Medication Errors Flashcards
What is Just culture
Recognizing that systems are generally at fault when errors occur
Its also when professionals do not follow policies or have repeated errors
Creates an environment of reporting
What is an adverse event?
A general term describing all types of clinical problems resulting from medication
What are adverse drug reactions and how are they different from med errors?
Unwanted, undesirable effects from a drug
Med errors are preventable mistakes, adverse reactions are effects of taking a drug
What are the 3 most common types of drugs involved in sever med errors?
CNS drugs, Anticoagulants, Chemotherapy drugs
What is SALAD
Sound-alike, look-alike drugs
What is LASA
Look-alike, sound-alike
What are the 4 main issues that contribute to med errors?
Organizational issues
Educational system issues
Sociological factors
Use of abbreviations
What is a near miss
Mistake that didn’t reach the patient
Results in no harm
What is a no harm event
Mistake reaches patient but no harm was done
What is a critical incident
Mistake that results in serious harm
What is a medication error
A mistake that causes harm
T/F: Always use a trailing zero with medication orders
False; Never use a trailing zero. 1.0 could be mistaken for 10
T/F: Always use a leading zero for decimal dosages
True; Do not say .25 because the . can be missed
No trailing zero is a “naked” decimal
Put 0.25
What is nurses highest priority when a med error is made?
The patient’s physiological status and safety
When should the process of med rec occur?
At every stage of health care delivery
Entry into the facility
Transfer within the facility
Status change
In or out of the ICU
Discharge
