1.1 Medication Error Flashcards

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1
Q

What are some factors that could increase the rate of prescribing medication errors?

A
More rapid throughput of Patients
Increasing complexity of medical care 
Increased specialisation 
Increased use of medicines generally 
Sicker and older patients are more vulnerable to adverse effects 
New drug developments
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2
Q

What are some of the issues that make elderly patients more complex?

A

Co-morbidities
Multiple drugs
Increased risk of side effects

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3
Q

What is the person approach to medication errors?

A

Aberrant mental process

Countermeasures cantered on person which leads to fear retraining litigation and naming and shaming

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4
Q

What is the system approach to medication errors?

A

Errors seenas consequences
Unable to change human condition
Countermeasures cantered on barriers and safeguards

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5
Q

What is the Swiss cheese model?

A

There are multiple safeguards

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6
Q

What should you confirm before writing a prescription?

A

Name of drug, dose, strength, frequency, duration of treatment, allergies and adverse effects, indication, adherence, GMC guidelines to prescribe within competencies

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7
Q

What are some of the legal requirements required for prescriptions?

A

Written in le ink
Patient identification- name and address
DOB if under 12
Signed
Dated
Name and address of practitioner
Additional requirements for controlled drugs

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8
Q

Some examples of what is good practice to include in a prescription?

A
Approved drugs name 
Route of administration
Dose
Strength
Units in gull
Frequency 
Additional instructions
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9
Q

What should be reported using the yellow card scheme?

A

All suspected reactions to black triangle drugs and unlicensed herbal preparations, no matter how trivial
All suspected serious reactions to established products and vaccines
All paediatric reactions

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10
Q

What is a black triangle drug?

A
One which is being intensively monitored 
generally 
- has been newly released
- changed indications 
- changed formulations 
- combination product
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11
Q

What is a serious reaction?

A

Any reactions that results in or prolongs hospitalisation

Including fatal, life threatening, disabling or incapacitating reactions

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