Podcast
Questions and Answers
Which of the following medication safety principles could have been applied in the case of Mrs. Garcia?
Which of the following medication safety principles could have been applied in the case of Mrs. Garcia?
- Medication reconciliation and care transitions. (correct)
- Appropriate prescribing and risk assessment. (correct)
- Communication and patient engagement. (correct)
- All of the above.
Which of the following correctly identifies a potential risk associated with the medication diclofenac?
Which of the following correctly identifies a potential risk associated with the medication diclofenac?
- Increased risk of gastrointestinal bleeding. (correct)
- Increased risk of respiratory problems.
- Increased risk of liver damage.
- Increased risk of stroke.
Why was medication reconciliation important in Mrs. Garcia's care?
Why was medication reconciliation important in Mrs. Garcia's care?
- To identify any potential drug interactions.
- To ensure a smooth transition between hospital and clinic care. (correct)
- To ensure her medications were compatible with her existing health conditions.
- To avoid unnecessary duplication of medications.
What was the potential consequence of Mrs. Garcia's son not understanding the doctor's instructions?
What was the potential consequence of Mrs. Garcia's son not understanding the doctor's instructions?
What would have been the most appropriate action for the pharmacist to take when dispensing the medication?
What would have been the most appropriate action for the pharmacist to take when dispensing the medication?
Which medication was stopped after Mrs. Garcia's admission to the hospital?
Which medication was stopped after Mrs. Garcia's admission to the hospital?
Which of the following would be considered an inappropriate action for the medical professionals in Mrs. Garcia's case?
Which of the following would be considered an inappropriate action for the medical professionals in Mrs. Garcia's case?
Which of the following statements accurately reflects medication reconciliation at care transitions?
Which of the following statements accurately reflects medication reconciliation at care transitions?
What is the most likely consequence of administering a concentrated potassium chloride solution in error?
What is the most likely consequence of administering a concentrated potassium chloride solution in error?
Which of the following is NOT a recommended action to reduce harm related to electrolyte administration?
Which of the following is NOT a recommended action to reduce harm related to electrolyte administration?
What is the main reason for using a diluted solution of potassium chloride to treat hypokalemia?
What is the main reason for using a diluted solution of potassium chloride to treat hypokalemia?
What is the primary concern associated with the use of potassium phosphate, magnesium, and calcium salts in medical settings?
What is the primary concern associated with the use of potassium phosphate, magnesium, and calcium salts in medical settings?
What is the main reason for the recommendation that insulin syringes be used for administering insulin?
What is the main reason for the recommendation that insulin syringes be used for administering insulin?
Why is prescribing insulin by 'brand name' recommended to reduce the risk of medication errors?
Why is prescribing insulin by 'brand name' recommended to reduce the risk of medication errors?
What is the most important message conveyed by the content provided?
What is the most important message conveyed by the content provided?
Which of the following situations highlights the importance of medication review in preventing adverse drug events?
Which of the following situations highlights the importance of medication review in preventing adverse drug events?
What is the primary reason for the need for medication review in Mrs. Garcia's case?
What is the primary reason for the need for medication review in Mrs. Garcia's case?
Which of the following is NOT a potential consequence of polypharmacy?
Which of the following is NOT a potential consequence of polypharmacy?
What is the significance of the statement "This is a high-risk situation as the medication (diclofenac) has the potential to cause harm?"
What is the significance of the statement "This is a high-risk situation as the medication (diclofenac) has the potential to cause harm?"
What is the main concern regarding the dispensing of diclofenac in this scenario?
What is the main concern regarding the dispensing of diclofenac in this scenario?
Why is communication and patient engagement crucial in preventing medication errors?
Why is communication and patient engagement crucial in preventing medication errors?
Which of these actions, IF taken, would have potentially prevented the adverse drug event in this case?
Which of these actions, IF taken, would have potentially prevented the adverse drug event in this case?
Which of these statements is FALSE?
Which of these statements is FALSE?
What is the main goal of the Third WHO Global Patient Safety Challenge?
What is the main goal of the Third WHO Global Patient Safety Challenge?
