clinical pharmacology: safe prescribing Flashcards

1
Q

what is medication error?

A

preventable event that may lead to inappropriate medication use or patient harm

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2
Q

what can medication error events be related to?

A
  • professional practice
  • health care products
  • procedures and systems
  • labelling
  • dispensing
  • distribution
  • administration
  • education
  • monitoring
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3
Q

what are examples of medication errors?

A

giving patient wrong drug or dose

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4
Q

what things increase the risk of medication errors?

A
  • new drug developments
  • increasing complexity of medical care, specialisation

people causes:

  • fatigue, hunger, concentration, stress, distraction
  • lack of training, lack of access to information
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5
Q

what are the 5Rs that should be remembered when administering medication?

A
  • right patient
  • right drug
  • right dose
  • right route
  • right time
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6
Q

what are different types of errors?

A
  • surgery (most common)
  • drugs
  • therapeutic
  • diagnostic
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7
Q

what patients are most at risk of errors?

A
  • undergoing cardiothoracic, vascular or neurosurgery
  • complex conditions
  • emergency room
  • looked after by inexperienced doctors
  • older patients
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8
Q

what are examples of common prescribing errors?

A
  • wrong drug/ dose/ route
  • inappropriate units
  • illegible prescription
  • drug interactions
  • calculation errors
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9
Q

what can be done to reduce the risk of prescribing errors?

A
  • write legibly
  • avoid abbreviations + decimal points
  • always check patient information
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10
Q

what are examples of drug formularies where information can be found?

A
  • national formularies (such as BNF)
  • Grampian joint formulary
  • WHO
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