CPP Flashcards
is any preventable event that
may cause or lead to inappropriate medication use or
patient harm while the medication is in the control of
the health care professional, patient, or consumer.”
MEDICATION ERROR
A medication error that took place but has
been captured before reaching the patient
is termed as
NEAR MISS
FACTORS CONTRIBUTING TO
MEDICATION ERROR
HUMAN RELATED
SYSTEM RELATED
MEDICATION RELATED
HUMAN RELATED ERRORS
PROVIDER
PATIENT
over worked
under trainedcompetence
distracted
illness
stress PROVIDER
PROVIDER
health literacy level
in a hurry
patient compliance
trust providers to not make mistakes
PATIENT
lack of communication
poor workflow
no proper policy or guideline in place
disorganized workspace
inadequate tools to complete work
lack of supervision
SYSTEM RELATED ERRORS
look alike or sound alike medications
multiple dosage forms and strenghts
MEDICATION RELATED ERRORS
look alike or sound alike medications
multiple dosage forms and strenghts
TYPES OF MEDICATION
ERROR
PRESCRIBING ERROR
DISPENSING ERROR
ADMINISTRATION ERROR
TRANSCRIPTION ERROR
DOCUMENTATION ERROR
INDENT ERROR
as a result of a
prescribing decision or prescription writing process, there is an unintentional
significant (1) reduction in the probability of treatment being timely and effective
or (2) increase in the risk of harm when compared with generally accepted
practice”.
PRESCRIBING ERROR
PRESCRIBING ERROR Includes:
Incorrect Prescription
Illegible Handwriting
Drug allergy not identified
Irrational combinations
Out of list abbreviations
DISPENSING ERROR Includes:
Dispensing incorrect medication, dosage strength, or dosage form
Dosage miscalculations
Failure to identify drug interactions or contraindications
is a discrepancy between a prescription and the medicine that
the pharmacy delivers to the patient or distributes to the ward on the basis of this
prescription, including the dispensing of a medicine with inferior pharmaceutical
or informational quality
DISPENSING ERROR
This type of medication error involves a discrepancy between the drug therapy
received by the patient and the drug therapy intended by the prescriber.
ADMINISTRATION ERROR
Common causes of dispensing error includes:
Work environment
Outdated or incorrect drug references
Sound Alike and Look Alike Drugs (SALADs)