Drug Use Process and Patient Safety Powerpoint Flashcards
What is the Greek word for drug?
-Pharmakon meaning remedy, poison, magical charm
Drugs are defined as Remedies, Poisons and magical charms.
What drives the classification of drugs? (2)
(recreational and medicinal)
What are the 5 types of medications?
- investigational drugs
- alternative medications (RX and OTC)
What are the 2 classes of drugs?
Who invited comments in the federal Register on a proposal to create a third class?
What is the 3rd proposed class of drugs?
That will be controlled behind the counter by pharmacist who will then prescribe.
Who opposed the “3rd” drug class? (2)
- Opposed by the American Academy of Family Physicians (AAFP)
- Board chair (Roland Goertz MD) cited patient safety because there will be no physician supervision
Drug use and potential for inappropriate drug use is on the rise.
What may be contributing to noncompliance with recommendations (prescribed/therapeutic)
The rise of self-care
What 3 things are contributing to self-medication increase?
- RX to OTC switches
- Internet (increased access to the info)
- Lack of insurance/high deductibles
When patients are faced with some form of illness 1/3 of the time they ignore it or do nothing.
Self-medication practices involve what 4 things?
- personal experience
- advice from friends
- web based
1/4 of patients faced with some illness use the medical system.
How often do patients obtain prescriptions when using the medical system when faced with some form of illness?
2/3rds of the time
What are the 8 medication related problems?
- needed drug therapy
- use of wrong drug
- dosage is too high
- not receiving drug
- unnecessary drug therapy
- dosage is too low
- adverse rxn
- drug interaction
Medication use process (5 steps)
Pharmacist have a role in the ENTIRE medication use process.
Who are the 5 statutory prescribers?
- advanced nurse practitioners
How can a RX be prescribed? (3)
- written (no paper restrictions)
- given orally
___________ million Americans lack adequate access to primary care physicians in their communities.
Collaborative Practice Agreements
- an agreement between MD and a pharmacist to change a prescription.
How can pharmacist give a patient a flu shot without a prescription?
-collaborative practice agreements
What is the transfer of a physician’s prescription order to a medication administration record (MAR)?
What can be done to reduce transcription mistakes?
What 3 strategies reduce transcribing/documentation errors?
- computerized physician order entry
- bar code identification of patients
When do Pharmacist have the most control over the medication use process?