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Ch. 14 & 15
Ch. 14 & 15 + Tables 14.3 & 14.4
| Term | Definition |
|---|---|
| American Society of Health-System Pharmacists (ASHP) | An association of pharmacists, pharmacy students, and technicians practicing in hospitals and health care systems, including home health care; has a long history of advocating for patient safety. |
| Automated dispensing system (ADS) | Electronic system used to dispense medications. |
| Institute for Healthcare Improvement (IHI) | A nonprofit organization committed to the improvement of health care by promoting promising concepts through safety, efficiency, and other patient-centered goals. |
| Institute for Safe Medication Practices (ISMP) | A nonprofit organization devoted entirely to promoting safe medication use and preventing medication errors; it gathers info 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 error. |
| 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 US Food and Drug Administration (FDA) for reporting drug and medical product safety alerts and label changes; program also provides a voluntary adverse event reporting system for meds, medical products, and devices. |
| National Academy of Medicine (NAM) OR Institute of Medicine (IOM) | Previously known as the IOM. Nonprofit organization provides scientifically informed analysis and guidance regarding health and health policy; projects include studies of drug safety systems in the US and recommendations for patient safety. |
| National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP) | Founded by the USP, 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 techs in the US. |
| Risk Evaluation and Mitigation Strategy (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 tech organization that promotes the education and training of pharmacy technicians; it provides links to med 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. |
| Examples of Drug-Drug interactions | ACE Inhibitors --> Spironolactone= Increased serum potassium levels Ciprofloxacin--> Multivitamin with minerals= Decrease antibiotic absorption Digotoxin--> Verapamil & amiodarone= Digotoxin toxicity Theophylline--> Quinolones= Theophylline toxicity |
| Examples of Warfarin Interactions: Drug-Drug | Aspirin: Possible increased risk for bleeding Phenytoin: increased levels of both drugs taken Quinolones, Sulfa drugs, Cimetidine, Heparin, Amiodarone, NSAIDS: Increased chance of bleeding |
| Examples of Warfarin Interactions: Supplements | Gingko biloba: Increased chance of bleeding Vitamin K: Decreased activity of warfarin Garlic: Increased chance of bleeding Ginseng: Decreased activity of warfarin St. Johns wort: Decreased activity of warfarin |
| Examples of Warfarin Interactions: Foods | Broccoli & other green veggies or foods high in Vitamin K: Decreased effect of warfarin Soybean and canola oils: Altered effect of warfarin Cranberry juice: Altered effect of warfarin |
| HAMS | High-alert medications |
| HAIs | Healthcare-associated infections |
| Barcodes 3 forms of identification of a drug | National Drug Code (NDC) LOT # Expiration date |
| Quality Assurance (QA) | Establishing systems for ensuring quality of a product |
| Quality Control (QC) | The use of established systems to ensure quality of a product. |