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Flashcards in MEP Deck (383)
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1

T/F?: MEP is legal advice

False

2

Medicines Optimisation Principle 1

Aim to understand the patient's experience

3

Medicines Optimisation Principle 2

Evidence based choice of medicines

4

Medicines Optimisation Principle 3

Ensure medicines use is as safe as possible

5

Medicines Optimisation Principle 4

Make medicines optimisation part of routine practice

6

Goal of medicines optimisation

Improve "patient outcome", improve adherence, no unnecessary meds, reduce wastage, improve safety.
Alligned measurement and monitoring of meds optimisation

7

Evidence based choice of medicines means

Clinically, cost effective treatment for patient

8

Safe use of medicines includes

Side effects, interactions, safe systems, effective communication between professionals

9

Pharmaceutical Care (Scotland) key principles

ID, Plan, Agree outcomes, Action, Follow up

10

Assessment of Pharmaceutical care will establish

Appropriate? Additional? Safe dose? Side effects reduction? Effective?

11

A profession is

Recognised, Professional Body, Standards/codes, Regulated

12

Principles of professionalism

Altruism, Accountability, Compassion, Duty, Excellent, Continuous Development, Honour, Integrity, Professional judgement, Respect for others, Partnerships

13

Professional judgement is

knowledge, experience and critical thinking
Take into account law, ethics, standards, circumstances
resonated with core values, attitudes, behaviours

14

Process of professional judgement

1. ID dilemma
2. Get info
3. ID options
4. Benefits Vs Risks
5. Choose option
6. Record

15

In primary care information can be obtained from

Prescription, Patient, Representative/carer, PMR, Medical records

16

In secondary care information can be obtained from

primary + healthcare professionals, notes, ward charts, lab results

17

Areas to consider when doing clinical check

1. Patient characteristics
2. Medication regimen factors
3. Administration and monitoring
4. Record keeping

18

What is the meaning of patient characteristics

Patient type (children, elderly, ethnicity)
Co morbidities (renal, hepatic impairment)
Patient's intolerance/preference (allergy, religious, veg)

19

What are patient regimen factors

Indication, Changes, Dose/Frequency/Strength, Formulation, Compatibility, Monitoring requirements

20

What administration considerations should be made

Route correct, aids (spacer, dropper device, braile, pictogram)

21

Asian on Rosuvastatin

20mg

22

Enteral feeds avoid

Phenytoin

23

Information to obtain in taking medication history

Generic name, Brand name, Dose, Strength, Formulation, Route, Frequency, Length, Device + Brand (for injectables), date of administration

24

Which medicines need monitoring booklets

Lithium, Insulin, Anticoagulant, Methotrexate

25

T/F?: 100mg liquid Phenytoin is equal to 100mg Phenytoin tablet

False

26

What is a just culture

Based on fairness. Achieved via attitudes, behaviour, practices. Learn from mistakes, share lessons, reduce mistakes.

27

What is punitive culture

Based on punishment

28

What is no-blame culture

Never assign blame, lack of accountability

29

Principles of just culture

1. Patient safety paramount
2. Deliberate harm/unacceptable risk musn't be tolerated
3. Forthcoming in raising concerns, learning from incidents
4. Accountability fair, proportionate. View in context root cause, deficiencies, mitigating circumstance and contributing factors

30

Decision Incident Tree contains

Deliberate harm test, Incapacity test, Foresight test, Substitution Test