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IPDM WK 4 Patient and Medication Safety

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alchemist04's version from 2016-05-04 04:14

Section

Question Answer
Identify various ways medication error can occur (1)(1) Adsorption (2) Contamination of solution (3) Difficulties in handling certain IV preparation technique
Identify various ways medication error can occur (2)(1) Incompatibilities like in diff pH (2) Incorrect or missing label (3) Incomplete delivery of the container (4) incorrect transcription (e.g from verbal or written to paper to digital format) (5) incorrect infusion rate (6) insufficient mixing of ingredients e.g insuffienct dissolution of drug powders
Identify various ways medication error can occur (3)(1) Mixing up of patients e.g distraction and interruption during drug administration (2) mixing up of drugs e.g lac of ligh, similar drug names and packaging (3) Mistake in calculation of drug concetration
Identify various ways medication error can occur (4)(1) Wrong storage (2) Wrong/Omitted/passed expired date
Identify various ways medication error can occur (5)(1) Use of inappropriate diluent
What is a medical error?Any PREVENTABLE event that may cause or lead to inappropriate mediation use or patient harm while the medication is in the hands of the professional, patient or consumer
Examples includePrescribing, order communication, product labeling, packaging, nomenclature, compounding, dispensing, distribution, administration, education, monitoring and use.
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Question Answer
What are the METHODS use to reduce medication errors? (1)Develop and use standard protocols
What are the METHODS use to reduce medication errors? (2)Educate patients and their families
What are the METHODS use to reduce medication errors? (3)Follow REMS requirements
What are the METHODS use to reduce medication errors? (4)Implement Computerized Prescriber Order Entry (CPOE)
What are the METHODS use to reduce medication errors? (5)Organize educational programs (in-services)
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Question Answer
List patient safety organizations designed to reduce medication errors(1) Joint Commission or Joint Commision on Accreditation of Healthcare organization (2) ISMP
List ways to reduce errors in your health care system (1)Labelling and storage of "high-alert" medication
List ways to reduce errors in your health care system (2)Sound-alike medications
List ways to reduce errors in your health care system (3)Report medication error close calls
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Question Answer
Identify high-alert medications from ISMPPHENobarbital, PENTobarbital
Identify "do not abbreviate list" from ISMP, Instead of U (unit) writeUnit
Instead of IU (International Unit) writeInternational unit
Instead of Q.D., q.d. qd, writedaily
Instead of cc (mistaking for "u") writemL
Instead of IJ (mistaking for IV or intrajugular) writeinjection
Instead of IN (mistaking for "IM" or "IV" writeIntranassal or NAS
IU (mistaking for IV or 10), writeUnits
Instead of .X mg write0.X mg
Instead of X.0 mg, writeX mg
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Question Answer
Do not use "HS", mistaking for bedtime, instead usehalf-strength or bedtime
Do not use "OD" it could mean right eye or once daily, instead useRight eye or Once daily or daily
OJ could look like OD or OS, use insteadOrange juice
Avoid qd or QID and useevery day or daily
Avoid Per os, usePO or by loth or orally
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Question Answer
Define REMSRisk Evaluation And Mitigation Strategies is an FDA program that requires specific training and various restrictions on certain drugs
Provide examples of medications with REMS (1)APRISE (Program for erythropoietin)
Provide examples of medications with REMS (2)Clozapine (requires patient registry)
Provide examples of medications with REMS (3)IPLEDGE (program for isotretinoin
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Question Answer
True or False: Adsorption is NOT part of medication errorFalse, Adsorption is part of medication error
True or False: Wrong storage is NOT part of medication errorFalse. It is part of medication error
Does medical error means adverse drug reaction?NO
Does most medication errors are caused by humans or by the design of the medical system itself?Not by individual error but by the the design of the medical system
How do we prevent medical errors?by design the medical system so as to prevent medical errors from reaching the patient
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Question Answer
What are the METHODS use to reduce medication errors? (6)Check patient's profile for allergy/intolerance
What are the METHODS use to reduce medication errors? (7)Check patient's profile for drug-drug interactions
What are the METHODS use to reduce medication errors? (8)Check patients profile for Polypharmacy
What are the METHODS use to reduce medication errors? (9)Monitor appropriateness of therapy
What are the METHODS use to reduce medication errors? (10)Do not use error prone abbreviations, symbols, and dosage designations
memorize