Medication Safety Quiz

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Questions and Answers

Errors are always caught before they can possibly hurt someone.

False

Pharmacy technicians are at the forefront in the effort to prevent drug errors.

True

Combined sources suggest that more than 400,000 people per year suffer some type of preventable adverse event while in the hospital that contributes to their death.

True

All drug errors cause harm to the patient.

False Signup and view all the answers

One common cause of medication error is illegible handwriting.

True Signup and view all the answers

Medication errors only occur in hospital settings.

False Signup and view all the answers

Even the most highly skilled person will make errors at one time or another.

True Signup and view all the answers

One of the most serious types of errors is with parenteral medications.

True Signup and view all the answers

A delayed-release drug may be substituted for an extended-release drug.

False Signup and view all the answers

Many physicians use e-prescribing or computerized physician order entry to circumvent pharmacies having to decipher poor handwriting.

True Signup and view all the answers

The most important aspect of dealing with errors is the reporting process.

True Signup and view all the answers

A drug error cannot be reported anonymously.

False Signup and view all the answers

Misinterpreted abbreviations have resulted in drug errors and are an area of concern.

True Signup and view all the answers

One of the best ways that errors are decreased is through trial and error.

False Signup and view all the answers

It is imperative that every healthcare worker view drug error prevention as a priority.

True Signup and view all the answers

According to a Health and Human Services report, bad hospital care contributes to the deaths of _______ patients on Medicare in a given year.

180,000 Signup and view all the answers

The Institute for Safe Medication Practices (ISMP) estimates that around _______ deaths per year are linked to actual medication errors.

7,000 Signup and view all the answers

Which drug is NOT an example of an ISMP high-alert medication?

Amoxicillin Signup and view all the answers

Most reported medication errors are made in what type of setting?

Hospital pharmacies and retail pharmacies Signup and view all the answers

Which of the following is NOT an example of the daily obstructions encountered by pharmacy personnel?

When their lunch hour is Signup and view all the answers

Anticoagulants such as warfarin have the potential for many interactions with:

Dietary/herbal supplements, other drugs, food Signup and view all the answers

Which of the following drugs is of great concern as a cause of error because it is commonly used to flush IV lines?

Heparin Signup and view all the answers

Which of the following is a category that USP defines for a modified release formulation?

Delayed release Signup and view all the answers

Receiving care in the home also carries the risk of:

Improper dosing and contamination of IV sets Signup and view all the answers

Life expectancy in the United States has risen in the past century as a result of:

Improved health care, increased activity, better dietary intake Signup and view all the answers

Pharmacy technicians should always check each prescription _____ throughout the filling process.

three times Signup and view all the answers

Many pharmacies fill upwards of:

300 to 400 prescriptions per day Signup and view all the answers

The Institute for Healthcare Improvement has reported that more than _____ of all errors in hospitals are caused by poor communication of medication orders.

50% Signup and view all the answers

What three steps are involved in medication reconciliation?

Verification, Certification, Reconciliation Signup and view all the answers

The ability to catch mistakes before they occur will always be the responsibility of the personnel involved in the prescribing, _____, and dosing of medications.

Filling Signup and view all the answers

Failure to administer an ordered dose to a patient before the next dose is due, without an apparent reason or appropriate documentation is known as:

Omission error Signup and view all the answers

Medication administered in a dosage form other than what was ordered is called:

Wrong dosage form Signup and view all the answers

Failure to review a prescribed medication for proper regimen, appropriateness, and dosage, or failure in using laboratory results to correctly adjust dose is known as:

Monitoring error Signup and view all the answers

Patient administered a dose that is greater or less than prescribed amount is known as:

Improper dose error Signup and view all the answers

Drug is given using wrong procedure or technique is referred to as:

Wrong administration Signup and view all the answers

Medication administered outside scheduled time frame is known as:

Wrong time error Signup and view all the answers

Drug is incorrectly formulated or manipulated, and medication is administered to patient is termed:

Wrong drug preparation error Signup and view all the answers

Prescriber orders a medication that is incorrect or is selected incorrectly based on indications or contraindications, and medication reaches patient is known as:

Prescribing error Signup and view all the answers

Medication is administered that has expired or integrity of ingredients has been compromised is referred to as:

Deteriorated drug Signup and view all the answers

Patient does not adhere to prescribed medication regimen is called:

Compliance error Signup and view all the answers

Medication administered to a patient from an unauthorized prescriber; physician not licensed in that state or not an authorized prescriber is known as:

Unauthorized drug error Signup and view all the answers

List five basic rights involving medication safety.

