Medication Errors Flashcards

1
Q

Harmful adverse drug events (ADEs) can be divided into what 2 categories?

A

preventable and non-preventable

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2
Q

potential ADEs (no harm) can be divided into what 3 classifications?

A
  1. hazards
  2. near misses
  3. preventable events
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3
Q

preventable events (both harmful and not), hazards and near misses fall under what category?

A

medication incidents

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4
Q

adverse drug reactions fall under what category?

A

non-preventable adverse drug events

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5
Q

are rates of adverse drug events higher in teaching hospitals?

A

yes

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6
Q

around ___ percent of ADEs are preventable

A

36.9%

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7
Q

around ___% of ADEs result in death

A

15.9

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8
Q

what are the two most common types of adverse health events?

A

surgical and drugs

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9
Q

medical errors is the ___ leading cause of death in the US

A

third

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10
Q

ADEs that are non-preventable are called ___

A

ADRs

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11
Q

ADEs that is preventable is called___

A

medication incident

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12
Q

what is the ADE?

A

a drug-related event that causes harm

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13
Q

what is a medication incident?

A

any preventable event that may lead to innapropriate med use or patient harm

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14
Q

what is a hazard?

A

a setting or technology that has the potential to cause harm

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15
Q

what is a near miss?

A

an event that could have resulted in unwanted consequences, but did not bc of chance or it being caught

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16
Q

what is a no harm event?

A

a preventable event in which the incident reached the patient, but they are not harmed by it

17
Q

what is harm?

A

a temporary or permanent impairment in body functions or structures (including mental, physical, sensory etc.)

18
Q

what are latent errors?

A

errors waiting to happen; system failures

19
Q

what are active errors?

A

errors that result from the action of the practitioner (slips and mistakes)

20
Q

what is the slip?

A

failure of typical reflexive actions often due to lapses in focus, fatigue, stress etc.

21
Q

what is a mistake?

A

incorrect choices; reflection of lack of experience, insufficient training, negligence etc.

22
Q

what are high-alert medications?

A

medications that have a heightened risk of causing significant harm when used in error

23
Q

t/f the ISMP has a list of high-alert medications

A

t

24
Q

what is a high alert paralytic bin?

A

orange bins used in hospitals to house paralytics so they are easily distinguised from other meds and not given in error, as thi scould be fatal

25
Q

what is tall man lettering?

A

capitalizing the letters that make a drug name different from another drug with a similar name