Medication Erros Flashcards
(44 cards)
“Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or consumer. Such events may be. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing, order communication, product labelling, packaging, and nomenclature, compounding, dispensing, distribution, administration, education, monitoring, and use”.
Medication Error
through lack of knowledge
knowledge-based errors
using a bad rule or misapplying a good rule
rule-based errors
called slips
action-based errors
called lapses
memory-based errors
no error; capacity to cause error
A
error, but did not reach the patient
B
error that reached the patient but unlikely to cause harm (omissions considered to reach the patient)
C
error that reached the patient and could have necessitated monitoring and/or intervention preclude harm
D
error that could have caused temporary harm
E
error that could have caused temporary harm requiring initial or prolonged hospitilization
F
error that could have resulted in permanent harm
G
error that could have necessitated intervention to sustain life
H
error that could have resulted in death
I
no example given
A and B
multivitamin was not ordered for admission
C
regular release metoprolol was ordered for patient instead of extended-release
D
blood pressure medication was inadvertently omitted from the orders
E
anticoagulant such as warfarin was ordered daily when the patient takes it every other day
F
immunosuppressant medication was unintentionally ordered at one-fourth the dose
G
anticonvulsant therapy was inadvertently omitted
H
beta-blocker was not reordered post-operatively
I
salbutamol inhaler was unintentionally removed from the list of orders
H
e-zinc drops was given instead of Cetirizine drops.
C
