Near Miss Error Log and Table 2
Near Miss Error Log and Table 2
Near Miss Error Log and Table 2
Week/Month..................................
Potential
Dispensed Checked Type Possible causes Things to consider adverse event
Time of Name and brand Action
No: Date Staffing level by by of near (see table 1 in (see table 1 in discussion
day of drug taken
(optional) (optional) miss* QRG) QRG) (tick on
completion)
1.
2.
3.
4.
5.
6.
7.
8.
* Type of near miss (see also Table 1) Time of day (examples) Staffing level (record number of staff)
D = Wrong product N = Wrong patient
E.g.
E = Out of date name M = Morning
Number of pharmacists =NxP
product P = Misread L = Lunch
Number of pre-registration pharmacists = N x PR
F = Wrong form prescription A = Afternoon
Number of technicians = N xT
L = Wrong label Q = Wrong quantity E = Evening
Number of dispensers =NxD
M = Missing product S = Wrong strength
Number of healthcare assistants =NxH
MCA = MCA involved