medication safety and quality improvement Flashcards
organizations for error prevention
MERP
medication errors reporting program
confidential voluntary reporting program
prospective
failure mode and effective analysis (FMEA)
retrospective
Root cause analysis RCA
continous
continous quality improvevment CQI
lean sigma
do not use abbrev
U for unit
IU
QD QOD
trailing zero
MS
look alike sound alike
tall man letters
high risk drugs
propofol
amiodarone
heparin , warfarin
mtx
hypertonic saline
cyclosporine
digoxin
insulin
MGSO4
vecuronium
opiods
sulfonylureas
parenteral nutrition
Kcl K phos inj
sterile water inj
emmergency meds packaging
unit dose - single dose age specific
what are some ways pharmacist can reduce med errors
pharmacist working in high risk areas
food drug interactions
education
packaging
med rec
mtm
five rights to med administration
right route
right drug
right person
right dosage
right time
electronic systems
CPOE
barcoding
automated dispensing systems
what are some drugs not kept in ADCs
insulins
warfarin
high dose narcotics
cannot be put back
should be in a lighted, quiet room
patient controlled analgesia
friends and family members should not administer PCA
patients may not be good candidates
hand washing
before entering and leaving pt room
before donning and after removing gloves
before handling invasive devices
after coughin or sneezing
use soap and water only no alcohol in
before eating
restroom
any soil
after C diff pts
before caring for pt with food allergies
