Medication errors, patient safety & the joint commission Flashcards
what is root cause analysis?
a retrospective investigations of an event aht ahas already occurered. Thies analysis allows for future action to be prevent fugure errors
what is a failure mode and effects analyze FMEA?
a proactive method in which you prospectively analyze the design of the system to prevent future errors
what is an error of ommision?
when you make an error because you forgot to include something
what is an error of commission?
an error when something is mistakenly done incorrectly like giving the medication for the wrong indication, giving someone something they are allergic to. Not renally dosing medications
to whom do you report medication errors? community pharmacy? independent? hospital rx?
comm: coportate office
ind: owner
Hos: P&T committee and the Medication safety committee
what is the emphais of hte medicaid drug utilization review program? (DUR)
pormot patient safty by increased review and awareness of outpatient prescribed drugs. It was started the OBRA of 1990. THey see patterns in drug usage: who makes the most errors, use the most brand
which drug classes are considered high alert?
insulin oral hypoglaycmics, opioids anticoagulants antiarrhytmics aesthetics chemotherapeeutics injectible KCL phosphate magnesium a saline over 0.9%
how often must a Joint commission accredited site be surveyed?
once every 3 years
how many degrees should bed be elevated if patient is on a ventilator?
30-45 degrees
Which department in the Government approves drugs?
The FDA CDER center for drug evaluation and research
what are phase I trials?
they give low doses of the compound to healthy volunteers to test teh safety and the pharmacology of the drug.
what are the phase 2 trials?
they give healthy volunteers (usually) different doses of the medication to test out the effectiveness of the medications.
what are phase 3 trials?
they test the medication out in a larger group of people to show whether the effects of the medication show the same SE/effectivness as previously shown.