The Right Patient, The Right Medication, The Right Dose, The Right Route, The Right Time Signup and view all the answers

Why would a patient try to use medical supplies intended for a single use more than once, and what risks are associated with this practice?

To save money because some insurances may not cover the medical supplies and the risk associated with this practice is it may increase the risk of infection. Signup and view all the answers

The FDA has recommended new labeling on over-the-counter (OTC) cough and cold medications for children. What does the new label say?

'Do not dose children under the age of 4 years' and consult a physician for children ages 4 to 6 years. Signup and view all the answers

List the five guidelines used to share information with healthcare professionals about potentially dangerous events.

Knowledge, Analysis (the evaluation of data), Education, Cooperation, Communication Signup and view all the answers

List three forms of identification provided by bar codes.

National Drug Code, Lot number of the drug, Expiration date of the drug Signup and view all the answers

List five safety standards outlined by the Joint Commission to improve patient quality and safety.

Leadership process and accountability, Competent and capable workforce, Safe environment for staff and patients, Clinical care of patients, Improving quality and safety Signup and view all the answers

List six strategies a pharmacy technician can use to help reduce errors.

<ol> <li>Dispense vincristine (and other vinca alkaloids) in a minibag of a compatible solution and not in a syringe. 2. Use a weekly dosage regimen default for oral methotrexate. 3. Measure and express patient weights in metric units only. 4. Ensure that all oral liquids not commercially available as unit dose are dispensed by the pharmacy in an oral syringe. 5. Purchase oral liquid dosing devices that display only the metric scale. 6. Eliminate glacial acetic acid from all areas of the hospital.</li> </ol> Signup and view all the answers

Study Notes

Medication Errors

Errors are not always caught before reaching patients, highlighting the need for vigilant error prevention strategies.
Pharmacy technicians play a crucial role in preventing medication errors.
Over 400,000 preventable adverse events contribute to hospital deaths annually.
Not all medication errors result in patient harm, and errors can happen outside pharmacy settings.

Common Causes of Errors

Illegible handwriting is a frequent cause of medication errors.
E-prescribing and computerized physician order entry mitigate issues caused by poor handwriting.
Misinterpreted abbreviations can lead to significant drug errors.

Error Reporting and Accountability

Reporting medication errors is vital, with the process allowing anonymity which encourages voluntary participation.
A significant percentage of hospital errors (over 50%) arise from poor communication relating to medication orders.
Continuous error reporting and monitoring are essential for improving medication safety.

Types of Medication Errors

Omission errors occur when a prescribed dose is not given in time.
Wrong dosage form errors arise when the medication is administered in a form other than prescribed.
Deteriorated drug errors happen when expired medications or compromised ingredients are used.

Anticoagulants and High-Alert Medications

Anticoagulants like warfarin can interact with several substances, necessitating careful monitoring.
Heparin is notably problematic as it is commonly used to flush IV lines, increasing the risk of errors.
The Institute for Safe Medication Practices highlights certain drugs (like warfarin, methotrexate, potassium chloride) as high-alert medications.

Patient Safety Standards

The Joint Commission emphasizes leadership accountability, a competent workforce, patient safety environments, effective clinical care, and quality improvement.
Five basic rights ensure medication safety: the right patient, medication, dose, route, and time.

Home Care Risks

Home care involves risks such as improper dosing and contamination of intravenous setups.

Compliance and Communication

Patients may not comply with prescribed regimens, potentially leading to compliance errors.
Clear communication of potentially dangerous events is facilitated through knowledge, analysis, education, cooperation, and communication.

FDA Guidelines

New FDA labels for OTC medications caution against dosing children under four and recommend consultation for ages 4 to 6.

