question

Improve the Accuracy of Patient Identification

answer

First safety step; Use two unique identifiers such as full name, full social security number, and date of birth

question

Improve safety of using medications

answer

Know your hospital's list of sound-alike and look-alike medications. Report medications that may be potentially mixed up to your supervisor or Patient Safety Manager Always verify the medication before you administer the drug Never bypass or work around scanning the bar codes in medications and a patient's ID band. Bar code scanning is used to keep patient's safe- not to save time! Label all medications in procedural settings both on and off the sterile field with: medication name, strength, quantity, diluents and volume, preparation date, expiration data when not used within 24 hours

question

Accurately and completely reconcile medications across the continuum of care

answer

1. Review the medication list with the patient, patient's family as needed and the next provider of service 2. Make sure it is accurate 3. Reconcile any discrepancies whenever new medications are ordered (e.g. omissions, duplications, adjustments, deletions, additions) 4. Include reasons for changing medication in your documentation 5. Make sure the patient leaves with an updated medication list

question

NPSG.01.01.01

answer

Use at least two patient identifiers when providing care, treatment, or services.

question

-Rationale for NPSG.01.01.01

answer

Wrong-patient errors occur in virtually all stages of diagnosis and treatment. The intent for this goal is two-fold: first, to reliably identify the individual as the person for whom the service or treatment is intended; second, to match the service or treatment to that individual. Acceptable identifiers may be the individual's name, an assigned identification umber, telephone number, or other person-specific identifier

question

Reconciling Medication Information p 210

answer

There is evidence that medication discrepancies can affect patient outcomes. Medication reconciliation is intended to identify and resolve discrepancies—it is a process of comparing the medications a patient is taking (and should be taking) with newly ordered medications. The comparison addresses duplications, omissions, and interactions, and the need to continue current medications. The types of information that clinicians use to reconcile medications include (among others) medication name, dose, frequency, route, and purpose

question

Federal Law takes precedence over state law unless ____________.

answer

state law is stricter than the federal law, in which case state law takes precedence.

question

Comprehensive Drug Abuse Prevention and Control Act of 1970

answer

The DEA was created and placed under the supervision of the Department of Justice. Controlled substances are placed in one of 5 schedules based on potential for abuse and accepted medical use in the US.

question

Schedule I Controlled Substance

answer

No accepted medical use in the US. Extremely high potential for abuse.

question

Schedule II Controlled Substance

answer

Has medical use but high abuse potential with severe psychological and physical dependency.

question

Occupational Safety and Health Act of 1970 (OSHA)

answer

Created the Occupational Safety and Health Administration, which ensures a safe and healthful work place for all employees. Its impact on pharmacy is to address air contaminants, flammable and combustible liquids, eye and skin protection, and hazard communication standards. Issues Guidelines for Cytotoxic (antineoplastic) Drugs.

question

FDA Safe Medical Devices Act of 1990

answer

Requires that all medical devices be tracked and records be maintained for durable medical equipment, such as infusion pumps.

question

Resource Conservation and Recovery Act

answer

The Environmental Protection Agency (EPA) produced federal guidelines regarding the disposal of hazardous waste. Hazordous waste includes controlled substances.

question

Prescription Drug Equity Law

answer

Prohibits prescription drug plans from requiring mail order prescription drug coverage without also providing non-mail order coverage.

question

Medicare Drug, Improvement, and Modernization Act of 2003 (MPDIMA)

answer

Provides for a voluntary prescription drug benefit to Medicare beneficiaries; adds preventative medical benefits to senior citizens; lowers the reimbursement rates for Medicare payment for durable medical equipment; created a national competitive bidding program for durable medical equipment in 2007; changed the way Medicare pays for outpatient Part B drugs; allowed for a voluntary Medicare-approved discount card program in 2004; Medicare Part D prescription plan allows beneficiaries to enroll in either regional or national based insurance plans.

question

Centers for Medicare and Medicaid Services (CMS)

answer

Oversees Medicare and Medicaid; establishes conditions for a facility to be reimbursed for services rendered.

