An RN receives a patient with a diagnosis of thrombotic stroke from the emergency department.The pharmacy alerts the RN that the dose of tPA must be administered within the next 15 minutes and sends the medication to the RN.The usual practice is for tPA to be administered in the emergency department before admission to the unit.The RN checks the medication administration record, noting there is no indication that the tPA was administered in the emergency department.The RN calls down to the emergency department to speak with the nurse who cared for the patient.The previous nurse failed to document administration of the medication and corrects the documentation with a late entry note.This scenario best describes which of the following?

Question

Quizplus · Accepted Answer

This scenario best describes a near miss. Although there was a potential for a medication error, the RN caught the mistake before administering the medication and was able to correct the documentation. A near miss refers to an event that had the potential to cause harm but was prevented from occurring. In this case, the patient was at risk of not receiving the necessary medication, but the RN intervened in time to prevent the error.

An RN Receives a Patient with a Diagnosis of Thrombotic