Safety Quiz 2 Flashcards
what is BCMA?
Bar code medication administration
scanning stuff at pt bedside aka AT POINT OF ADMINISTRATION
what is CPOE?
computerized provider order entry
what is a PHR?
personal health record
an electronic app used by pts
subtypes of systems of PHRs?
standalone (ex: google health PHR)
tethered (tied into healthcare system - MyHealthvet from PHR)
or
networked (access data from multiple locations)
what is meaningful use?
goal: to increase EHR adoption and improving
quality of care!!
CMS gave out money for rewarding ppl to to do EHRs then after time they would penalize ppl
what is HIE?
health information exchange
ultimate goal of HIE?
NHIN (national health information network)
Hx of HIE:
what was the first initiative? and the problems with it?
in 1990 - Hartford foundation
grants given to different communities
endpoints to assess - quality and cost reduction
problems: technology wasnt good enough for this/slow internet etc
Hx of HIE:
what was the second initiative? main issue?
in mid- 1990s CHINs (community health information networks)
these were commercial endeavors
political groups against public health data
Hx of HIE:
what was published in 1999/2001 that said HIE’s could help pt safety
To Err is human
IOM reports on pt safety and quality
Hx of HIE:
what was the initiative in 2000? what was the downfall?
RHIOs! (regional health information organizations)
downfall: getting everyone on board/funds/political/competitive
all RHIO’s across the country were SOOO different
Hx of HIE:
In 2004 the DHHS began developing ______
*DHHS - department of health and human services
NHIN (national health information network)
Hx of HIE:
in 2006 - the prominent RHIO located in ______ closed after 8 years
Santa barbara, CA
Hx of HIE:
In 2008: _________ specifies HIE as a component of “meaningful use” incentives
HITECH Act
Hx of HIE:
In 2009: the _____ assures stakeholders that NHIN will NOT exchange data with government angencies
ONC (office of the national coordinator for Health IT)
Definitions/Terms:
EMR?
electronic medical record
Definitions/Terms:
Formulary
medications approved for use by the pharmacy and therapeutics committee
Definitions/Terms:
ADC
automated dispensing cabinet
Definitions/Terms:
BCMA
barcode medication administration
Definitions/Terms:
CPOE
computerized prescriber order entry
Definitions/Terms:
CDS
clinical decision support - automated tools used to help assist with clinical decisions
Definitions/Terms:
Medication use process
Multistep process involved in getting a prescribed medication to the patient
Which of the below are factors associated with effective implementation of pharmacy automation? A. Usability B. Integration and interoperability C. Stability and reliability D. Adaptability and flexibility E. All of the above
E
What dispensing technologies could have prevented these heparin errors?
A. Barcode scanning when removing the medication from the carousel
B. Barcode scanning prior to loading into the automated dispensing cabinets
C. Patient monitoring
D. A and B
E. All of the above
D
Which of the below are reasons to implement Carousels?
A. Better security of medications
B. Reduces medication errors
C. Maximizes floor space and storage capacity; improves space efficiency
D. All of the above
D
Smart Pump = an infusion pump w/
______ of medications that provides _____ guidelines for concentrations and dose limits
library
dosing….
different types of infusion pumps?
LVP - large volume pump PCA - pt controlled analgesia Syringe Elastomeric Enteral Insulin Pumps
Types of smart pump data?
drug libraries alerts DERS compliance rate alarms pump status (up to date?)
what is DERS?
dose error reduction software — used in smart pumps!
this get measured for compliance
the the “medication use process” what is a part of the monitoring portion?
EHR
documentation
lab testing
refill data
the the “medication use process” what is a part of the prescribing portion?
CPOE
the the “medication use process” what is a part of the transcribing portion?
e-prescribing
Medication alerts are one form of ______________ and are intended to improve medication decision-making and thereby improve patient safety.
computerized clinical decision support
Medication Alert challenges?
Alert Fatigue
Wide variation in alert display
Lack of alert clarity
Barriers to prescriber-pharmacist communication
what does C-HIP model stand for and why is it related to med safety?
C-HIP = communication-human information processing model
related to med safety because it is the process that ppl go thru while looking at warnings
and is a way to see why a warning did not work