Final

Question 1

What publication stated that there are 7,000 preventable deaths each year from medication errors?

Answer 1

To Err is Human

Question 2

What publication stated the 6 aims for improvement?

Answer 2

Crossing the quality chasm

Question 3

DRP

Answer 3

events associated with drug therapies that can interfere with optimal patient health outcomes

Question 4

What is an integrated health system?

Answer 4

Patient under ONE umbrella of a central organization, and often include inpatient/acute care, primary/outpatient care, long-term care, and home care

Question 5

Prescribing

Answer 5

through privileging

Question 6

What is privileging?

Answer 6

an oversight body of health care organization or other appropriate provider body is deemed satisfactory to prescribe

Question 7

What are the 5 rights of medication administration?

Answer 7

1) right medication
2) right dose
3) right time
4) right route
5) right patient

Question 8

Drug distribution centered model

Answer 8

• pharmacist primarily distribute drugs and process new medication order
• not actively involved with the health care team or development of therapeutic plans for the patient

Question 9

clinical pharmacist centered model

Answer 9

There are 2 pharmacists

• clinical pharmacist - involved in clinical activities on the nursing units
• distributive pharmacists - involved in drug distribution

Question 10

Patient centered integrated model

Answer 10

all pharmacists in the department accept responsibility for all elements of the medication use process

Question 11

Who manages the formulary system?

Answer 11

P & T

Question 12

MEC

Answer 12

medical staff in charge of institutional governance and performance

Question 13

Open formulary

Answer 13

no limitations

Question 14

closed formulary

Answer 14

limited list of medications

Question 15

DUE

Answer 15

evaluation of data on drug use against predetermined criteria

Question 16

MUE

Answer 16

encompasses the goals and objectives of DUE. Emphasis on improving PATIENT OUTCOMES

Question 17

Floor stock system

Answer 17

• unsecure areas on nursing units
• pharmacist provided bulk containers
• nurse prepared off of physician orders
• no pharmacy verification

Question 18

Unit dose system

Answer 18

-defined as a pharmacy coordinated method of dispensing and controlling medications in health care institutions

Question 19

What items were born out of unit dose

Answer 19

Patient medication profile
Medication administration record
unit of use package

Question 20

ADC

Answer 20

point of use medication storage device

Question 21

Narcotic distribution (Unit dose system)

Answer 21

• stored in locked cabinet on nursing floor
• limited access
• inventory at the end of shift
• extensive record keeping

Question 22

Centralized model of distribution

Answer 22

• all activities occur in the central pharmacy
• limited interactions with nursing and physicians
• limited clinical services

Question 23

decentralized model of distribution

Answer 23

• limited inventory
• faster order filling
• must be supported by central pharmacy

Question 24

Hybrid model of distribution

Answer 24

• utilization of ADC
• central pharmacy dispensing
• decentral for clincial pharmacy services

Question 25

patient prescription system

Answer 25

- Pharmacist overview in reviewing the transcribed physician order from nursing - nursing still had to prepare the individual dose

Question 26

CPOE

Answer 26

electronic physician orders pharmacist verify meaningful use primary form of order delivery

Question 27

Asynchronous CDS

Answer 27

an alert is presented at a time separate from the order entry process - notifies the user that potentially important information is available but typically does not interrupt the user

Question 28

biometrics

Answer 28

technologies that measure and analyze human body characteristic

Question 29

data

Answer 29

objective facts about a subject or event