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Chapter 12 Practice
Medication Safety
| Question | Answer |
|---|---|
| Any circumstance, action, inaction, or decision related to health care that contributes to an unintended health result | Medical Error |
| A major surgical error that ends in death would be an example of this | Medical Error |
| Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer | Medication Error |
| An error in prescribing or packaging or dispensing of a medication would be an example of this | Medication Error |
| Failure to take therapy as the physician instructs | Noncompliance |
| Error that occurs when a prescribed dose is due but not administered | Omission Error |
| Error that occurs when a dose is either above or below the correct amount by more than 5% | Wrong dose error |
| Error that occurs when a patient receives more doses than were prescribed by the physician | Extra dose error |
| Error that occurs when the dose formulation given to the patient is not the accepted interpretation of the physician's order | Wrong dosage form error |
| Error that occurs when any drug is given 30 minutes or more before or after it was ordered to be administered | Wrong time error |
| A logical and systematic process used to help identify what, how, and why something happened in order to prevent recurrence | Root-cause analysis |
| Error that occurs when an essential piece of information can't be verified so an assumption is made | Assumption error |
| Error that occurs when two or more options exist and the wrong option is chosen. For example, choosing an immediate-release formulation instead of an extended-release drug | Selection error |
| Error that occurs when focus on a task is diverted elsewhere and the distraction prevents the person from detecting an error or causes an error to be made | Capture error |
| Steps 1 and 2 in the nine step prescription filling process | 1.Receive and review prescription 2.Enter prescription into computer |
| No prescription or medication order is valid without this | Physician's signature |
| This should always precede a decimal point to minimize prescribing errors | Leading zero |
| This information should always be double checked to help confirm the accuracy of a prescription | Date of birth and allergy information |
| In Step 3 of the filling process, a pharmacist performs a DUR. A DUR is this | Drug Utilization Review. Checks for multiple drug therapy, dosing ranges, existing allergies, pertinent medical diseases and conditions |
| When retrieving the medication off the shelf (Step 5), this should be used as a cross-check option | NDC Number |
| Counting trays should be cleaned on a regular basis to prevent this | Cross-contamination |
| Labels applied to a prescription bottle to serve as reminders to patients about the most critical aspects of drug handling or administration | Auxiliary labels |
| This drug needs to be stored in its original glass bottle under airtight conditions without cotton | Nitroglycerin |
| The five rights for patient drug administration | Right drug, right strength, right route, right time, and right patient |
| The error-free goal when filling prescriptions | 100% |
| Many human errors are prevented by using this | Automation |
| E-prescribing and bar-coding are examples of this | Automation |
| An unexpected occurrence involving death, serious physical or psychological injury, or the potential for such occurrences to happen | Sentinel event |
| An international, internet-based program used by hospitals and health systems to anonymously document, analyze, and track adverse events specific to an institution | MEDMARX |
| The mission of this organization is to understand the causes of medication errors and to provide and communicate time-critical error-reduction strategies to the healthcare community | Institute for Safe Medication Practices (ISMP) |
| Program designed to allow healthcare professionals to report medication errors directly to the Institute for Safe Medication Practices (ISMP) | Medication Errors Reporting Program (ISMP MERP) |
Created by:
sarakiefer