12 Questions
What is the definition of a near miss in the context of patient safety?
An event or situation that did not produce patient injury, but only because of chance
How can errors be minimized through computerized prescriber order entry?
By not having to read a physician's handwriting
What does T.A.C.I.T. stand for in the context of medication safety?
Therapeutic effect, Allergies, Contraindications, Interactions, Toxicity/Overdose
What is the recommended approach for getting a telephone order for medication?
Repeat it, spell it, and speak clearly
In the context of medication administration, why should zeros never be put at the end of a decimal in the medication order?
To ensure accurate dosage calculations
What is the significance of ensuring that all 'the rights' are in place when taking an order from a provider?
It prevents medication administration errors
1 mg is ________ micrograms
1000
Pixus = Automated dispensing machine Generic = Types of medication names we use Current sources = Only use this to research medication information Dosing = Most common error in peds
Always listen to medication concerns raised by your patient
True
Match
High risk medication = Requires a second nurse verification When giving medication = Make sure you are doing your three checks and 2 identifiers Awareness to minimize errors = An example of this is asking for two sound alike medications to be put in father away bins from each other Near misses = Must still be reported so that safety issues can be addressed and future incidents preventd.
If you can't scan the medication, you can still give it to the patient if they can give you the two identifiers
False
If you did not draw up or prepare the medication yourself, don't give it to the patient.
True
Study Notes
Patient Safety and Medication Administration
Near Misses
- Definition: A near miss is an event that has the potential to cause harm but does not, either by chance or through timely intervention.
Minimizing Errors through Computerized Prescriber Order Entry
- Errors can be minimized by using computerized prescriber order entry, which helps reduce medication errors, improves legibility, and checks for potential drug interactions and allergic reactions.
T.A.C.I.T. in Medication Safety
- T.A.C.I.T. stands for Taking Adverse drug reactions Seriously, Conducting regular reviews, Implementing safety initiatives, Coordinating patient care, Investigating errors, and Taking responsibility.
Telephone Orders for Medication
- Recommended approach: Verify the order with the provider, confirm the order with the pharmacist, and have the provider confirm the order is correct.
Medication Administration Safety
- Zeros should never be added to the end of a decimal in a medication order to avoid dosing errors.
The Rights of Medication Administration
- Ensuring all 'the rights' are in place when taking an order from a provider: right patient, right medication, right dose, right time, right route, and right documentation.
Medication Conversions
- 1 mg is equivalent to 1,000 micrograms.
Patient Communication
- Always listen to medication concerns raised by your patient.
Medication Scanning and Verification
- If you can't scan the medication, verify the medication with two identifiers before administering it to the patient.
- If you did not draw up or prepare the medication yourself, do not give it to the patient.
Test your knowledge on patient safety measures including medication dosage, near misses reporting, error minimization techniques, and computerized prescriber order entry. This quiz covers important concepts related to patient safety in healthcare settings.
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