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Description

Determination of what process prevented the near miss from reaching the patient.

On-Screen Instructions

Select one.

Field Type

Radio button (single select)

Responses

  • Fail-safe/safeguard worked effectively

  • Action by pharmacist or staff who made the error prevented the event from reaching the patient

  • Action by pharmacist or staff (other than person making the error) prevented the event from reaching the patient

  • Unknown

  • Other (please describe)

Guide for Use

If “Other” is selected, a text box for a description will also appear.

Answer this question only if you are reporting a near miss. The answer selections are intended to be mutually exclusive. However, if it appears to you that “Fail-safe/safeguard worked effectively” and one of the other selections both apply, select “Fail-safe/safeguard worked effectively.”

History

Start Date

2013

End Date

n/a

Change History

n/a

Field Name

near_miss

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