medication errors Flashcards
6Rs of Medication Safety
RIGHT DRUG
RIGHT DOSE
RIGHT DOSAGE FORM
RIGHT ROUTE
RIGHT TIME
RIGHT PATIENT
It is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.
Medication Error
A medication error that took place but has been captured before reaching the patient.
Near Miss
FACTORS CONTRIBUTING TO MEDICATION ERROR
Human Related
System Related
Medication Related
Medication Related Errors
• look alike or sound alike medications
• multiple dosage forms and strengths
System Related Errors
• lack of communication
• poor workflow
• no proper policy or guideline
in place
• disorganized workspace
• inadequate tools to complete
work
• lack of supervision
Human Related Errors (Provider)
• over worked
• under trained
• competence
• distracted
• illness
• stress
Human Related Errors (Patient)
• health literacy level
• in a hurry
• patient compliance
• trust providers to not make mistakes
Types of Medication Errors
• PRESCRIBING ERROR
• DISPENSING ERROR
• ADMINISTRATION ERROR
• TRANSCRIPTION ERROR
• DOCUMENTATION ERROR
• INDENT ERROR
as a result of a prescribing decision or prescription writing process, there is an unintentional significant (1) reduction in the probability of treatment being timely and effective or (2) increase in the risk of harm when compared with generally accepted practice”.
Prescribing Error
Prescribing Errors include:
• Incorrect Prescription
• Illegible Handwriting
• Drug allergy not identified
• Irrational combinations
• Out of list abbreviations
Suppression of a drug previously used
Omission error
Addition of a drug not previously used
Commission error
Incorrect dose
Dosing error
Incorrect dose frequency
Frequency error