Patient was administered Wrong drug administered wrong drug and Hypotension experienced hypotension Because of similar Drug name confusion sounding drug names, the Wrong drug administered patient took the wrong drug Rash and experienced a rash If an overdose is reported in the Insulin was given using the context of a wrong syringe resulting in Wrong device used medication error, the the administration of an Accidental overdose more specific term overdose. The patient Hypoglycaemia LLT Accidental developed hypoglycaemia. overdose can be selected (See also Section 3.18) 3.15.1.1 Medication errors and potential medication errors reported without clinical consequences The Example table: Reported LLT Selected Comment Medication was given Intramuscular formulation intravenously instead of administered by intramuscularly other route Medication was Intramuscular formulation intravenously instead of administered by See Section 3.21 intramuscularly other route No adverse effect without sequelae Patient was dispensed the wrong drug. The error was Intercepted drug detected prior to patient dispensing administration LLT Drug name confusion be an Pharmacist notices that optional additional the names of two drugs Circumstance or term to select (for are similar and is information capable of tracking purposes). concerned that this may leading to medication Note: this example is a result in a medication error potential medication error Drug inadvertently Drug administration administered. The error
Patient was administered wrong drug and experienced hypotension Wrong drug administered Hypotension Because of similar sounding drug names, the patient took the wrong drug and experienced a rash Drug name confusion Wrong drug administered Rash Insulin was given using the wrong syringe resulting in the administration of an overdose. The patient developed hypoglycaemia. Wrong device used Accidental overdose Hypoglycaemia If an overdose is reported in the context of a medication error, the more specific term LLT Accidental overdose can be selected (See also Section 3.18) 3.15.1.1 Medication errors and potential medication errors reported without clinical consequences The Example table: Reported LLT Selected Comment Medication was given intravenously instead of intramuscularly Intramuscular formulation administered by other route Medication was intravenously instead of intramuscularly without sequelae Intramuscular formulation administered by other route No adverse effect See Section 3.21 Patient was dispensed the wrong drug. The error was detected prior to patient administration Intercepted drug dispensing Pharmacist notices that the names of two drugs are similar and is concerned that this may result in a medication error Circumstance or information capable of leading to medication LLT Drug name confusion be an optional additional term to select (for tracking purposes). Note: this example is a potential medication error Drug inadvertently administered. The error Drug administration
TermSelPTC_R4.8SoC_sep2014.docx