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Rx Prep > Med Safety and Quality Improvement - Quiz 2 > Flashcards

Med Safety and Quality Improvement - Quiz 2 Flashcards

1
Q

What is medication safety?

A

Freedom from preventable harm due to medication use

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2
Q

What is a medication error?

A

Any prevenetable event that may cause or lead to inappropriate meduse or patient harm

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3
Q

What is the difference between ADRs and med errors?

A

ADRs are usuly not preventable

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4
Q

What is a close call (near miss)?

A

An error corrected before reaching the patient

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5
Q

What is the difference between error of omission vs commission?

A

Ommision: left out
Commission: done incorrectly

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6
Q

What are causes of med errors?

A
  1. At-risk behavior
  2. Reckless behavior
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7
Q

What is the org dedicated to prevention of med errors? What programs did they initiate?

A

ISMP (Institute for Safe Med Practice)

MERP (Med Error Reporting Program) -> provides recmmendations for prevention

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8
Q

What is the organization that accredits and certifies a lot of HC org and programs in the US?

A

Joint commission

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9
Q

What is set annually by the JTC to assure accountability is safe med practices?

A

National Patient Safety Goals

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10
Q

What are examples of patient identifiers?

A
  1. Name, med record number, DOB
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11
Q

What is used to ensure safe use of anticoagulants?

A
  1. Dosing protocols
  2. Programmble pumps
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12
Q

What is used t maintian and communicate accurate patient medicaqtions?

A

Med reconciliation and discharage counselin

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13
Q

What are the components of fostering a culture of safety?

A
  1. Acknowledge high-risk behaviors
  2. Blame-free environment
  3. Collaboration across disciplines
  4. Resources
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14
Q

Describe the Swiss cheese model?

A

When holes in safety are alligned, it allows for hazard to reach the end of the process and eventually the patient

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15
Q

What strategies are consdered highly reliable for preventing med errors?

A
  1. Hard stops
  2. Automated processes
  3. Repetitive steps
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16
Q

What are solutions to communicate med info to patients with poor health literacy?

A
  1. Reading levels appropriate to patient
  2. Provide pictures
  3. Communicate in their language
  4. Utilize translation services
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17
Q

Differentiate MTR, MTM, and MAP

A

MTR: Medication therapy review
MTM: Medication therapy management (preparation of PMR)
MAP: Medication-related action plan

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18
Q

What are common examples of stewardship programs?

A
  1. Antimicrobials
  2. Anticoag
  3. Opioids
19
Q

What is job of a CPA?

A

Perform advanced care activies and requirements differ based on legal jurisdication and institutions

20
Q

What are the components of a response plan when a med error were to arise?

A
  1. Internal notification
  2. External notification
  3. Disclosure
  4. Investigatiobn
  5. Improvement
21
Q

What entities are informed of med errors?

A
  1. P and T committees
  2. Medication Safety Committee
22
Q

What is an example of prospective evaluation?

A

Failure mode and effects analysis (FMEA): proactive method used to reduce the frequency and consequences of errors

23
Q

What is an example of retrospective evaluation?

A

Root cause analysis (RCA): looks at events that ahve occurred by reviewing the sequence of events that lead to errors

24
Q

What is an example of continuous evaluation?

A

Continuous quality improvement (CQI)

25
Q

How do you avoid LASA drugs?

A

Tall man letters

26
Q

exampels of high alert meds

A
  1. Anesthetics
  2. Antiarrhythmics
  3. Anticoags
  4. Chemo
  5. Epideral
  6. Hypertonic saline
  7. Immunosuppressants
  8. Inotropics
  9. Insulins
  10. Mag sulftate
  11. Neuromuscular blockers
  12. Opioids
  13. Oral hypoglycemics
  14. Parenteral nutrion
  15. KCl and phosphates
  16. SWFI
27
Q

How do you do about a drug recall

A

Remove recalled meds from stock and prevent dispensing

28
Q

What is code blue?

A

Emergency medical care (cardiac or respiratory arrest)

29
Q

What is used for direct entry of med orders?

A

CPOE

30
Q

Types of ADC?

A
  1. PyxisOmnicell
  2. ScriptPro
  3. Accudose
31
Q

What are the benefits of using ADCs?

A

Enhanced security of controls

32
Q

What meds should not be in ADCs?

A
  1. U500 insulin
  2. Warfarin
  3. High dose narcotics
33
Q

Can you put meds bac in ADCs?

A

No, should be placed in drawer indicated for “returned” meds

34
Q

What are common types of HANI?

A
  1. UTI
  2. IV lines
  3. C diff
  4. Catheters
  5. Oneumonia
35
Q

Who should have contact precautions?

A

MRSA, VRE, C diff patients

36
Q

Who shold have droplet precautions?

A

B pertussis, flu, RSV

37
Q

Airborne precautions are recommened or who?

A
  1. Tb, MMV
38
Q

How do we minimize catheter blood infections?

A
  1. Skin antiseptics (chlorhexidine)
  2. ABX
  3. mopregnated central venous catether
39
Q

API in ABX hand soaps?

A

Chlrohexidine (Hibiclens)

40
Q

Procedure for optimal hand washing?

A
  1. Before entering and after patient contact
  2. Donning and after removing gloves
  3. Injections
  4. Coughing and sneezing
  5. Handling food and oral meds
  6. Visiably soiled
41
Q

What do you use for C diff hand washing?

A

Non-alcohol based rubs

42
Q

How long should you wash hands?

A

15 second lather

43
Q

How full is too full for sharps containers?

A

3/4 fulls=

44
Q

Examples of supervised sharps collection sites?

A
  1. Hospital
  2. Pharmacy
  3. Police or fire stations

Rx Prep (15 decks)

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