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WTI Comp Ch. 14

Mosby's Chapter 14 Medication Safety and Error Prevention

What are some reasons errors occur? Look-alike, sound-alike drugs, stress levels, noise levels, and multitasking
Common causes of medication errors according to the ASHP are: Drug product nomenclature, improper transcription, inappropriate abbreviations
Drug errors can be reported to the U.S. Food and Drug Administration (FDA) through: MedWatch
A patient with diabetes is ordered intravenous (IV) cefazolin in 5% dextrose in water (D5W) every 8 hours (q8h). What possible problem may exist with this order? D5W may be the wrong solution because the patient has diabetes.
Medication errors frequently involve: Allergies, multiple medications, OTC medications
What are high-alert IV medications according to the Institute for Safe Medication Practices (ISMP)? Insulin , Heparin, Potassium chloride (KCl)
How often is it recommended for a technician to check a medication during the filling process? Three times
A physician ordering an IV to run at 100 mL/hr instead of 125 mL/hr is an example of what type of error? Prescribing error
What type of error occurs when an IV medication, reconstituted with the incorrect diluent, is given to a patient? Wrong drug preparation
What type of error occurs when a pharmacist fails to adjust the amount of KCl to be added to a total parenteral nutrition (TPN) mixture according to the daily laboratory report? Monitoring error
Changes in labeling that drug companies are incorporating to reduce errors include: Tall-man lettering, color coding, boldface lettering
The majority of health care–associated infections (HAIs) are: Urinary tract infections (UTIs), bloodstream and surgical site infections, pneumonia
Individuals older than 80 years of age will be in the fastest growing segment of the population for the next 40 years, which is due to: Increased activity, better diet, improved health care
The most important aspect of dealing with errors is: Reporting process
The ISMP focuses on: Type of error, how the error occurred, recommendations on preventing a similar error
In 2012, the ISMP launched the National Vaccine Error Reporting Program (ISMP VERP) to: Collect information on vaccine errors.
To reduce errors, pharmacies may: Use an automatic dispensing system (ADS). Keep high-alert medications in a separate location in the pharmacy. Designate a medication safety leader.
What systems contribute to decreased errors? Computerized physician order entry (CPOE), ADS machines, coupled with bar coding, medication error–reporting programs
A medication error occurred but did not reach patient is classified as a: Category B error
Examples of automated dispensing systems used in community pharmacy: Baker cell systems, Kirby Lester KL20, ScriptPro SP 200
Created by: lrhamyWTI