Questions/Professional Practice/Q32 of 39
intermediateincident reportingpatient safetyjust culturenear-missroot cause analysismedication errorserotonin syndrome
A PMHNP working in an outpatient psychiatric clinic realizes she inadvertently prescribed sertraline 200 mg daily to a patient already taking tramadol, creating a significant serotonin syndrome risk. She catches the error before the patient fills the prescription and corrects it. She considers whether to report the near-miss event. A colleague tells her not to report it because 'nothing happened and reporting will just get you in trouble.' Which of the following best represents the professional standard for incident reporting in this situation?
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