82 Questions
What is the main focus of learning outcomes for Week 26?
Be aware of the types of errors that can occur when dispensing a prescription
What was the prescription for Mrs. Rosie Red?
Amitriptyline tablets 10mg - Take up to THREE at night
Which of the following is NOT a type of dispensing error mentioned in the text?
Dispensing the correct medicine but the wrong strength or form
What is emphasized as good professional practice regarding dispensing errors?
Reporting errors and reflecting on them
What should be done when an error is made while dispensing medication?
Report the error and reflect on it
What action would constitute the worst course of action when an error is made?
Ignoring the error and hoping it goes unnoticed
Which type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?
Similar medicine names or packaging
What should pharmacists do to prevent look-alike-sound-alike (LASA) errors?
Be aware of common culprits and always double/triple check these medicines
Which organization may investigate a dispensing error as a Fitness to Practise issue?
General Pharmaceutical Council
What was the cause of the dispensing error that resulted in the death of Ethna Walsh?
Similar medicine names or packaging
What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?
Have a regular date checking procedure to remove out of date stock
What is the potential consequence if a pharmacist makes a dispensing error?
The patient may sue for damages and claim negligence
What is the most common type of dispensing error according to data from 2005-2010?
Wrong dose/strength
What type of error accounts for 12% of reported incidents according to data from 2005-2010?
Wrong formulation
What percentage of errors reported did not result in any harm according to data from 2005-2010?
Less than 1%
What was Martin White's explanation for the dispensing error that led to Ethna Walsh's death?
The packaging was similar and they were next to each other on the shelf.
What kind of checking procedure should be implemented to prevent out of date stock and flag stock that is soon to go out of date?
Have a regular date checking procedure to remove out of date stock.
What did the pharmacist do when the mother confronted him about the incorrect dose?
He denied the mistake and insisted that the dose was correct
What was the pharmacist's behavior when he returned to the mother's house later that evening?
He attempted to cover up the error by providing false information
What is the meaning of 'duty of candor' as mentioned in the context?
Acting with openness and honesty towards patients
How did the GPhC view cases involving elements of dishonesty?
As serious matters that impact public confidence
What was the outcome for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?
He was suspended from the register for 4 months
What action does the 'duty of candour' require healthcare professionals to take?
To apologize and offer an appropriate remedy or support to patients when something goes wrong
What did the GPhC emphasize about responding to complaints and concerns?
To respond politely and openly to complaints and concerns
What was described as the absolute key priority in handling any error according to the GPhC?
Ensuring patient safety
'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?
'Public safety is paramount in pharmacy practice'
'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?
'Acting openly and honestly about errors made'
What was considered as a better approach when making a dispensing error according to the GPhC?
Being honest about the error and taking immediate action
What are the possible consequences of a dispensing error?
Harm to the patient, including death, due to incorrect medication being dispensed
What is considered a common type of error when dispensing medication?
Dispensing the correct medicine but the wrong quantity
What is the most appropriate professional practice when a dispensing error occurs?
Reflect on the error and report it to the appropriate authorities for accountability and learning
What is emphasized as the worst course of action when a dispensing error is made?
Attempting to cover up or hide the error
What should be the pharmacist's immediate response when an error is made while dispensing medication?
Report the error to appropriate authorities and reflect on it for learning
What type of error involves dispensing a medicine with an incorrect dose, patient name, or drug strength?
Labelling error
What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?
He was suspended from the register for 4 months
Which type of error accounts for 12% of reported incidents according to data from 2005-2010?
Labeling errors
'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?
They should be open and honest about errors with the patient
What is emphasized as good professional practice regarding dispensing errors?
Reporting errors and taking immediate action
What is the potential consequence if a pharmacist makes a dispensing error?
Facing suspension or other disciplinary action
'Every dispensing error carries a risk to the public' - What did the Chairman emphasize in this statement?
The severity of dispensing errors
'Duty of candor' means that healthcare professionals must:
Be open and honest about errors with the patient
'Half a 5ml spoonful to be taken three times a day' - What type of error does this represent?
Labeling error
'Every dispensing error carries a risk to the public, but the weight of this case is not the dispensing error but that he dishonestly tried to cover it up when confronted with it' - What did the Chairman emphasize in this statement?
The severity of dispensing errors regardless of intent
What was considered as a better approach when making a dispensing error according to the GPhC?
Admitting to the error and taking immediate corrective action
Which organization may investigate a dispensing error as a Fitness to Practise issue?
