Prescribing Errors Flashcards Preview

Principles of Disease > Prescribing Errors > Flashcards

Flashcards in Prescribing Errors Deck (24)
Loading flashcards...
1

What is a medication error

Any preventable event that may cause or lead to inappropriate medication use or patient harm, while medication is in the control of the health care professional, patient or consumer

2

At what stage can a medication error occur

At any stage of the process involved in the delivery of medicines to a patient
Prescribing, dispensing, labelling, administration and even when the patient uses the medicines him/herself

3

What are the four most common drug groups associated with preventable drug-releated hospital admission

Antiplatelets
Diuretics
NSAIDs
Anticoagulants

4

When are healthcare professionals more likely to make errors

Inexperienced
Inattentive
Rushed
Distracted
Tired
Depressed

5

Why do medication errors happen

Increase in numbers and variety of drugs
Patients have co-morbidities
Complexity of care process (multiple specialists, care settings, care delivery paths/journeys)
Need for high risk medications
Number of prescribers
OTC usage

6

How does a prescribing error result

A clinically meaningful prescribing error occurs when, as a result of a prescribing decision or prescription writing process, there is an unintentional significant:

- Reduction in the probability of treatment being timely and effective or
- Increase in the risk of harm when compared with generally accepted practice

7

What are the two processes that can be involved in a prescribing error

Prescribing decision
Prescription writing

8

What is a prescribing fault

Failures in the process of deciding which drug to use and how

9

What is a prescribing error

Failures in the prescription writing process that result in wrong instructions about one or more of the normal features of a prescription

10

What type of prescription writing errors can occur

Wrong Patient
Abbreviation
Incomplete Rx
Missing instructions
Omission of signature
Incorrect drug
Illegible

11

What type of prescription decision errors can occur

CI to medication
Duplication
Allergy
Drug-drug interaction

12

What kind of prescription writing and decision errors can occur

Duration
Omission
Timing
Frequency
Route
Dose
Formulation
No indication

13

What is a mistake

Errors that arise from poor planning or inadequate knowledge are characterized

14

What is a slip

Those that arise from imperfect execution of well-formulated plans when an erroneous act is committed

15

What is a lapse

When a correct act is omitted

16

What types of tasks are prone to error

Tasks that are unfamiliar to the operator or performed under pressure
Tasks that require the calculation of a dosage or dilution are especially susceptible to error

17

In what departments of the hospital are medication error rates higher

Paediatric
ICU

18

What are the 5 Rs

Right patient
Right drug
Right route
Right time
Right dose

19

What types of errors can occur

Medication omitted
Incomplete prescription
Incorrect dose
Incorrect frequency (correct total daily dose, incorrect total daily dose)

20

What type of incorrect doses can occur

Sub therapeutic
Super-therapeutic

21

When can errors occur

Admission
Transcription of a new drug chart
Discharge
Remainder of inpatient stay
While decanting

22

What us the 6th R

Right formulation

23

What drug properties should be though of when prescribing

Mechanism of action
Pharmacokinetics
ADRs, Interactions
Protocol

24

What should be considered before prescribing

The patient’s medication history
Other factors that might alter the benefits and risks of treatment