IV Med Error Prevention Flashcards
What are common mistakes with IV Med Errors
labeling
incorrect drug, amount, patient, infusion rate, route
calculation including dilution
poor aseptic technique
Omissions, slips, mistakes, lapses, and violations can be?
managed
Gross negligence and criminal offenses deal with?
intention
high risk populations
pediatrics
critical care
geriatrics
chemo
High Alert Meds
Morphine
Heparin
Hydro morphine
Insulin
Vancomycin
Fentanyl
Furosemide
Potassium Chloride
Meperidine
Methylprednisolone
Labels should be made with in regard to?
the mindset of the end user
Should abbreviations be used?
no
What are some ways to avoid labeling issues
consistent terms
font size and quality
bold lettering
bar coding/scanning
tall man lettering
SALAD
sound alike look alike drugs
Main point of To Err Is Human
its the system’s fault
System Based Engineering Tech
barcodes
smart pumps
robotics
guidelines
premixed items
purchasing for safety
Just culture model
Is it worthwhile to learn or punish people for making mistakes?
Does the threat of discipline decrease a person’s risk of mistakes?
How does your system treat human error?
Can an employee safely come forward if they make a mistake?
Name, Blame, and Retrain focuses on
the person
Swiss Cheese Model
error happens as a result of many active failures
