Institutional Pharmacy Operations Overview

<p>23 (B)</p> Signup and view all the answers

<p>America’s Greatest Workplaces for Diversity (A)</p> Signup and view all the answers

<p>Access to external pharmacies (A)</p> Signup and view all the answers

<p>PGY1 Residency (A)</p> Signup and view all the answers

<p>Cardiac Care (D)</p> Signup and view all the answers

<p>To foster a no blame environment (C)</p> Signup and view all the answers

<p>Introduce a mandatory double-check system for all medications. (A), Implement barcode scanning for medication retrieval. (C)</p> Signup and view all the answers

<p>USP 800 (B)</p> Signup and view all the answers

<p>Patient care advocacy (D)</p> Signup and view all the answers

<p>Confirm the patient's weight and previous dosing information before proceeding. (A)</p> Signup and view all the answers

<p>Minimizes cart-fill processes (B)</p> Signup and view all the answers

<p>Implement a protocol for rationing the medication supply among patients. (D)</p> Signup and view all the answers

<p>By increasing the number of inventory turns. (B)</p> Signup and view all the answers

<p>Preventing medication errors (B)</p> Signup and view all the answers

<p>Provide discounts to qualified facilities (D)</p> Signup and view all the answers

<p>It enhances safety by ensuring accuracy in product input and output. (B)</p> Signup and view all the answers

<p>Appropriateness and cost effectiveness (C)</p> Signup and view all the answers

<p>Right diagnosis (D)</p> Signup and view all the answers

<p>Approximately 250,000 (C)</p> Signup and view all the answers

<p>To analyze the timeline of events around an error (A)</p> Signup and view all the answers

<p>HRSA (A)</p> Signup and view all the answers

<p>Should be the exception (C)</p> Signup and view all the answers

<p>To enhance the visibility of certain drug names (D)</p> Signup and view all the answers

<p>Computerized Provider Order Entry (B)</p> Signup and view all the answers

<p>Bedside barcode scanning (D)</p> Signup and view all the answers

<p>Increased probability of medication errors (B)</p> Signup and view all the answers

A 391-bed hospital with a 24/7 hospital pharmacy and decentralized staffing.

Pharmacy staff located in various areas, not just one central location.

A 24/7 pharmacy within a hospital providing medications and services to patients.

A first-year pharmacy residency program within the hospital.

Preparation of custom medications in a sterile environment.

The pharmacy's capacity to operate during major system failures.

An area within the pharmacy with limited access to protect inventory.

A pharmacy that offers over-the-counter and prescription medications to the public.

Pharmacy staffing that adjusts to fluctuating workloads, using full-time equivalents (FTEs) based on factors like dispensed doses and admissions.

Errors in medication use during prescribing, dispensing, administering, and monitoring, which are a leading cause of preventable adverse events.

A crucial process for preventing errors in medication administration: right patient, right drug, right dose, right route, and right time.

Medication orders given orally, less preferable for reduced risk of errors; read-back and verification required.

Medications with similar names raising the risk of mistakes. They're often marked with Tall Man lettering for better identification.

A system for entering patient orders electronically. It reduces errors in handwritten orders but potentially introduces new errors (e.g. wrong patient or typos).

A crucial element in medication safety. It's used to verify the correct medication is provided to the appropriate patient.

The utmost importance in medicine with focus on preventing errors in the entire medication use process, which is essential for patient safety.

Automated systems that print labels for syringes, often including barcodes for enhanced safety and tracking.

Automated systems, like carousels, that use barcode scanning to track inventory, increase turns, and optimize space.

Strategies to prevent medication errors caused by drugs with similar names, like Levetiracetam and Levofloxacin.

Verifying medication dosages taking patient factors into consideration, such as their size and medical history, to ensure accurate administration.

Strategies for handling drug shortages, including identifying alternatives, communicating with prescribers, and managing limited supplies.

Brief meetings, held 1-3 times daily, where healthcare teams discuss safety concerns and potential risks. They occur at both the department and institution levels and promote a culture of open communication, self-reporting, and near-miss prevention.

MUE is a data-driven process used to assess medication use and identify potential problems. It can be performed as a one-time evaluation or continuously to improve the appropriateness and cost-effectiveness of medication use. The data collected can justify the use of specific products or services.

USP standards provide guidelines for compounding medications, ensuring quality and safety. USP 795, 797, and 800 address non-sterile, sterile, and hazardous medication compounding, respectively.

Purchasing responsibilities include buying, managing inventory, handling contracts, addressing shortages, and processing invoices. Vendors include primary wholesalers, fluid vendors, and sterile compounders, such as 503A and 503B facilities.

A program that offers discounted drug prices (50% AWP) to qualified hospitals, such as disproportionate share hospitals, rural referral centers, and critical access hospitals. The program is designed to help care for the indigent, but non-indigent patients may also qualify.

An ADC is a secure cabinet that stores medications, allowing nurses to access them with barcode scanning. It provides controlled substance tracking, reduces cart fill time, and keeps emergency medications readily available.

Anesthesia systems allow for drug administration at the point of use, eliminating manual systems. They provide accuracy, better safety, and reduce the risk of errors.

Medication errors are preventable mistakes that can occur at any stage of the medication process. Common examples include wrong dosage, wrong drug, giving medication to the wrong patient, and medication administration errors.