Medication Errors Flashcards

1
Q

Medication errors lead to:

A

1) Decreased patient satisfaction
2) Lack of trust in the healthcare system

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2
Q

Definition of Medication Error?

A

Any preventable event that may cause inappropriate medication use or patient harm while the medication is in the control of the healthcare professional or the patient.

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3
Q

Medications errors constitute ___ of medical errors.

A

Two thirds

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4
Q

Medical errors are the __-leading cause of death in the USA.

A

Third

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5
Q

Medication errors are under-reported to authorities because of:

A

Fear of accusation

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6
Q

Medication errors most commonly occur at which point?

A

Ordering/prescribing

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7
Q

Administration errors include:

A

1) Incorrect route of administration
2) Giving the drug to the wrong patient
3) Extra dose
4) Wrong rate
5) Omission

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8
Q

Medication errors usually occur at one of these points:

A

1) Ordering/prescribing
2) Administration errors
3) Monitoring errors
4) Documenting errors
5) Dispensing errors
6) Compliance errors
7) Unauthorized drug use

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9
Q

The most common system failures include:

A

1) Inaccurate order transcription
2) Failing drug knowledge dissemination
3) Failing to obtain allergy history
4) Incomplete order checking
5) Mistakes in the tracking of the medication orders
6) Poor professional communication!
7) Unavailability or inaccurate patient information

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10
Q

Judgmental pharmacist errors include:

A

1) Failure to detect drug interactions
2) Inadequate drug utilization review
3) Inappropriate screening
4) Failure to counsel the patient appropriately
5) Inappropriate monitoring

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11
Q

What can cause ~ 75% of medication errors?

A

Distractions

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12
Q

Only prescribe Warfarin for ___ at a time and reassess the patient on each visit.

A

4 weeks

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13
Q

When dealing with elderly patients, healthcare providers should avoid ordering drugs listed on the:

A

Beers criteria

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14
Q

Should a near miss be reported?

A

YES

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15
Q

Medication errors related to employees may be due to the following:

A

1) Negligence
2) Forgetfulness
3) Hurrying
4) Poor motivation
5) Vengeance/Revenge
6) Carelessness

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16
Q

Disciplinary actions related to employees making medication errors may include:

A

1) Blame and shame
2) Loss of privileges
3) A threat of a medical malpractice lawsuit
4) Relief from certain duties
5) Transfer to another department

17
Q

Common causes of error related to the pharmacists include failure to:

A

1) Deliver the correct dosage
2) Identify contraindication to drug therapy
3) Identify a drug allergy
4) Monitor drugs with narrow therapeutic index
5) Recognize drug interaction
6) Recognize knowledge deficits

18
Q

When are most medication discrepancies found?

A

At discharge

19
Q

Putting the blame for medication errors on practitioners has resulted in:

A

1) Underreporting
2) Failure to promote safety improvement