question

Drug Enforcement Agency (DEA) p 208

answer

Enforces compliance with the Controlled Substances Act. This includes placing medications into appropriate schedule, monitoring records and reports of controlled substances, registering pharmacies, issuing Forms 222 and 41, and monitoring the destruction of controlled substances. Overseen by the department of justice.

question

Environmental Protection Agency (EPA)

answer

Sets guidelines for the disposal of hazardous waste. Includes the disposal of controlled substances.

question

Food and Drug Administration (FDA) p208

answer

Ensures all pharmaceutical products are pure, safe, and effective. Reviews information provided on MedWatch Forms. Issues drug recalls. Regulates the distribution of patient package inserts and repackaging of medications. Reviews new drug applications and investigational drug applications.

question

United States Pharmacopedia (USP) p219

answer

An official public standards setting authority for all prescription and OTC medications and other health care products manufactured or sold in the US. Sets standards for the quality, purity, strength, and consistency of these products.

question

Adverse Drug Event (ADE) p 209

answer

Most common type of errors were dosing errorsPreventing adverse drug events (ADEs) is the impetus behind the concept of medication reconciliation

question

Adverse Drug Reaction (ADR) p 219

answer

any unexpected, adverse drug reaction-any response that is noxious unintended and undesired and that occurs at doses normally used in man for prophylaxis diagnosis or therapy(as opposed to overdose)

question

Drug pedigree

answer

Chain of custody for drugs

question

Medication Management System p 211-220

answer

1 - Select and procure medications 2 - Store medications 3 - Prescribe and transcribe medications 4 - Prepare and dispense medications 5- Administer Medications 6- Monitor the Effects of Medications 7- evaluate the medication Management system

question

Medication Administration Record (MAR)

answer

MAR p 218

question

Root-cause analysis

answer

Retrospective tool used to analyze the true cause of the error p 220 proactive risk reduction

question

Failure mode and effects analysis (FMEA)

answer

Proactive tool useful in analyzing potential problems when introducing a new system or equipment p 220

question

Brand Name

answer

p 214

question

Diversion p 220

answer

removal of a medication from the usual stream of preparation, dispensing, and administration by personnel involved to use or sell the medication in a nonhealthcare setting . Documentation may still be present as though the medication was given as ordered.

question

Formulary p 212

answer

p 212> joint commission required A list of drugs approved for use in a healthcare organization; the selection of items to be included in the formulary is based on objective evaluations of their relative therapeutic merits, safety and cost. JC accredited organization must review their formulary annually for continued safety and efficacy . Formularies may define policies, procedures, and guidelines established by the medical staff regarding a medication's usage.

question

Generic

answer

p214

question

Medication reconciliation

answer

p 210

question

Prescription Drug Amendment 2007 p 212

answer

Food and Drug Administration (FDA)established requirements related to the distribution of prescription drugs, requiring drug manufacturers, wholesalers, repackagers, and pharmacies to maintain a record of the chain of custody of a drug as it moves through the supply chain from manufacturer to the pharmacy aka Drug pedigree. Includes establishing a relationship with a single wholesaler

question

Leapfrog Group p 210

answer

Organization that promotes healthcare safety by giving consumers the information they need to make better-informed choices about the hospitals they choose

question

IOM p. 209

answer

Institute of Medicine of the National Academies; a nonprofit organization created to provide unbiased, evidence based and authoritative information and advice concerning health and science policy 1999 To Err is Human

question

2 - Store medications

answer

limited access, storage , pt personal med , NPSG annual review requirement

question

WORLD HEALTH ORGANIZATION p219

answer

an international agency sponsored by the United Nations that complies statistics and information on disease, publishes health information, investigates serious global health problems

question

AHRQ

answer

Agency for Healthcare Research and Quality -the health services research arm of the U.S. Department of Health and Human Services (HHS), complementing the biomedical research mission of its sister agency, the National Institutes of Health. AHRQ is a home to research centers that specialize in major areas of health care research such as quality improvement and patient safety, outcomes and effectiveness of care, clinical practice and technology assessment, and health care organization and delivery systems. It is also a major source of funding and technical assistance for health services research and research training at leading U.S. universities and other institutions, as well as a science partner, working with the public and private sectors to build the knowledge base for what works—and does not work—in health and health care and to translate this knowledge into everyday practice and policy making.

