2. FLOW & CHART NEAR/MISSED
MEDICATION ERROR
Error detected
Fill in
near/missed
medication form
•Form can be taken in second row drawer
Keep filled form in
second row
drawer
•Form also can be filled at the end of the shift.
Data compiled by
PIC at the end of
the month and
submitted to HOS.
3. Near/Missed Medication Report
Form
Example:
Staff A
Staff B
Staff A
-
01 January 2020 12:30pm
Checker detected.
Change to Arcoxia 90mg
tab immediately.
Tab Arcoxia 120mg was
prescribed but wrong strength
medication prepared.
Staff B
01 January 2020
5. COMPILED MONTHLY REPORT
BIL DATE TIME
STAFF
INVOLVE
CASE DESCRIPTION
MRN
(OP/IP/DC)
PRESCRIBER TYPE OF ERROR* RCA
REPORT SUBMIT
DATE
eg 10/07/2020 1030H Staff A 12568 (OP) DR AZAM B
1 30/06/2020 1530H
HANANI
FARHANA
9560 (IP) DR AZAM D
IV Nexium given instead of IV
Panto. Detected by staff nurse.
2 D IV
3
4
5
6
7
*CODE TYPE OF ERROR
A ALLERGY
B WRONG FREQUENCY
C WRONG ROUTE
D WRONG FORMULATION
E EXPIRED DRUG