1. MEDICATION ERRORS
(Mistakes, Slips and/or Lapses)
Mistakes
Error in planning and/or taking action.
Knowledge based:
 Unfamiliar withpolicies and
procedures
 Operating out ofscope of
practice
Rule based:
 Not implementing FiveRights of
MedicationAdministration
 Operating outsideagency
Policies andProcedures
Slips & Lapses
Error in executing correctly planned
actions.
Action based:
 Failure tomaintain/stock/secure
prescribed medications.
 Not performing FiveRights of
MedicationAdministration.
Memory based:
 Adequate& Timely documentation.
 Following upon
physician/client/pharmacy
requests
Identified Mistakes
 Unawareofagencypolicies and
procedures for med
administration
 Unawareofindicators for post
administration observation
o Allergic Reaction
o Contraindications
Identified Slips & Lapses
 Missed Dose
 Wrong administration
technique/time
 Administering discontinued
medication
 Administering expired medication
 Transcribing verbal order inwrong
patient’s chart
 Documenting on wrong patient
 Meds administered basedon
invalidlab results
ERROR
When intended action is not performed.