What is the timeframe for achieving the goal of the "Medication Without Harm" challenge?
What is the timeframe for achieving the goal of the "Medication Without Harm" challenge?
Which of the following is NOT a prioritized area in the "Medication Without Harm" challenge?
Which of the following is NOT a prioritized area in the "Medication Without Harm" challenge?
The "Swiss cheese model" is used to:
The "Swiss cheese model" is used to:
What does the phrase "HAM" represent in the context of medication safety in high-risk situations?
What does the phrase "HAM" represent in the context of medication safety in high-risk situations?
What is the primary cause of patient harm in the healthcare setting?
What is the primary cause of patient harm in the healthcare setting?
Why is it important to focus on medication safety in transitions of care?
Why is it important to focus on medication safety in transitions of care?
According to the content, which of the following statements about patient harm is TRUE?
According to the content, which of the following statements about patient harm is TRUE?
Which group of patients is particularly vulnerable to adverse drug events?
Which group of patients is particularly vulnerable to adverse drug events?
What is a major factor contributing to the risk of adverse drug events in older adults?
What is a major factor contributing to the risk of adverse drug events in older adults?
What is an example of "overprescribing"?
What is an example of "overprescribing"?
What is the main focus of a "systems approach" to medication safety?
What is the main focus of a "systems approach" to medication safety?
What is a key principle of medication safety in high-risk situations?
What is a key principle of medication safety in high-risk situations?
Why are "high-alert" medications particularly concerning in neonates?
Why are "high-alert" medications particularly concerning in neonates?
Which of the following is NOT a direct responsibility of a pharmacist in medication safety?
Which of the following is NOT a direct responsibility of a pharmacist in medication safety?
What is meant by the term "synergistic" in the context of medication combinations?
What is meant by the term "synergistic" in the context of medication combinations?
What specific role does a pharmacist play in ensuring medication safety?
What specific role does a pharmacist play in ensuring medication safety?
Which of the following statements is true regarding medication safety in hospital settings?
Which of the following statements is true regarding medication safety in hospital settings?
How does standardization of chart design contribute to medication safety?
How does standardization of chart design contribute to medication safety?
Why are pre-prepared injections considered beneficial for medication safety?
Why are pre-prepared injections considered beneficial for medication safety?
Which of these factors can contribute to disruptions during medication administration?
Which of these factors can contribute to disruptions during medication administration?
Electronic prescribing systems primarily aim to reduce which type of medication errors?
Electronic prescribing systems primarily aim to reduce which type of medication errors?
Which of the following is NOT considered a factor influencing medication safety?
Which of the following is NOT considered a factor influencing medication safety?
Which statement best describes the importance of joint decision-making in medication plans?
Which statement best describes the importance of joint decision-making in medication plans?
Flashcards
Medication Reconciliation
Medication Reconciliation
A process where healthcare professionals ensure complete and accurate medication information during care transitions.
Engagement with Patient
Engagement with Patient
Communication aimed at preventing confusion about medications, especially with caregiver involvement.
High-Risk Situations
High-Risk Situations
Clinical scenarios where patients face increased risks from medications due to their health history.
