Module 3 Ch 3 Flashcards
Root cause Analysis
A structured method that is used to analyze serious adverse events
RCA process
- Data Collection
- Reconstruction of the timeline of processes and events
- Analysis of the processes and events by a multidisciplinary team
- Identification of active errors
- Identification of latent errors
- Elimination of systems architecture that lead to identified latent errors
Where are adverse drug events reported?
Medwatch
Adverse drug event ex
- Unexpected side effects or adverse events
- Product quality problems
- Product use or other medication errors that can be prevented
- Therapeutic failures
Where are vaccine-related adverse events reported?
VAERS
Vaccine Adverse Event Reporting System
When are healthcare providers required to report
-When adverse events listed by the manufacturer to be a contraindication to future doses of the vaccine
-Selected adverse events listed under each vaccine type on the VAERS website
What is a growing trend in the pharmacy for medication errors?
A medication safety officer
Pharmacy suggestions for reporting medication errors?
Having an internal system for error reporting
Sentinel events
Patient safety events that result in death, patient harm, or severe temporary harm and intervention required to sustain life
Where are sentinel events reported to?
The Joint Commission
