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WTI Comp Ch. 14

Mosby's Chapter 14 Medication Safety and Error Prevention

Which reasons ares related to errors? Look-alike, sound-alike drugs, Stress and noise levels, Multitasking
Which patient errors are likely to be made at home? Taking the wrong amount of medication, Taking a medication at the wrong time, Taking an over-the-counter (OTC) medication that interacts with his or her prescribed medication(s)
Warfarin (Coumadin) administered to prevent blood clotting can interact with: Aspirin and NSAIDs
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 which of the following? Allergies, Multiple medications, OTC medications
What are some high-alert IV medications according 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
What is an ADR? Adverse drug reaction
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
Which one of the following distractions cannot be avoided in the workplace: Excessive talking and laughing, Text messaging, Telephones ringing, Loud music? Telephones ringing
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
Pictograms are: Standardized graphics that represent how to take, when to take, and how to store a medication
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
Why are IV heparin errors extremely dangerous? It quickly takes effect and is not easily reversed, It's available in many similar-looking strengths, Flushing IV lines with a Hep-Lock solution is common, which is a very low dose of heparin that can be confused with significantly higher concentrations.
The most important aspect of dealing with errors is: Reporting process
Bar codes provide which of the following forms of drug identification? National Drug Code (NDC) number, Lot number, Expiration date
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.
What are the five safety standards outlined by TJC? Leadership Process and Accountability, Competent and Capable Workforce, Safe Environment for Staff and Patients, Clinical Care of Patients, and Improving Quality and Safety
Why does TJC require hospitals and institutions to prepack all liquid doses in oral syringes or containers? Continually opening bulk btls has led to an increased risk of contamination, Pt-specific instructions aren't marked on the bulk btl so the likelihood of an error increases when RNs pour it out,The Rx must maintain control over each dose to ensure accuracy
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.
PTEC is the: Pharmacy Technician Educator’s Council
Which one of the MERP error categories includes errors that contribute to the death of a patient? I
What are some examples of medication errors? Too much heparin is given to a patient, which results in a stroke, An extra dose of antibiotic is given to a patient after the stop date but causes no harm to the patient.
Extended-release formulations: Are designed to deliver the dose over a longer interval than an immediate-release (IR) product, Can improve patient compliance and ultimately result in better health, Are a cause of medication errors if crushed or administered in place of IR doses.
Which of the following systems contribute to decreased errors? Computerized physician order entry (CPOE)s, ADS machines, coupled with bar coding, Medication error–reporting programs
Created by: lrhamyWTI