Patient Safety and Quality Assurance Flashcards
MedWatch
MedWatch is the FDA’s safety information and adverse event reporting system. Safety information regarding human drugs, medical devices, vaccines and other biologics, dietary supplements, and cosmetics can be submitted through MedWatch.
Institute for Safe Medication Practices (ISMP)
The ISMP is dedicated to medication error prevention and safe medication use. The ISMP maintains resources related to high-risk drugs, including look-alike/sound-alike drugs and medications to avoid crushing.
prevention strategies
practices implemented to reduce the chances of a medication error and, if it does occur, to reduce the likelihood that it will reach the patient
Examples include fail safes, standardization, and using computerization/automation to assist in pharmacy operations.
Institute for Safe Medication Practices
This is a national organization that supports a medication error reporting program and reviews reported errors in some states, such as Pennsylvania. It also provides lists of health care words and abbreviations to avoid, as well as a list of look-alike/sound-alike drugs.
VAERS
Reactions or unusual side effects should be reported to the Vaccine Adverse Event Reporting System (VAERS), which is monitored by both the CDC and the FDA
Pharmacy informatics
Pharmacy Informatics focuses on using information technology and drug information to maximize medication use.
class II recall
medication may cause temporary adverse health effects that are reversible or if there is a small risk of serious adverse effects
class I recall
medication is likely to cause severe adverse effects or even death
class III recall
medication is not likely to cause a patient to have adverse effects
class IV recall
does not exist—there are only three classes of FDA recalls.
Prescription records can be stored in only three possible ways:
2 files: (CII) and (non-controlled + CIII-V)
2 files: (CII-V) and (non-controlled)
3 files: (CII) and (CIII-V) and (non-controlled)
valid DEA number
Step 1: Add the first, third, and fifth numbers together ( 2 + 6 + 8 =16).
Step 2: Add the second, fourth, and sixth numbers together (4 + 7 + 9=20).
Step 3: Multiply the sum in the second step by 2 (20 x 2 =40).
Step 4: Add the total from steps 1 and 3 together (40 +16 =56).
All transferred controlled substance prescriptions must contain the following:
Original prescription date and dispensing date
Original # of refills authorized and current # remaining
Transferring pharmacy’s DEA number and demographics
Original prescription number
Name of transferring pharmacist
Safety Data Sheets (SDS)
outline appropriate handling, storage requirements, and cleanup procedures for the hazardous product. They are specific for the product listed.
Disposal of hazardous waste
must be separate from the disposal of other waste, and the waste must be labeled as “hazardous drug waste.” It also needs to be stored in a leakproof container that is labeled as such until it is disposed of safely. There is no specific time limit on when hazardous waste must be discarded as long as it is stored properly.
