Pharmacy 3rd Year Flashcards

(77 cards)

1
Q

Define cytotoxic or cytostatic medicine

A

Any medicinal product that possesses any one or more of the following:

1) toxic
2) carcinogenic
3) toxic for reproduction
4) mutagenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why audit?

A
Improves quality of care
Maximise resources 
Educational tool
Encourages team work
Provides evidence to justify change
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

define audit standards

A

Standards are the proportion of times that the criteria can be fulfilled usually expressed as a %

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is audit

A

Quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define patient safety

A

The avoidance, prevention and amelioration of adverse outcomes or injuries stemming from the process of healthcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does NPSA stand for

A

National patient safety agency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does he NPSA do

A

Set up national reporting and learning system for recording and collating data on medical harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

In 2012 the patient safety function of the NPSA was transferred to what

A

NHS commissioning board special health authority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the two subtitles of medication errors

A

1) commission

2) omission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define error of commission

A

Wrong meds or wrong dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define error of omission

A

Omitted dose or failure to monitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Is RCA a reactive method of error management?

A

Yes because it’s used after an error has occurred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does FMEA stand for and what is it

A

Failure modes and effects analysis is a systematic method of identifying and preventing process and product problems before they occur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 6 stages of the transtheoretical model

A

1) pre contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse/termination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define ambivalence

A

When you feel two ways about something, know pros and cons but can’t decide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What’s the reactance theory

A

Brehm- nobody tells me what to do

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What’s motivational interviewing

A

A form of brief psychotherapy, is goal orientated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 6 stages of the transtheoretical model

A

1) pre contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse/termination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define ambivalence

A

When you feel two ways about something, know pros and cons but can’t decide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What’s the reactance theory

A

Brehm- nobody tells me what to do

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What’s motivational interviewing

A

A form of brief psychotherapy, is goal orientated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Define ethics

A

Ethics is the science or morals or moral philosophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Define ethical norms

A

Are rules or behaviours to be complied with or used to evaluate or direct human conduct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is an ethical dilemma

A

It is where a problem needs to be overcome or a difficult choice made using a process known as ethical decision making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Define principle
Fundamental truths or laws used for deliberation or reasoning
26
What are the three main ethical theories
1) deontological ethics 2) consequentialist ethics 3) virtue ethics
27
Which ethical theory is 'ethics of care' most related to?
Virtue ethics but it places more emphasis on and employing altruistic emotions
28
Define moral reasoning
Individual or collective practical reasoning about what we ought to do
29
What is a 'ad hominem argument'
An argument against man- normally an attack on a particular person and is intended to discredit what he or she does
30
What is a 'tu quoque argument'
'You too'- method used to reduce or deflect the force of an argument that a person is making
31
Define fallacy
These are logical mistakes in reasoning
32
What are the three types of morality
1) duty based morality 2) goal based morality 3) virtue based morality
33
Define capacity
The ability of a person to make decisions that may have consequences for themselves and/or others being affected by the decision that person makes
34
Define consent
To express a willingness, give permission, agree
35
What are the 3 parts to ethically valid consent
1) must be voluntary 2) given by a competent individual 3) done in light of sufficient info and understanding
36
What are the two types of consent
1) implied consent | 2) explicit consent
37
Define implied consent
When the patient indicates their consent indirectly without writing or speaking
38
Define explicit consent
When a patient gives you specific permission to do something either written or spoken
39
What are the four stages of medicines information
1) understand the question 2) carry out your research 3) prepare your answer 4) feedback your answer
40
What is UKMi
U.K. Medicines information is an NHS pharmacy based service
41
What's the aim of UKMi?
To support the safe, effective and efficient use of medicines by the provision of evidence based information and advice on their therapeutic use
42
What is research governance
The broad range of regulations, principles and standards of good practice that exist to achieve, and continuously improve, research quality across all aspects of healthcare in the uk and worldwide Good research ethics and ethical review are part of research governance
43
The framework for research governance England (2005) is concerned with what 6 things
``` Ethics Science Information Health and safety Finance Promoting a quality research culture ```
44
Who oversees research matters within the NHS?
The NHS health research authority (HRA)
45
What does GAfREC stand for
Government arrangements for research ethics committees
46
When is NHS ethical approval required
1) if your study meets certain criteria | 2) if your study involves past or present NHS patients (or carers or relatives) or their tissues
47
When is NHS management permission is required
Your research involves NHS staff, patients or premises
48
NHS ethical approval and NHS management permission come under what
HRA approval
49
What is public health
The science and art of promoting and protecting health and well-being, preventing ill health and prolonging life through the organised efforts of society
50
How many public health domains are there?
4
51
What's demain 1
Improving the wider determinants of health
52
Which demain is health improvement?
Domain 2
53
What's domain 3
Health protection
54
Which domain is healthcare, public health and preventing premature mortality
Domain 4
55
Name the three types of services that can be offered in a pharmacy
Essential Advanced Enhanced
56
Name the 7 essential services
``` Dispensing Repeat dispensing Disposal of unwanted meds Health promotion Signposting Support for self care Clinical governance ```
57
List 4 advanced services
MURs NMS Appliance use review Stoma appliance customisation service
58
List 9 enhanced services
``` Minor ailments management Palliative care management Care home services Head lice management Gluten free food supply Services to schools Out of hours services Supplementary and independent prescribing Medicines assessment and compliance support ```
59
'Professional standards for public health practice for pharmacy' how many standards?
9
60
What are the 5 models and approaches to health promotion
``` Medical Behaviour Educational Empowerment Social change ```
61
What does SMR stand for
Standardised mortality ratio
62
Give two types of statistics used to measure health
Mortality | Morbidity
63
Name four objective measures of health
Health measures Health behaviour indicators Environmental indicators Socio economic indicators
64
Name 5 types of subjective measures of health
``` Functional Health status (SF36 EQ5D QALY) Psychological well being Social networking and social support Patient reported outcome measures ```
65
EQ5D scores are generated from what 5 dimensions
``` Mobility Pain/discomfort Self care Anxiety/depression Usually activities ```
66
Are prescriptions for EEA and Switzerland legally recognised in UK including emergency supplies?
YEH
67
What meds are not available on an EEA prescription?
Sch 1,2,3 | MP without marketing authorisation in UK
68
What is confounding
Factors that affect results of study e.g age smoking gender
69
How can you account for confounding?
Stratify and work out odds ratio or do multinationals regression analysis
70
What 3 things should you do in dispensing error
1) RCA 2) send RCA to superintendent 3) report to national reporting and learning system
71
Name 5 ways to well being
``` Connect Be active Take Notice Keep learning Give ```
72
Define public stigma
When the public know the stereotypes
73
Define stigma
A series of attitudes we have about groups
74
What is the four stage approach to making a decision?
Gather relevant facts Prioritise and ascribe values Generate options Choose and option
75
What's a likert scale
Agree strongly agree etc
76
Name of effect that happens when someone observes you
Horthawn effect
77
Name three CDs that can be supplied to midwives
Diamorphine Morphine Pethidine