Why would nurses not report medication errors or near misses?
Nurses commonly said they would not report the errors or near misses because there was a good excuse for the error/near miss, because they lacked knowledge about whether it was an error/near miss or how to report it, because they feared the consequences of reporting it, or because reporting it was too much work.
What is a near miss in a hospital?
Near-miss events are errors that occur in the process of providing medical care that are detected and corrected before a patient is harmed.
What is a near miss in medication administration?
Potential Adverse Drug Events (near misses) may be identified as incidents which did not cause any harm at the time but may have had the potential to cause harm. These are also referred to as Adverse Drug Reactions (ADRs).
How do you identify near misses?
According to ISO 45001, a near miss is “a work-related incident where no injury or ill health occurs, but which has the potential to cause these.” Both a near miss and an accident are incidents. But unlike an accident, a near miss is an incident that did not result in a fatality, injury, illness, or property damage.
What to do if a medication error occurs?
If the patient tells you it is the wrong medication or treatment, stop and check the order. Check physician orders for changes, and if you are unsure of a dosage, ask another nurse or the pharmacist to double-check your calculations. Double check to makes sure equipment alarms are set appropriately.
How do you deal with near misses?
What Should You Do if You Have a Near Miss? Heed the warning of a near miss, and take every near miss as seriously as if it were an actual accident. Report all near misses to your supervisor immediately. Don’t be afraid you’ll be blamed or penalized for the incident.
How do you avoid near misses?
To prevent near misses in the workplace, consider the following best practices.
- Establish a near miss reporting system.
- Investigate the cause of the near miss.
- Encourage employee participation.
- Incorporate wearable technology and data analytics.
Why do we report near misses?
“A near miss is a leading indicator to an accident that, if scrutinized and used correctly, can prevent injuries and damages.” Collecting near-miss reports helps create a culture that seeks to identify and control hazards, which will reduce risks and the potential for harm, OSHA states.
What was the near miss on July 23, 2014?
July 23, 2014: If an asteroid big enough to knock modern civilization back to the 18th century appeared out of deep space and buzzed the Earth-Moon system, the near-miss would be instant worldwide headline news. Two years ago, Earth experienced a close shave just as perilous, but most newspapers didn’t mention it.
What is the definition of a near miss?
Key points. One definition of a near miss is when an unplanned event occurs resulting in no injuries or damages, but had the potential for such. Communicate near-miss programs, make them easy to use and take action on near misses reported, one stakeholder suggests.
Why is it important to report on near misses?
Additionally, the reporters of near misses are not at the risk of blame, shame or legal litigation. Therefore, this may positively influence the staff willingness to report these incidents without any fear. Even, the reporters may be prized or awarded because of their efforts for preventing harm (2, 4).
Who is the author of near misses and their importance?
Iran J Public Health