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medicine error or near miss - Coggle Diagram
medicine error or near miss
Dispensing (16%)
Prescribing (21%)
co-morbidity
Over prescribing
Narrow therapeutic window
Lithuim
Clozapine
Warfarin
Carbamazepine
Monitoring
Under prescribing
High risk drugs resulting in hospitalisation
non-steroidal anti-inflammatories (NSAIDs)
anti-platelet drugs
antiepileptic drugs
switching between branded originator and generic products
Bioequivalence
low blood glucose drugs
Diuretics
inhaled corticosteroids
cardiac glycosides and beta blockers
Renal impairment
estimated Glomerular Filtration Rate (eGFR)
Older adults
Children
Contraindications
Administration (45%)
Wrong dose
Wrong drug
Sound alike, look alike
Wrong Patient
Wrong time
Wrong route
Faulty Device
By patient
By care giver
information/recording
recording platform
shared platform
Various agencies involved
Patients knowledge
Meds Rec
Discharge
Admission
Patient history
Storage
Error/near miss Reporting
investigation
MHR
Committee on Safety of Medicines (CSM) Yellow card
black triangle(▲)
ADR
Patient welfare
Safety Systems
Medicines and Healthcare Products Regulatory Agency (MHRA) alerts
Controlled Drugs Accountable Officer (CDAO)
Medicine Safety Officer
Committee on Safety of Medicines (CSM)
Computerized clinical decision support systems (CCDSSs)