Medication Safety & Quality Improvement Flashcards
These two organizations are actively involved in improving medication safety
The Joint Commission
The institute for safe medication practices (ISMP)
Define medication error that was developed by the national coordinating council for medication error reporting and prevention (NCC MERP)
“any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the PCP, patient, or consumer.”
This event is an unexpected occurrence involving death or serious physical or psychological injury or risk thereof.
Sentinel event
Institutions should have a plan in place for responding to med errors that involve:
Internal notification External notification Disclosure Investigation Improvement
Who reports the error?
In a pharmacy, the staff members who discovers the error should immediately report it to the owner (if independent pharmacy), corporate office, etc
Error investigations need to take place within __ hrs
48
Which hospital committee’s need to be informed of the error?
P&T, Med safety committee
An organization that is a confidential, voluntary reporting program that provides expert analysis of the system causes of med errors and provides recommendations for prevention
ISMP National Medication Errors Reporting Program (MERP)
Med errors and close calls can be reported on what website
ISMP.org
How can evaluation and quality improvement be performed?
Prospectively, retrospectively, and continuously
Failure more and effects analysis (FMEA) is a ____ method used to reduce the frequency and consequences of errors
Proactive
A root cause analysis is a _____ investigation of an event that has already occurred which includes reviewing the sequence of events that led to the error
Retrospective
________ is the goal for most healthcare settings. Examples: Lean (minimizing waste), Sigma Six (reducing defects)
Continuous quality improvement
An independent, not-for profit organization that accredits and certifies healthcare organizations
JCO
JCO accredits what organizations and programs?
Hospitals healthcare networks LTCF home care organizations office-based surgery centers independent laboratories
