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Questions/Professional Practice/Q24 of 63
intermediateincident reportingpatient safetynear-missjust cultureroot cause analysismedication errordrug interaction
A PMHNP working in an outpatient psychiatric clinic discovers that she inadvertently prescribed sertraline 200 mg to a patient who is also taking an MAO inhibitor prescribed by another provider. The error was caught by the dispensing pharmacist before the patient took both medications simultaneously, and no harm occurred. The PMHNP considers her professional obligations regarding this near-miss event.
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