NON GOV. REGULATIONS & AUDITS AND NDA Flashcards

1
Q

What does ISMP stand for?

A

Institute for Safe Medication Practices.

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2
Q

Name 4 causes of medication errors identified by ISMP.

A

Look-alike or sound alike drug names.
Drug labeling.
Packaging similarities for different drug doses.
Misinterpreted abbreviations.

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3
Q

According to the ISMP, ______________ between doctors, pharmacists, and other healthcare team members contribute to medication errors.

A

Miscommunication.

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4
Q

True or False
According to the ISMP, when prescribing and administering drugs, incomplete patient information does not contribute to medication errors.

A

False.

Incomplete information contributes to medication errors.

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5
Q

What documentation must be provided when an auditor requests the hard copy of a prescription?

A

The original written rx, or telephone/faxed prescription drug order.

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6
Q

What documentation must be provided when an auditor asks if the patient picked up the prescription?

A

A copy of the patient’s signature or signature of the person designated to pick up the script. (Insurance log book)

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7
Q

What documentation must be provided when an auditor questions if we stock the merchandise we say we do?

A

The same size bottle billed to the insurance.

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8
Q

Summarize what the Joint Commission is.

A

A non-governmental agency that conducts voluntary certification inspections.

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9
Q

True or False

A Joint Commission inspection is not a “high stress” time for the pharmacy.

A

False.

A Joint Commission inspection process is lengthy and detailed.

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10
Q

Name the committees involved in the NDA process.

A

Medical, Biopharmaceutical, Pharmacology, Chemistry, Microbiology, and Statistical.

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11
Q

True or False

The development stage of the New Drug Application Process consists of being approved by committees.

A

False.

The development stage includes study results compiled for presentation to the FDA for consideration.

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12
Q

Once the NDA has been approved by the committees, there are two more hurdles to pass. They are:

A

Verify accurate and detailed labeling.

Inspect the manufacturing facility.

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13
Q

Describe Phase I of the NDA Process.

A

Determine tolerated dose, not efficacy.
Small # of healthy volunteers.
ETOC: 1-2 yrs

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14
Q

Describe Phase II of the NDA Process.

A

Determine drug effectiveness for intended disease group.
Many volunteers.
0 degree of effectiveness = no pass to Phase III
ETOC: 2-3 yrs

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15
Q

Describe Phase III of the NDA Process.

A

Final trials before FDA submission.
Double blind for thousands of individuals.
Compares effectiveness to a known drug.
ETOC: 3-4 yrs

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16
Q

Describe Phase IV of the NDA Process.

A

Marketed to general public if FDA approved.
Follows any problems after distribution.
ETOC: Ongoing

17
Q

What does IND stand for?

A

Investigational New Drug Review.

18
Q

What is the purpose of IND?

A

To apply for exemption to the Federal Law prohibiting interstate shipment of unapproved drugs.