1. Medication Error

Question 1

omission or commission

Answer 1

An unintended act or one that does not achieve its intended outcome.

Question 2

error of execution

Answer 2

The failure of a planned action to be completed as intended.

Question 3

error of planning

Answer 3

The use of a wrong plan to achieve an aim.

Question 4

medical error (general def.)

Answer 4

A deviation from the process of care that may or may not cause harm to the patient.

Question 5

Medical error causes about how many deaths per year?

Answer 5

251,000

Question 6

Medical error is the _____ leading cause of death in the US.

Answer 6

third

Question 7

What are the individual responsibilities of making errors more visible?

Answer 7

• knowledge of remedies

- skills to intercept them

Question 8

What are the individual responsibilities of responding to error (rescue)?

Answer 8

• clinical skill

- sound judgement

Question 9

What are the individual responsibilities of making errors less frequent?

Answer 9

• error awareness

- calling for help

Question 10

What are the system responsibilities for making errors more visible?

Answer 10

• institute safety triggers to alert staff

- facilitate a culture of speaking up

Question 11

What are the system responsibilities of responding to error (rescue)?

Answer 11

• make remedies available

- support clinician needs

Question 12

What are the system responsibilities of making errors less frequent?

Answer 12

• foster culture of safety

- engineer hard stops for prevention