Error Reduction Strategies

Strategies for pharmacy technicians include safe dispensing practices, using metric measurements, patient education, and adhering strictly to guidelines for high-alert medications.

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Description

Test your knowledge on medication safety and error prevention with this quiz based on Chapter 14. Learn about the role of pharmacy technicians and the impact of drug errors on patient safety. Can you distinguish between true and false statements in this critical area of healthcare?

Medication Safety Chapter 14 Quiz

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Questions and Answers

Errors are always caught before they can possibly hurt someone.

Pharmacy technicians are at the forefront in the effort to prevent drug errors.

Combined sources suggest that more than 400,000 people per year suffer some type of preventable adverse event while in the hospital that contributes to their death.

All drug errors cause harm to the patient.

One common cause of medication error is illegible handwriting.

Medication errors only occur in hospital settings.

Even the most highly skilled person will make errors at one time or another.

One of the most serious types of errors is with parenteral medications.

A delayed-release drug may be substituted for an extended-release drug.

Many physicians use e-prescribing or computerized physician order entry to circumvent pharmacies having to decipher poor handwriting.

The most important aspect of dealing with errors is the reporting process.

A drug error cannot be reported anonymously.

Misinterpreted abbreviations have resulted in drug errors and are an area of concern.

One of the best ways that errors are decreased is through trial and error.

It is imperative that every healthcare worker view drug error prevention as a priority.

According to a Health and Human Services report, bad hospital care contributes to the deaths of _______ patients on Medicare in a given year.

The Institute for Safe Medication Practices (ISMP) estimates that around _______ deaths per year are linked to actual medication errors.

Which drug is NOT an example of an ISMP high-alert medication?

Most reported medication errors are made in what type of setting?

Which of the following is NOT an example of the daily obstructions encountered by pharmacy personnel?

Anticoagulants such as warfarin have the potential for many interactions with:

Which of the following drugs is of great concern as a cause of error because it is commonly used to flush IV lines?

Which of the following is a category that USP defines for a modified release formulation?

Receiving care in the home also carries the risk of:

Life expectancy in the United States has risen in the past century as a result of:

Pharmacy technicians should always check each prescription _____ throughout the filling process.

Many pharmacies fill upwards of:

The Institute for Healthcare Improvement has reported that more than _____ of all errors in hospitals are caused by poor communication of medication orders.

What three steps are involved in medication reconciliation?

The ability to catch mistakes before they occur will always be the responsibility of the personnel involved in the prescribing, _____, and dosing of medications.

Failure to administer an ordered dose to a patient before the next dose is due, without an apparent reason or appropriate documentation is known as:

Medication administered in a dosage form other than what was ordered is called:

Failure to review a prescribed medication for proper regimen, appropriateness, and dosage, or failure in using laboratory results to correctly adjust dose is known as:

Patient administered a dose that is greater or less than prescribed amount is known as:

Drug is given using wrong procedure or technique is referred to as:

Medication administered outside scheduled time frame is known as:

Drug is incorrectly formulated or manipulated, and medication is administered to patient is termed:

Prescriber orders a medication that is incorrect or is selected incorrectly based on indications or contraindications, and medication reaches patient is known as:

Medication is administered that has expired or integrity of ingredients has been compromised is referred to as:

Patient does not adhere to prescribed medication regimen is called:

Medication administered to a patient from an unauthorized prescriber; physician not licensed in that state or not an authorized prescriber is known as:

List five basic rights involving medication safety.

Why would a patient try to use medical supplies intended for a single use more than once, and what risks are associated with this practice?

The FDA has recommended new labeling on over-the-counter (OTC) cough and cold medications for children. What does the new label say?

List the five guidelines used to share information with healthcare professionals about potentially dangerous events.

List three forms of identification provided by bar codes.

List five safety standards outlined by the Joint Commission to improve patient quality and safety.

List six strategies a pharmacy technician can use to help reduce errors.

Study Notes

Medication Errors

Common Causes of Errors

Error Reporting and Accountability

Types of Medication Errors

Anticoagulants and High-Alert Medications

Patient Safety Standards

Home Care Risks

Compliance and Communication

FDA Guidelines

Error Reduction Strategies

Studying That Suits You

Description

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