Medication Errors Flashcards
Harmful adverse drug events (ADEs) can be divided into what 2 categories?
preventable and non-preventable
potential ADEs (no harm) can be divided into what 3 classifications?
- hazards
- near misses
- preventable events
preventable events (both harmful and not), hazards and near misses fall under what category?
medication incidents
adverse drug reactions fall under what category?
non-preventable adverse drug events
are rates of adverse drug events higher in teaching hospitals?
yes
around ___ percent of ADEs are preventable
36.9%
around ___% of ADEs result in death
15.9
what are the two most common types of adverse health events?
surgical and drugs
medical errors is the ___ leading cause of death in the US
third
ADEs that are non-preventable are called ___
ADRs
ADEs that is preventable is called___
medication incident
what is the ADE?
a drug-related event that causes harm
what is a medication incident?
any preventable event that may lead to innapropriate med use or patient harm
what is a hazard?
a setting or technology that has the potential to cause harm
what is a near miss?
an event that could have resulted in unwanted consequences, but did not bc of chance or it being caught
what is a no harm event?
a preventable event in which the incident reached the patient, but they are not harmed by it
what is harm?
a temporary or permanent impairment in body functions or structures (including mental, physical, sensory etc.)
what are latent errors?
errors waiting to happen; system failures
what are active errors?
errors that result from the action of the practitioner (slips and mistakes)
what is the slip?
failure of typical reflexive actions often due to lapses in focus, fatigue, stress etc.
what is a mistake?
incorrect choices; reflection of lack of experience, insufficient training, negligence etc.
what are high-alert medications?
medications that have a heightened risk of causing significant harm when used in error
t/f the ISMP has a list of high-alert medications
t
what is a high alert paralytic bin?
orange bins used in hospitals to house paralytics so they are easily distinguised from other meds and not given in error, as thi scould be fatal
what is tall man lettering?
capitalizing the letters that make a drug name different from another drug with a similar name
