Medication Safety Flashcards
(11 cards)
Define medication safety
Freedom form preventable harm due to medication use
What is a close call
Corrected before reaching the patient
What is a sentential event
Event that results in death, severe harm or permanent harm
Errors of omission
Occurs when something was left out
Errors of commission
Occur when something was done incorrectly
What are the 5 rights
Patient, time and frequency, dose, route, drug
Causes of compromised patient safety
Low patient health literacy
Insufficient training, lack of experience, or unfamiliar tasks
Breakdowns in communication
Competing priorities
Fast-paced environments
Complex tech
Who creates the national patient safety goals
TJC
Failure mode and effects analysis
Prospective: Proactive method used to reduce the frequency and consequences of error
Root cause analysis
Retrospective: investigation of an event that has already occurred which includes events leading up to the error
Ex of continuous quality improvement
Lean (minimizing waste)
Six Sigma (reducing defects)
