76. Med Safety + Quality Improvement

Question 1

The definition of ____ according to the NCC MERP is “any preventable even that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the healthcare professional, patient, or consumer”

Answer 1

Medication error

Question 2

What is the difference between medication error vs adverse drug reaction (ADRs)?

Answer 2

Errors are preventable, ADRs are usually NOT avoidable

Question 3

___ is when an error or situation occurred but was corrected before reaching the patient

Answer 3

Close call (also called near miss)

Question 4

___ is an unexpected occurrence involving death or serious physical or psychological injury of a patient

Answer 4

Sentinel event

Question 5

Errors of omission vs commission difference

Answer 5

Omission = left out
Commission = incorrect

Question 6

Medication errors and close calls be reported on the ____ website

Answer 6

ISMP (they have medication errors reporting program (MERP))

Question 7

___ is a proactive method used to reduce the frequency and consequences of errors

Answer 7

Failure mode and effects analysis (FMEA)

Question 8

____ is a retrospective investigation of an event that has already occurred, including reviewing the sequence of events that led to the error

Answer 8

Root cause analysis (RCA)

Question 9

____ is an independent, not-for-profit organization that accredits and certifies more than 20,000 healthcare orgs and programs in the US, including hospitals, healthcare networks, LTC facilities, home care orgs, office-based surgery centers, and independent labs

Answer 9

The Joint Commission (TJC)

Question 10

National patient safety goals (NPSGs) are set annually by ___

Answer 10

The Joint Commission

Question 11

Important national patient safety goals to know as pharmacists

Answer 11

1. use at least 2 patient identifiers (name, MRN, DOB)
2. Reporte critcal results of tests and diagnostic procedures on a timely basis
3. Label all medicaitons in perioperative and other procedural settings
4. Anticoag therapy caution - use dosing protocols, programmable pumps (heparin), education
5. Conduct med recs and discharge counseling
6. hand hygiene

Question 12

A popular MTM initiative is to improve nonadherence in patients with HF due to ___

Answer 12

high rate of ED visits

Question 13

Airborne precautions are recommended for patients with active ___, ___, or ___

Answer 13

pulmonary TB, measles, or varicella virus (chickenpox)