NSAIDs
NSAIDs
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Prophylactic Medications
Prophylactic Medications
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Gastroprotective Agents
Gastroprotective Agents
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Adverse Effects
Adverse Effects
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Communication in Healthcare
Communication in Healthcare
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Patient Harm
Patient Harm
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Patient Safety
Patient Safety
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Medication Without Harm
Medication Without Harm
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Strategic Framework for Patient Safety
Strategic Framework for Patient Safety
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Swiss Cheese Model
Swiss Cheese Model
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Polypharmacy
Polypharmacy
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Transitions of Care
Transitions of Care
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Medication Review
Medication Review
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Adverse Drug Events (ADEs)
Adverse Drug Events (ADEs)
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Drug Interactions
Drug Interactions
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Communication at Discharge
Communication at Discharge
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ACE Inhibitor Guidance
ACE Inhibitor Guidance
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Dispensing Risks
Dispensing Risks
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Patient Engagement
Patient Engagement
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High-Risk Medical Conditions
High-Risk Medical Conditions
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Overprescribing
Overprescribing
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High-Alert Medications
High-Alert Medications
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Communication Among Professionals
Communication Among Professionals
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Education in Medication Safety
Education in Medication Safety
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Potassium Chloride
Potassium Chloride
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Neonates and Medication Risk
Neonates and Medication Risk
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Diluted Solution
Diluted Solution
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Systems Approach to Safety
Systems Approach to Safety
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Concentrated Solution
Concentrated Solution
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Synergistic Medication Effects
Synergistic Medication Effects
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Sodium Chloride Confusion
Sodium Chloride Confusion
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Abbreviation Risks
Abbreviation Risks
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Prescribing by Brand Name
Prescribing by Brand Name
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Ambiguous Instructions
Ambiguous Instructions
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Safe Dosing Techniques
Safe Dosing Techniques
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Medication Plan
Medication Plan
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Joint Decision-Making
Joint Decision-Making
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IV Medication Preparation
IV Medication Preparation
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Standardization of Chart Design
Standardization of Chart Design
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Electronic Prescribing
Electronic Prescribing
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Access to High-Quality Prescribing Advice
Access to High-Quality Prescribing Advice
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Recognizing Intellectual Disabilities
Recognizing Intellectual Disabilities
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Study Notes
Introduction to Medication Safety
- Healthcare interventions aim to benefit patients but can also cause harm.
- All interventions, even in hospitals, have the potential for harm.
- Patient harm is the 14th leading cause of morbidity and mortality globally.
- Patient safety is a critical component of health care delivery, essential for achieving universal health coverage and UN Sustainable Development Goals.
- All institutions should have safety guidelines in place.
Third WHO Global Patient Safety Challenge (Medication Without Harm)
- The goal is to reduce medication-related harm by 50% in the next five years (2017-2023).
- The challenge focuses on reducing harm frequency and impact.
- The "Swiss cheese model" prioritizes medication safety in high-risk situations, emergency cases, polypharmacy, and transitions of care.
Strategic Framework of the Global Patient Safety
- This framework promotes patient safety globally.
- It includes patient and public awareness, health care professional capability, patient engagement, education, reporting and learning.
- Focuses on products, prescribing, preparation, dispensing, administration, and patient monitoring.
- Highlights the importance of all care transitions (e.g., hospital to home).
Key Steps for Ensuring Medication Safety
- Appropriate prescribing and risk assessment: Involvement of pharmacists is crucial.
- Medication review: Thorough medication history is necessary to avoid errors.
- Dispensing, preparation and administration: Ensure correct dispensing processes and no unnecessary risks.
- Communication and patient engagement: Effective communication with patients and caregivers is important.
- Medication reconciliation at care transitions: Processes facilitate accurate medication transfer.
Medication Safety in High-Risk Situations
- High-risk situations correlate with significant risks of medication harm.
- High-risk medications (high-alert medications): Anti-infectives, potassium/electrolytes, insulin, narcotics/sedatives, chemotherapeutics/immunosuppressives, and anticoagulants.
- Medication factors influence medication safety in situations with high-risk medications.
- Provider and patient factors also affect medication safety.
- Medication errors can result from prescribing, dispensing, or administering medications.
- Strategies to reduce harm in high-risk situations include proper prescribing, error-proof design, and maximizing information access.
Provider and Patient Factors
- Healthcare professionals involved in prescribing, dispensing, preparing, and administering medications need proper training, accurate processes and effective communication.
- Patients must play an active role, be involved and understand their medications and side effects.
- Age, polypharmacy, multimorbidity, and high-risk medical conditions increase risk.
Key Strategies for Medication Safety
- Key strategies include risk analysis, safety design, limiting access, standardization, and simplifying processes for safer medication dispensing processes.
Health Care Professional Factors
- Systems approach to medication errors: focuses on the errors that can potentially happen.
- Medication-related errors are reduced through training, experience and practice.
- Medication history taking should be thorough and implemented correctly.
- Collaboration between healthcare professionals (e.g., physicians, pharmacists, nurses) is essential.
Patient Factors
- Should be aware of the purpose of their medication, potential benefits, and risks.
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