medication errors Flashcards

1
Q

6Rs of Medication Safety

A

RIGHT DRUG
RIGHT DOSE
RIGHT DOSAGE FORM
RIGHT ROUTE
RIGHT TIME
RIGHT PATIENT

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2
Q

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.

A

Medication Error

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3
Q

A medication error that took place but has been captured before reaching the patient.

A

Near Miss

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4
Q

FACTORS CONTRIBUTING TO MEDICATION ERROR

A

Human Related
System Related
Medication Related

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5
Q

Medication Related Errors

A

• look alike or sound alike medications
• multiple dosage forms and strengths

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6
Q

System Related Errors

A

• lack of communication
• poor workflow
• no proper policy or guideline
in place
• disorganized workspace
• inadequate tools to complete
work
• lack of supervision

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7
Q

Human Related Errors (Provider)

A

• over worked
• under trained
• competence
• distracted
• illness
• stress

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8
Q

Human Related Errors (Patient)

A

• health literacy level
• in a hurry
• patient compliance
• trust providers to not make mistakes

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9
Q

Types of Medication Errors

A

• PRESCRIBING ERROR
• DISPENSING ERROR
• ADMINISTRATION ERROR
• TRANSCRIPTION ERROR
• DOCUMENTATION ERROR
• INDENT ERROR

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10
Q

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”.

A

Prescribing Error

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11
Q

Prescribing Errors include:

A

• Incorrect Prescription
• Illegible Handwriting
• Drug allergy not identified
• Irrational combinations
• Out of list abbreviations

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12
Q

Suppression of a drug previously used

A

Omission error

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13
Q

Addition of a drug not previously used

A

Commission error

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14
Q

Incorrect dose

A

Dosing error

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15
Q

Incorrect dose frequency

A

Frequency error

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16
Q

Incorrect pharmaceutical form

A

Pharmaceutical form error

17
Q

A drug from one class is substituted for another drug from the same class not previously used

A

Substitution error

18
Q

Two drugs from the same class are prescribed

A

Duplication error

19
Q

It is a discrepancy between a prescription and the medicine that the pharmacy delivers to the patient or distributes to the ward on the basis of this prescription, including the dispensing of a medicine with inferior pharmaceutical or informational quality

A

Dispensing error

20
Q

Dispensing error includes:

A

• Dispensing incorrect medication, dosage strength, or dosage form
• Dosage miscalculations
• Failure to identify drug interactions or contraindications

21
Q

Common causes of dispensing error includes:

A

• Work environment
• Outdated or incorrect drug references
• Sound Alike and Look Alike Drugs (SALADs)

22
Q

This type of medication error involves a discrepancy between the drug therapy received by the patient and the drug therapy intended by the prescriber.

A

Administration error

23
Q

Administration error may include:

A

• Errors of omission
• Incorrect administration technique
• Administration of incorrect or expired medication
• Deliberate violation of guidelines

24
Q

An error in the process of making an identical copy of prescription in the medical records

A

Transcription error

25
Q

It involves inconsistencies between the documented medication and the actual medication that was given to the patient.

A

Documentation error

26
Q

An error that occurs during the process of indenting, ordering of drugs.

A

Indent error