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Medication Errors Data Review Question Answer Reviewer Name Date of Review Does your organization have a definition for medication error and close call / near miss, as well as related terms (adverse event, adverse drug event)? Is the process for reporting medication errors well defined? How many reports of medication errors are received monthly? How many reports of near misses are received monthly? Is reporting trending upward or downward? Does any one person or group see all medication errors to better identify trends? What are barriers to medication error reporting in your organization? © Joint Commission Resources, Inc. May be adapted for internal use. 1 How does review of an error occur? Is it performed centrally or locally, with involved departments? How are medication errors categorized? Is it easy to tell which drugs are most often involved in errors, what the cause of the error was, and what were other contributors? How are the medication errors reported? Is safety culture a part of the reporting? What procedure does your organization follow if an error is caught before it reaches the patient? How does your organization ensure complete, reliable medication error data? How is the data used to improve medication processes? Give examples of this. © Joint Commission Resources, Inc. May be adapted for internal use. 2 What types of medication errors have similar common causes? What other, uncommon causes show up and for what types of medication errors? Have there been any recent risk assessments or tracers performed for any causes of medication errors? © Joint Commission Resources, Inc. May be adapted for internal use. 3
