Med Error, Pt Safety & TJC Flashcards Preview

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Flashcards in Med Error, Pt Safety & TJC Deck (26):
0

What's a root cause analysis (RCA)?

RCA is a retrospective investigation of an event that already occurred

1

What's done with the info collected during RCA?

Used to design changes that will hopefully prevent future errors

2

What's a sentinel event?

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

3

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

T

4

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

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

5

What error of omission?

Leaving something out that's needed for safety

6

What error of commission?

Something was done incorrectly

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

7

Where do u report errors in the hospital?

Pharmacy and Therapeutics (P&T) committee

+

Medication safety committee

8

For an inpatient when should med recon be done?

At every transition of care

9

Xtics of MedGuide

Contains Imp ADRs

FDA approved

Given with original script and each refill

10

Are abbtpreviations recommended?

They are unsafe and contribute to many medical errors

11

Reason for indication for use on script?

Helps pharmacist ensure appropriate prescribing and drug selection

12

How should measurement be kept?

Metric system only

13

Is it acceptable to use the term "as directed"?

No!

14

List the most common high-alert-drugs

Hypertonic Saline

Insulin

Heparin

KCl

Opioids

15

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

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

16

Whats REMS?

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

17

Common types of hospital (Nosocomial) Acquired hospital?

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

In what grp of pt is contact precautions recommended?

Pts colonized with MRSA and VRE

19

In what grp of pt is airborne precautions recommended?

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

20

Should u recap needles b4 discarding?

No!

21

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

Top down

22

Uses of vertical hood?

Chemo

And other hazardous meds

23

What's Laminar flow?

Air moving in an uninterrupted, constant stream

24

What does HEPA filter remove?

99.97% of all air particles 0.3 mm or larger

25

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

6 inches

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