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An anonymous medication incident system was developed and implemented in the bedside clinical information system, Metavision®.
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This study was based on a survey of routinely collected medication incident reports completed by members of staff through the hospital's clinical risk management system.
Medication incident reporting (MIR) offers care providers a means to describe and document incidents that result from system failures [ 15- 17].
The basic reporting of a medication incident is collected weekly.
Study results emphasized the need to: a) design MIR artefacts that facilitate identification of the root causes of medication incidents, b) integrate the MIR process within existing information systems to overcome key gaps in information exchange execution, and c) support exchange of information that can facilitate a multi-disciplinary approach to medication incident management in RACFs.
Although studies report a high rate of medication incidents in Australian RACFs, there is an absence of studies that offer insight into medication incident reporting practices [ 30, 31].
Over a five month period a total of 485 medication incident reports were collected.
There was one serious medication incident that did not result in patient harm.
There are no specific national guidelines for RACFs directing when a medication incident report should be filed or what data elements should be included in the incident forms.
An analysis of antibiotic-associated medication incidents reported to the centralised incident reporting systems of two large UK teaching hospitals, including the study site, over 2 years, was undertaken.
Reports summarising medication incidents (e.g. administration errors) were generated from the organisation's incident reporting system.
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