduce information contained herein provided that such reproduction shall not modify the text and shall include the copyright notice appearing on the pages from which it was copied.

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PSF030G Algorithm

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