Reported LLT Selected Comment Patient was administered Wrong drug administered wrong drug and Hypotension experienced hypotension Because of similar It is important to select sounding drug names, the Drug name confusion terms for all medication wrong drug was Wrong drug dispensed error concepts, i.e., do dispensed; as a result, the Wrong drug administered not subtract information patient took the wrong drug Rash and experienced a rash If an overdose is reported in the context Insulin was given using the of a medication error, wrong syringe resulting in Wrong device used the more specific term the administration of an Accidental overdose LLT Accidental overdose. The patient Hypoglycaemia overdose can be developed hypoglycaemia. selected (see also Section 3.18) 3.15.1.2 Medication errors and potential medication errors reported without clinical consequences The wording and Example tables in this section: Medication errors without clinical consequences are not ARs/AEs. However, it is important to record the occurrence or potential occurrence of a medication error. Select a term that is closest to the description of medication error reported. Also, if specifically reported that no adverse effect has occurred, it is acceptable to select LLT No adverse effect. In instances where the medication did not reach the patient, it is acceptable to select LLT Drug not taken in context of intercepted medication error. Example Reported LLT Selected Comment Medication was given Intramuscular formulation intravenously instead of administered by intramuscularly other route Medication was given Intramuscular formulation intravenously instead of administered by See Section 3.21 intramuscularly route without sequelae No adverse effect The pharmacist selected Intercepted wrong drug LLT Intercepted wrong the wrong drug strength strength selected drug strength selected
Reported LLT Selected Comment Patient was administered wrong drug and experienced hypotension Wrong drug administered Hypotension Because of similar sounding drug names, the wrong drug was dispensed; as a result, the patient took the wrong drug and experienced a rash Drug name confusion Wrong drug dispensed Wrong drug administered Rash It is important to select terms for all medication error concepts, i.e., do not subtract information 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) 3.15.1.2 Medication errors and potential medication errors reported without clinical consequences The wording and Example tables in this section: Medication errors without clinical consequences are not ARs/AEs. However, it is important to record the occurrence or potential occurrence of a medication error. Select a term that is closest to the description of medication error reported. Also, if specifically reported that no adverse effect has occurred, it is acceptable to select LLT No adverse effect. In instances where the medication did not reach the patient, it is acceptable to select LLT Drug not taken in context of intercepted medication error. Example Reported LLT Selected Comment Medication was given intravenously instead of intramuscularly Intramuscular formulation administered by other route Medication was given intravenously instead of intramuscularly without sequelae Intramuscular formulation administered by route No adverse effect See Section 3.21 The pharmacist selected the wrong drug strength Intercepted wrong drug strength selected LLT Intercepted wrong drug strength selected
termselptc_r4.9soc_mar2015.docx