question

AHRQ to improve safety and eff.p 209

answer

Agency for Health Research and Quality- provides grants to learn more about how errors occur how technology can be used most effectively and how processes of care be improved

question

The Joint commission (TJC)

answer

accredits hospitals. inspection Q 3 years and conducted over 2 day period. only inspects hospital pharmacies. Requires hospitals to make patient dose specific.

question

automated med dispensing (ADS)

answer

*inventory control *decreased wait time *Accuracy (Pyxis, Suremed)

question

DEA p208

answer

federal agency responsible for enforcing laws and regulations governing narcotics and controlled substances, drug enforcement agency

question

medication safety committee p 219

answer

review and evaluates current literature , national error reports, internal reports, and hospital processes to assist with recomendations for improvement

question

Department of Professional Licensing p 208

answer

regulates pharmacy practices of those who prescribe and dispense medication

question

HHS

answer

(U.S. Department of Health and Human Services) The U.S. Agency charged with protecting the health of the population and providing various human services.

question

WHO

answer

a United Nations agency to coordinate international health activities and to help governments improve health services

question

World Health Organization

answer

founded in 1948 responsible for: standards of water sanitation, chemical safety, water purification, immunization, infectious disease. send healthcare personnel to disasters women of childbearing yrs are of special concern

question

adverse drug reaction WHO definition p 219

answer

Any response to a drug which is noxious, unintended and undesired which occurs at doses normally used in man for the prophylaxis, diagnosis or therapy of disease NOT an overdose

question

USP p. 219 reporting requirements

answer

Is a voluntary not-for-profit organization that sets standards for manufacture and distribution of drugs and related products

question

Institute for Safe Medication Practices p0219

answer

ISMP, Give guidelines to health care facilities to determine safe effective and timely administration of scheduled Medications States that hospitals need to determine which meds are Time-critical and Non-time-Critical

question

Key to effective medication management p 219

answer

having mechanisms for reporting potential and actual medication related errors and a process to improve patient safety based on this information AVOID near miss

question

Preventable errors

answer

estimated that 1.5 million preventable med errors annually in US alone., Preventable Medication Errors Duplicated therapy Incorrect dose Omission of necessary med Inappropriate prescribing Treatment without indication Untreated indication Drug-drug/drug-food interaction Toxicity due to lack of drug monitoring

question

Near miss p 219 Preventable errors

answer

an opportunity to improve patient safety related practices based on a condition or incident with potential for more serious consequences , A situation in which an error is caught or corrected before it affects the patient, Recognition that an event occurred that might have led to an adverse event

question

National Coordinating Council for Medication Error Reporting and prevention p219

answer

developed taxonomy for error reporting , Addresses interdisciplinary causes of medication errors and strategies for prevention

question

High risk high alert drugs p 219

answer

involved in a high percentage of medication errors and sentinel events , and carry a higher risk for abuse, errors or other adverse outcomes . ISMP and USP developed lists based on unique identifiers

question

Pharmacy and therapeutics committee p 219 medication safety committee

answer

The multidisciplinary committee that oversees and monitors the drugs and therapeutics available for use, the administration of and the negative outcomes of medications and therapeutics used in a healthcare organization p 219 has a key role in multidisciplinary safety improvement activities

question

Medication Reconcilliation p. 210

answer

the process of identifying the most accurate list of all medications a pt is currently talking and then comparing the list against the admit/trsf/dc orders at each point along the pt's continuum of care

question

health insurance payers and companies

answer

insist providers demonstrate the implementation of safe pt care strategies

Patient Safety Goals and Building a safe Medication System Ch 11 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards