Medication Safety & Quality Improvement Flashcards

Chapter 76

1
Q

What does Medication Safety mean?

A
  • Freedom from preventable harm due to medication use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are Medication Errors?

A
  • Any Preventable event that may cause or lead to inappropriate medication use or patient harm while in control of healthcare professional
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are adverse drug reactions?

A
  • NOT medication errors; ADRs are not preventable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a close call?

A
  • Error that was corrected before reaching the patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a Sentinal event

A
  • Safety error that lead to death, severe harm, or permenant harm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 5 rights of medication safety?

A
  • The Right Patient
  • The Right Time/Frequnecy
  • The Right Dose
  • The Right Route
  • The Right Drug
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the two forms of human error and what is the difference between them>?

A
  • At-risk: thinks the risk is low; makes workarounds
  • Reckless: conscious disregard
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some organizations that focus on patient safety?

A
  • The Institute for Safe Medication Practices (ISMP)
  • The Joint Commission
  • Center for Medicaid and Medicare Service (CMS)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is are some of the important National Patient Safety Goals (NPSGs) that pharmacist must follow?

NPSG is from the Joint Commission

A
  • TWO patient idenifiers [name, DOB, pt number…]
  • Possible harm from Anticoag [Dosing protocol, Pumps, Alt Dosings, drug-food interactions]
  • Accurate Patient information [reconcilliation, DC counseling]
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a Medication Reconcillation?

5 steps

A
  • List of current medications
  • List of drugs to be prescribed
  • Compare the 2 lists
  • Note differences then stop or hold them
  • Tell new list to patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are Collaborative Practice Argeements?

A
  • Allows pharmacist to preform advanced care activities [monitor drug levels, adjust doses]
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some of the errors that should be reported?

A
  • Medication Errors
  • Preventable ADRs
  • Hazardous Conditions
  • “close calls”
  • “near misses”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is prospective evaluation and quality improvments?

A
  • Failure Mode and Effects Analysis (FMEA) is a proactive way to reduce the frequnecy of back to back errors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is retrospective evaluation and quality improvments?

A
  • Root cause analysis (RCA) –> investgation of event that has happened
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is continuous evaluation and quality improvments?

A
  • Continuous quality inprovements (CQI); goal for most healthcare settings (Lean, Six Sigma)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some of the unsafe abbreviations that should not be used?

A
  • U, u –> mistaken for 0 or 4 –> wirte out unit
  • IU –> mistaken for IV –> write out international unit
  • Q.D, QD, q.d (daily); Q.O.D, QOD, q.o.d (every other day) –> mistaken for each other –> write out daily or every other day
  • Trailing zeros, or lack of leading zeros
17
Q

What is one of the ways to avoid look alike, sound alike errors?

A
  • Tall Man Lettering (celeXA vs celeBREX); helps avoid disimilarites in names
18
Q

What is a high alert medication?

A
  • Those with increased risk of signifiant harm if error occurs
19
Q

What is Conputerized Physician/Provider Order Entry (CPOE)?

A
  • Direct entry of orders by doctors; alarts can be sent straight to the doctor if needed
20
Q

What is the one thing that is important to remember about Patient COntrolled Analgesia (PCA) devices?

A
  • Friends and Family of the patient CANNOT administer the PCA doses

PER JOINT COMMISION

21
Q

What are the steps where a medication error could occur?

A
  • Drug ordered from supplier
  • Drug arrives ar the pharmacy and checked into inventroy
  • Drug added to stock
  • Medication order for patient
  • Pharmacist reviews order
  • Compounding (if needed)
  • Drug delivered/given to patient
  • Patient takes drug
22
Q

What are some of the common hospital acquired infections?

A
  • UTIs from catheters (remove ASAP)
  • Bloodstream infections from IV lines and catheters
  • Surgeries
  • C. Diff
  • Pneumonia (most by vents)
23
Q

When are contact precautions recommended?

A
  • When a patient has MRSA, VRE or C. Diff
24
Q

When are Droplet precautions recommended?

A
  • Patients with Pertussis, Flu, RSV, andeonvirus, Rhinovirus, Meningitis…
25
Q

When are Airborne precautions recommended?

A
  • TB, Measles, Chicken Poxs
  • WEAR a N95 or higher mask