Medication Errors and Prevention Flashcards
Medication Error
Any preventable event that may cause or lead to inappropiate medication use or patient harm while the medication is in control of the health care professional
Near Miss
event, situation, or error that took place but was captured before reaching the patient
Impediment to error prevention
“the single greatest impediment to error prevention in the medical industry is that we punish people for making mistakes” -Dr. Leape
5 “Rights” for Health Care Providers
-Right patient
-Right drug
-Right dose
-Right time
-Right routine
Counseling
-Name of medication
-Purpose of medication
-Duration of treatment
-Amount per dose
-Possible side effects
“Just Culture”
-atmosphere where people are not punished for actions but negligence is not tolerated
-accident human error -> console
-At risk behavior choice -> coach
-Reckless behavior choice -> punish
Error Reporting
-must have Quality Improvement policy and procedure