GPhC (General Pharmaceutical Council)
What is the potential consequence if a pharmacist makes a dispensing error?
The patient may sue for damages and claim the pharmacist was negligent
Which type of error accounts for 12% of reported incidents according to data from 2005-2010?
Wrong formulation
What action does the 'duty of candour' require healthcare professionals to take?
To inform patients or their families when something goes wrong in their care
What percentage of errors reported did not result in any harm according to data from 2005-2010?
Less than 1%
What should be done to ensure correct stock rotation and check expiry dates as part of the dispensing final check procedure?
Have a regular date checking procedure and remove out of date stock
What was considered as a better approach when making a dispensing error according to the General Pharmaceutical Council?
To learn from errors and try to ensure they don’t happen again
'Tell the patient when something has gone wrong' - What does this statement reflect about healthcare professionals' responsibilities?
To inform patients or their families when something goes wrong in their care
List the four most common types of errors that can occur when dispensing a prescription.
Picking error, counting error, labelling error, dispensing a medicine that has expired
What is the worst course of action to take when an error is made during dispensing medication?
Not informing the patient and trying to cover up the error
Describe, in broad terms, the action that should be taken when an error is made while dispensing medication.
Inform the patient, report the error, and reflect on the error as good professional practice
What are the possible consequences of a dispensing error?
Harm to the patient, legal consequences, impact on professional reputation
What is the meaning of 'duty of candor' as mentioned in the context?
The obligation for healthcare professionals to be open and honest about any error or incident
What type of error accounts for 23% of errors reported to the National Pharmacy Association?
Picking error
What was the most common type of dispensing error reported from 2005-2010?
Wrong dose/strength
What percentage of errors reported from 2005-2010 did not result in any harm?
92%
What is the consequence of making a dispensing error according to the text?
It is a criminal offence and may lead to prosecution
What is the main reason for keeping records of near misses and dispensing errors?
To learn from errors and prevent them from happening again
What type of dispensing error accounts for 23% of errors reported to the National Pharmacy Association?
Look-alike-sound-alike (LASA) errors
In the real-life example of Martin White, what was the dispensed medication that led to the patient's death?
Propranolol
What is the potential consequence of using out-of-date medicines?
They may be ineffective
What is the recommended solution for preventing incorrect calculations when dispensing medication?
Get someone else to check the calculation or take a short break and do it again
What is emphasized as the solution for misreading prescriptions?
Asking another person to read the prescription
What was the outcome for the baby in the 'Peppermint Water Case' described in the text?
The baby died as a result of severe brain damage
In the 'Peppermint Water Case', what was the incorrect calculation related to?
Dilution calculation
What was the age of the patient in the 'Lucas Holzscheiter London Hospital' case?
7 and a half months old
What was the consequence for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?
The pharmacist was suspended from the register for 4 months
What did the Chairman emphasize in the statement 'Every dispensing error carries a risk to the public'?
The weight of this case is not the dispensing error but that he dishonestly tried to cover it up when confronted with it
What was the mother advised to do after the pharmacist admitted to not speaking to the doctor?
The mother immediately took the baby to A&E
What is the meaning of 'duty of candor' as mentioned in the context?
Acting with openness and honesty
What did the GPhC consider cases involving elements of dishonesty as?
The GPhC consider cases involving elements of dishonesty as very serious
What action does the 'duty of candour' require healthcare professionals to take?
Tell the patient when something has gone wrong, apologize, offer an appropriate remedy or support, and explain fully to the patient the short- and long-term effects
What was the Chairman's assessment of the pharmacist's behavior when he returned to the mother's house later that evening?
The Chairman called the pharmacist’s behavior ‘disgraceful and wholly inappropriate’
What is emphasized as good professional practice regarding dispensing errors?
Responding honestly, openly, and politely to complaints and concerns
What should be the pharmacist's immediate response when an error is made while dispensing medication?
Take immediate action as soon as the error is identified
What was the Chairman's view of the pharmacist's behavior in the Ranitidine case?
The Chairman called the pharmacist’s behavior ‘disgraceful and wholly inappropriate’
What was the outcome for the pharmacist when he appeared before the GPhC Fitness to Practise Committee?
The pharmacist was suspended from the register for 4 months
What is emphasized as the worst course of action when a dispensing error is made?
Trying to cover it up or ignore it
Test your knowledge about dispensing errors and their consequences with this quiz. Explore the types of errors that can occur when dispensing a prescription and understand good professional practice for reporting and reflecting on errors.
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