Module 3 ch 2 Flashcards
Medication Error
Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer.
Adverse drug event
An injury resulting from medical intervention related to a drug
Preventable adverse drug event
An ADE that results form a medication error that reaches the patient and causes any degree of harm
Potential adverse drug event
Medication errors that do not harm (either by chance or because they were identified before reaching the patient)
Medication Use process
-Ordering/Prescribing
-Transcribing
-Preparation/Compounding and Dispensing
-Administration
5 rights of Medication Administration
-Right Drug, Dose, Patient, Route, Time
Ordering and Prescribing Errors
- Wrong patient, drug, time, dose, dosage form
- omission
- Incomplete or unclear orders
- Patient Allergy
Computerized Physician Order Entry
-Eliminates the risk of incomplete or unwritten orders that may be misinterpreted
-Algorithms and prompts that guide the ordering provided to select the appropriate drug, dose and frequency
Preprinted order forms
Standardized forms will already contain many elements of an appropriate order
When taking verbal or telephone orders
- Transcribe, read back and confirm
- Follow these steps: do not read back, then transcribe
Preventing Errors
- Tall man lettering
- Ensure appropriate use of decimals and zeros
(0.025, 25) - Medication reconciliation during transitions of care
- If there is any doubt about an order, confirm with prescriber
Medication reconciliation
- Changes often occur when patients transition from one level of care to another
- The process of reviewing the medication list against medical records
AD, AS, AU
confused with OD, OS, or OU
CC
Cubic centimeters
Use mililiters
D/C
Discharge or discontinue
