Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation

This toolkit provides a step-by-step guide to improving the medication reconciliation process.

Table 6: Categories of Medication Error Classification

CategoryDescriptionExample

A

No error, capacity to cause error

NA

B

Error that did not reach the patient

NA

C

Error that reached patient but unlikely to cause harm (omissions considered to reach patient)

Multivitamin was not ordered on admission

D

Error that reached the patient and could have necessitated monitoring and/or intervention to preclude harm

Regular release metoprolol was ordered for patient instead of extended-release

E

Error that could have caused temporary harm

Blood pressure medication was inadvertently omitted from the orders

F

Error that could have caused temporary harm requiring initial or prolonged hospitalization

Anticoagulant, such as warfarin, was ordered daily when the patient takes it every other day

G

Error that could have resulted in permanent harm

Immunosuppressant medication was unintentionally ordered at one-fourth the dose

H

Error that could have necessitated intervention to sustain life

Anticonvulsant therapy was inadvertently omitted

I

Error that could have resulted in death

Beta-blocker was not reordered post-operatively

Return to Document

Current as of December 2012
Internet Citation: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/match/matchtab6.html