1) Safe Prescribing

Question 1

What are the reasons behind poor prescribing?

Answer 1

Lack of training
Less time, more patients
Increasing complexity of medicine
Older patients with more co-morbidities

Question 2

What are some problems with the job that compound prescription error?

Answer 2

Sleep deprivation
Working alone
Lack of continuity of care

Question 3

What are key components of Reason’s error generation model?

Answer 3

Latent conditions
Active failure
Error producing conditions
Defences

Question 4

What are some skill based errors?

Answer 4

Slips - lack of concentration

Lapse

Question 5

What are some rule based errors?

Answer 5

Mistakes

Violations

Question 6

When should drugs be reported?

Answer 6

Black triangle drugs if there are reactions
Established products if serious reactions
All paediatric reactions

Question 7

What are black triangle drugs?

Answer 7

Intensively monitored

Generally: new release, changed indications, changed formulations, combination product

Question 8

Define a serious reaction:

Answer 8

Reaction which prolongs hospitalisation, may be life threatening or disabling