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chapter 14
Medication and Safety Error prevention
| Term | Definition |
|---|---|
| American society of health-systems pharmacists (ASHP) | an association of pharmacists, pharmacy students, and technicians practicing in hospitals and health care systems, including home health care; ASHP |
| Automatedd dispensing system (ADS) | electronic system used to dispense medications |
| institute of Healthcare Improvement (IHI) | Nonprofit organization committed to the improvement of health care by promoting promising concepts through safety,efficinecy, and other patient-centered goals. |
| Institute of Medicine (IOM) | established under the National Academies and a part of the National Academy of Sciences, this nonprofit organization provides scientifically informed analysis and guidance regarding health policy; projects include studies of drug safety systems in the Uni |
| Institute for Safe Medication Practices (ISMP) | a nonprofit organization devoted entirely to promoting safe medication use and preventing medication errors; it gathers information on drug errors and suggests new, safer standards to avoid such errors |
| Medication error | any preventable event that may cause or lead to inappropriate medication use or patient harm |
| Medication error prevention | methods used by pharmacy, medicine, nursing, and other allied health professionals to prevent medication errors |
| MedMARx | a national Internet-accessible database that hospitals and health care systems use to track adverse drug reactions and medication errors |
| MedWatch | A program established by the U.S. Food and Drug Administration (FDA) for reporting drug and medical product safety alerts and label changes; the program also provides a voluntary adverse event reporting system for medications, medical products, and device |
| National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) | founded by the United States Pharmacopeia, this is an independent council of more than 25 organizations gathered to address interdisciplinary causes of medication errors and strategies for prevention |
| Pharmacy Technician Certification Board (PTCB) | an organization that offers national certification for pharmacy technicians in the United States |
| Risk evaluation and mitigation strategies (REMS | a strategy for managing a known or potential serious risk associated with a drug or biological product |
| Society for the Education of Pharmacy Technicians (SEPhT) | a national pharmacy technician organization that promotes the education and training of pharmacy technicians; it provides links to medication safety and quality practices for technicians |
| United States Pharmacopeial (USP) Convention | an independent organization that strives to ensure the quality, safety, and benefit of medicines and dietary supplements by setting standards and certification processes |
| What does HAMs stand for | high-alert medications |
| What does HAI stand for | health care-associated infection |
| What does SALAD stand for? | sound alike look alike drugs |
| What does REMS stand for? | risk evaluation and mitigation strategy |
| HAMs in acute care settings | Epinephrine, subcutaneous -Epoprostenol (Flolan), IV -Insulin U-500 (special emphasis)* -Magnesium sulfate injection -Methotrexate, oral, nononcological use -Nitroprusside sodium for injection |
| Drugs: Warfarin` | Interaction (Interaction Result) Aspirin (Possible increased risk for bleeding) Phenytoin (Increased phenytoin or Warfarin levels) Quinolones (Increased chance of bleeding) Sulfa drugs (Increased chance of bleeding) Cimetidine |
| Supplements: Warfarin | Interaction (Interaction result) Ginkgo biloba (Increased chance of bleeding) Vitamin K (Decreased activity of Warfarin) Garlic (Increased chance of bleeding) Ginseng (Increased chance of bleeding) St. John's wort (Decreased activity of Warfarin |
| Foods: Warfarin | Interaction (Interaction result) Broccoli and other green vegetables or foods high in vitamin K (Decreased activity of Warfarin) Soybean and canola oils (Altered effect of Warfarin) Cranberry juice (Altered effect of Warfarin) |
| Ciprofloxacin | Drug (Multivitamin with minerals) Drug interaction (Decreased effect of ciprofloxacin because minerals with multivitamins can decrease antibiotic absorption if taken at the same time) |
| Digoxin | Drug (Verapamil and amiodarone) Drug interaction (Digoxin toxicity) |
| Theophylline | Drug (Quinolones) Drudginteraction (Theophylline toxicity |
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kkimchihoe_
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