Med Administration Flashcards
“Medical error is the 3rd leading cause of death”
T/F
TRUE
what are the results of medication error
- death
- life threatening situation
- hospitalization
- disability
- birth defect
death
life threatening situation
hospitalization
disability
birth defect
Who can make a medication error?
provider order ( prescribes and monitors )
pharmacist ( verification and preparation )
nurse ( administers and monitors )
When can medication error occur?
- ordering/ prescribing
- transcribing
- dispensing
- administering
- monitoring
ordering/ prescribing
transcribing
dispensing
administering
monitoring
What types of medication errors occur?
- wrong patient
- wrong drug
- wrong route
- wrong time
- wrong dose
- wrong dosage form
- wrong technique
- deteriorated drug error
- compliance
- wrong documentation
wrong patient
wrong drug
wrong route
wrong time
wrong dose
wrong dosage form
wrong technique
deteriorated drug errors
compliance
wrong documentation
Factors associated with medication errors: Provider/ Pharmacist/ Nurse
- distractions
- poor communication
- lack of training
- inadequate knowledge of patient ( age )
- inadequate knowledge of drug
- overworked/fatigued/ lack of sleep
- physical/ emotional health issues/ stress
distractions
poor communication
lack of training
inadequate knowledge of patient ( age )
inadequate knowledge of drug
overworked/ fatigued/ lack of sleep
physical/ emotional health issues/ stress
Factors associated with medication errors: Patient
- personality
- literacy
- language barriers
- multiple health conditions ( comorbidities)
- Polypharmacy
- inconsistent method
personality
literacy
language barriers
multiple health conditions ( comorbidities)
polypharmacy
inconsistent method
Factors associated with medication errors:
Pharmacy, Provider, Nurse
- administration technique
- lack of knowledge drug-drug interactions
- miscalculation of dosage
- drug preparation
- computer error
- STOCKING ERROR
- transcription error
administration technique
lack of knowledge: drug-drug interactions
miscalculation of dosage
drug preparation
computer error
STOCKING ERROR
transcription error
Factors associated with medication errors:
Communication
- name confusion
- illegible handwriting
- verbal order
- brand name confusion
- generic name confusion
- labeling
name confusion
illegible handwriting
verbal order
brand name confusion
generic name confusion
labeling
Ways to reduce medication errors
- p and pt families can take an active role and be informed
( pt education )
T/F
TRUE
Ways to reduce medication errors
- computerized order entry system
- having a clinical pharmacist accompanying physicians in high-risk areas
- bar code system
- medication reconciliation
- not using error-prone abbreviations ( Joint Commission Banned )
- medication education for new and existing staff
- limitations and safeguards for verbal orders
computerized order entry system
having a clinical pharmacist accompanying physician in high-risk areas
bar-code system
medication reconciliation
not using error-prone abbreviations ( JCC)
medication education for new and existing staff
limitations and safeguard for verbal orders
No place for complacency in Nursing
T/F
TRUE
Complacency means
when you become so secure in your work that you take potentially dangerous shortcuts in your tasks, don’t perform to the same quality as you once did or become unaware of deficiences
NO SHORTCUTS
The TALL man system
- look alike or sound alike medications
- cause for HIGH alert
HydrALAZINE - antihypertensive
HydrOXYzine - anti-anxiety, antihistamine
look alike or sound alike medications
cause for HIGH alert
HydrALAZINE
HydrOXYzine
Black Box Warning
- Alert of increased risk ( may result in death or serious injury )
- Strictest labeling requirements FDA can mandate for prescription drugs
Alert of increased risk ( may result in death or serious injury )
Strictest labeling requirements FDA can mandate for prescription drugs
