Medication Safety

Question 1

What is Graded Assertiveness

CUSS

Answer 1

C Concern
= I’m concerned that allergies haven’t been recorded
U Uncertain
= I’m uncomfortable/unsure, but this dose seems high for a child
S Safety
= I dint think it’d safe to proceed until we make dure this is the correct dose
S Stop
Stop. We need some time out to confirm that it’s the correct dose.

Question 2

Graded assertiveness

OSCE

Answer 2

O Observation - aka hint
I’ve never seen this dose before

S SUGGESTION
could we double check this

C CHALLENEGE
Is there a reason for such a high dose

E EMERGENCY
for the safety of the patient I cannot dispense such a high dose

Question 3

What is ROOT CAUSE ANALYSIS

Answer 3

After a Sentinel event to determine WHY the error happened
= cause and effect
= cause of error (not error itself)
(Not who.)
= fish bone diagram

Question 4

What is FMEA
FAILURE MODE EFFECT ANALYSIS

Answer 4

Prospective
Identifying and preventing product problems before they occur

Doesn’t require previous bad experienced

Used more in engineering and manufacturing of devices

Health care = HFMEA
BUT decidability = smaller emphasis (as not always possible)

Question 5

Process of HFMEA
HEALTH FAILURE MODE AND EFFECTS ANALYSIS

Answer 5

1. Define topic
2. Assemble team
3. Graphically describe process
4. Conduct hazard analysis
5. Actions and outcome measure

Question 6

In the HFMEA Hazard Scoring Matrix, what 2 factors are considered

Answer 6

Severity + probability