Medical Errors and Pharmacy Practices
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Questions and Answers

What percentage of the U.S. adult population experiences a diagnostic error in the outpatient setting every year?

  • 1%
  • 10%
  • 5% (correct)
  • 2%

What is the primary reason pharmacists are not typically authorized to prescribe medications?

  • Physician opposition
  • It is outside of their responsibilities (correct)
  • Lack of training
  • State laws prohibit it

What is the typical last step in the prescribing process?

  • Screen for drug interactions and allergies
  • Choose the therapeutic approach
  • Prescribe the medication (correct)
  • Choose the drug and its formulation

Which of the following medications can be prescribed by pharmacists in some states?

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

What is the term for the study of principles of drug selection?

<p>Rational prescribing (C)</p> Signup and view all the answers

What is the potential consequence of about half of diagnostic errors?

<p>Harm (C)</p> Signup and view all the answers

What is a common safety risk in the administering stage in both inpatient and outpatient settings?

<p>Long work hours (D)</p> Signup and view all the answers

What is the primary purpose of monitoring clinical lab values?

<p>All of the above (D)</p> Signup and view all the answers

What is a unique aspect of administering medications in the outpatient setting?

<p>Special circumstances such as IV infusion therapy (D)</p> Signup and view all the answers

What is the role of pharmacists in long-term care settings?

<p>Conducting drug-regimen review to optimize therapy (C)</p> Signup and view all the answers

What is the importance of interprofessional teamwork in patient safety?

<p>To highlight the importance of nurses' responsibilities in the administering stage (C)</p> Signup and view all the answers

What is the primary responsibility of pharmacists when reviewing medication orders or prescriptions?

<p>Interpreting, clarifying, and then processing the prescription or order (B)</p> Signup and view all the answers

What type of error can occur during the transcribing stage of medication orders?

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

What is a benefit of e-prescribing in reducing transcribing errors?

<p>It reduces the risk of mishearing (D)</p> Signup and view all the answers

What is a common safety risk associated with electronic transmission of prescriptions?

<p>Technical errors or system failures (D)</p> Signup and view all the answers

What is a key difference between monitoring in inpatient and outpatient settings?

<p>Level of direct observation (D)</p> Signup and view all the answers

What is a consequence of diagnostic errors in medical practices?

<p>Harm to patients (B)</p> Signup and view all the answers

What is a problem associated with the use of 'as directed' on prescriptions?

<p>Confusion for patients and practitioners (C)</p> Signup and view all the answers

Why is it important to include the patient's age and weight on prescriptions?

<p>To calculate the accurate dosage of the medication (D)</p> Signup and view all the answers

What is a safety problem associated with oral transmission of prescriptions?

<p>Mishearing of verbal instructions (B)</p> Signup and view all the answers

What should clinicians consider when making a diagnosis to prevent errors?

<p>Reviewing data from old records, family members, and other clinicians (A)</p> Signup and view all the answers

Why is it recommended to eliminate drug abbreviations on prescriptions?

<p>To prevent misinterpretation of drug abbreviations (B)</p> Signup and view all the answers

What is a potential problem associated with written transmission of prescriptions?

<p>Misinterpretation of written instructions (A)</p> Signup and view all the answers

What is an example of external pressure that can contribute to diagnostic errors?

<p>Clinician fatigue (C)</p> Signup and view all the answers

Why is it recommended to specify the therapeutic duration of the medication on prescriptions?

<p>To specify the length of treatment (B)</p> Signup and view all the answers

What is a benefit of using metric measures for dosages on prescriptions?

<p>It reduces the risk of medication errors (D)</p> Signup and view all the answers

What is a factor that can be influenced to reduce dispensing errors?

<p>Workload and staffing (C)</p> Signup and view all the answers

At what stage of the medication use process do pharmacists typically perform checks?

<p>Before medication distribution (D)</p> Signup and view all the answers

In which setting do nurses play a significant role in intercepting medication errors?

<p>Inpatient setting (C)</p> Signup and view all the answers

What is the primary goal of patient counseling?

<p>To educate the patient and confirm understanding (B)</p> Signup and view all the answers

What is the consequence of inadequate patient counseling?

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

How do Iowa and Nebraska differ in their patient counseling requirements?

<p>Iowa requires counseling on all new prescriptions, while Nebraska requires a verbal offer to counsel the patient on all prescriptions (B)</p> Signup and view all the answers

What is a situation that may require a medication to be compounded?

<p>When a patient has difficulty swallowing (A)</p> Signup and view all the answers

What is a patient safety risk associated with compounded medications?

<p>Lack of FDA approval (B)</p> Signup and view all the answers

What was the consequence of the 2012 fungal infection outbreak related to compounded medications?

<p>Over 100 patients died (C)</p> Signup and view all the answers

What is a critical step in the medication preparation process?

<p>Performing checks before medication preparation (D)</p> Signup and view all the answers

What is a challenge of performing checks in the community setting?

<p>It can be time-consuming and resource-intensive (B)</p> Signup and view all the answers

What is a requirement for compounded medications?

<p>They must meet requirements in the Federal Food, Drug, and Cosmetic Act (C)</p> Signup and view all the answers

What is the concern with compound semaglutide products from compounding pharmacies?

<p>They may be altered during the compounding process (A)</p> Signup and view all the answers

Where do compounding pharmacies source their semaglutide ingredients from?

<p>Entities other than Novo Nordisk (D)</p> Signup and view all the answers

What is a common issue with repackaging unit-dose medications?

<p>Dose manipulation and errors (B)</p> Signup and view all the answers

What is a factor that can be influenced during dispensing?

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

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