Med Error, Pt Safety & TJC Flashcards

1
Q

What’s done with the info collected during RCA?

A

Used to design changes that will hopefully prevent future errors

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2
Q

What’s a sentinel event?

A

Unexpected event involving death or serious physical or psychological injury of risk thereof

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3
Q

T/F? RCA is a continuous quality improvement (CQI) tool?

A

T

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4
Q

What’s Failure Mode and Effects Analysis (FMEA)?

A

Is a proactive method used to reduce freq and consequences of errors

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5
Q

What error of omission?

A

Leaving something out that’s needed for safety

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6
Q

What error of commission?

A

Something was done incorrectly

e.g, dispensing sulfamethoxazole for pt with a sulfa allergy

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7
Q

Where do u report errors in the hospital?

A

Pharmacy and Therapeutics (P&T) committee

+

Medication safety committee

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8
Q

For an inpatient when should med recon be done?

A

At every transition of care

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9
Q

Xtics of MedGuide

A

Contains Imp ADRs

FDA approved

Given with original script and each refill

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10
Q

Are abbtpreviations recommended?

A

They are unsafe and contribute to many medical errors

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11
Q

Reason for indication for use on script?

A

Helps pharmacist ensure appropriate prescribing and drug selection

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12
Q

How should measurement be kept?

A

Metric system only

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13
Q

Is it acceptable to use the term “as directed”?

A

No!

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14
Q

List the most common high-alert-drugs

A

Hypertonic Saline

Insulin

Heparin

KCl

Opioids

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15
Q

How do u reduce risk of KCl wrt storage, route of admin, label?

A

Centralized KCl infusions prep in the pharmacy

Stipulation that all KCl infusions must be given via a pump

Label all fluids containing K with a “Potassium Added” sticker

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16
Q

Whats REMS?

A

FDA program that requires specified training and various restrictions on certain drugs

17
Q

Common types of hospital (Nosocomial) Acquired hospital?

A

UTI

Blood stream inf (.from IV, esp central lines, and catheters)

Surgical site infections

Decubitus ulcers

Hepatitis

C.difficle, other GI inf

Pneumonia (mostly due to ventilation), bronchitis

18
Q

In what grp of pt is contact precautions recommended?

A

Pts colonized with MRSA and VRE

19
Q

In what grp of pt is airborne precautions recommended?

A

Pts with rubella virus (measles), varicella virus (chicken pox) or M.tuberculosis

20
Q

Should u recap needles b4 discarding?

A

No!

21
Q

How does the air flow in vertical flow hoods (also called Biological safety cabinets/ chemo hoods)

A

Top down

22
Q

Uses of vertical hood?

A

Chemo

And other hazardous meds

23
Q

What’s Laminar flow?

A

Air moving in an uninterrupted, constant stream

24
Q

What does HEPA filter remove?

A

99.97% of all air particles 0.3 mm or larger

25
Q

How much space is left to make front edge of the hood clear?

A

6 inches

26
Q

What’s a root cause analysis (RCA)?

A

RCA is a retrospective investigation of an event that already occurred