Medication Safety (Domain 4) Flashcards
What are the five rights of every patient?
the right drug, the right dose, the right dosage form, the right route of administration, and the right time of administration
What are the three types of medication errors?
prescribing, dispensing, and administering
What is the meaning of the acronym “ISMP”?
institute of safe medication practices
What is the meaning of the acronym “MERP”?
medication error reporting and prevention
How many different categories of medication errors did MERP classify?
9 categories
What is the meaning of the acronym “VAERS”?
Vaccine Adverse Effect Reporting System
Who oversees MEDWATCH?
FDA
Who established the “Do Not Use List”?
The Joint Commission
Who established the “Do Not Crush List”?
ISMP
What has been identified by MEDMARX as the leading cause of medication errors?
Performance deficit
What is the system approach to medication errors?
It involves analyzing, categorizing, and evaluating the error to develop processes and procedures to prevent the error form occurring again.
What is MEDMARX?
MEDMARX is an international adverse drug effect reporting system.
It is used to prevent medication errors leading to adverse drug effects to gain a better understanding of adverse drug reactions.
What does a rating of “A” in the testing of fetal risk factors mean?
no risk
What does a “B” rating mean in the testing of fetal risk factors?
the medication will need more FDA study and review before a final designation can be made
What is MedWatch?
a reporting program available to health care providers to voluntarily report adverse health events and medical products that pose a serious health threat
What is the meaning of the acronym CQI?
Continuous Quality Improvement
To which organization would an individual report a medication error?
state board of pharmacy
A pharmacy technician receives a prescription for prednisone 20 mg but accidentally dispenses propranolol 20 mg. The lead pharmacy technician notices the error before the pharmacist checks the prescription. What should the lead technician do?
A. Check the stock bin to determine if additional propranolol tablets were incorrectly placed in the prednisone bin.
B. Correct the error before the pharmacist discovers it.
C. Inform the pharmacy technician of the error and have the technician correct the error.
D. Both a and c
D.
Whenever an error is discovered, it is best to inform the individual of the situation and have him or her correct it if possible. This will allow the person to learn from his or her error. Checking the stock bin may prevent additional errors from occurring.
What percent is considered a significant medication error rate?
5% or more
