Four examples from the SOM that the editorial committee could revise:
{"Image DocumentName": "Four examples from the SOM that the editorial committee could revise:", "Image ImageDescription": "SOM Page PP (F-332 & F-333 Guidance): Wrong Time Example: Drug Order Administered Significance Digoxin 0.25mg at 8 a.m. At 9:30 am NS Wrong Dosage Form Example: Mellaril tab 10mg Liquid Concentrate NS   If correct dose was given. Wrong Dose Example: Digoxin 0.125mg everyday 0.25mg S Omissions Examples (Drug ordered but not administered at least once): Drug Order Significance Motrin 400mg TID NS Comments: SOM Page 388: Count a wrong time error if administered 60 minutes earlier or later than scheduled time, BUT ONLY IF THAT WRONG TIME ERROR CAN CAUSE THE RESIDENT DISCOMFORT OR JEOPARDIZE THE RESIDENT\u2019S HEALTH AND SAFETY. Counting a drug with a long half-life (e.g., digoxin) as a wrong time error when it is 15 minutes late is improper because this drug has a long half-life (beyond 24 hours) and 15 minutes has no significant impact on the resident. If the patient received 10mg of Mellaril, is that an error? This would have to occur multiple days for significance. An omission that causes discomfort may fit the description of significant. -CMS State Operations Manual, Appendix PP.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}