Errors and Human Factors
Occurs when the prescribed drug initiates an allergy or an adverse drug interaction flag that was missed.
Adverse Drug Error
When the technician and/or pharmacist starts to have a relaxed attitude and bypasses drug utilization warnings.
Alert fatigue
A specific risk assessment program for isotretinoin to monitor and prevent birth defects.
iPledge program
Groups designed to collect and analyze error data from multiple providers and offer quality improvement counsel.
Patient Safety Organization
Printed information in which the FDA communicates side effects, adverse reactions, and black-box warnings for high-risk drugs.
Medguide
An error that occurs when focus on a task is diverted elsewhere and, therefore, the error goes undetected.
Capture error
A patient addicted to drugs who may receive similar controlled prescriptions from several physicians/pharmacies.
Drug seeker
FDA-mandated printed information regarding side effects, adverse reactions, and black-box warnings for high-risk drugs.
Medguide
An organization providing assistance and treatment for impaired colleagues without the risk of losing their license
Pharmacist Recovery Network (PRN)
When the proper medication materials and counsel are not passed on to the patient or medication administrator.
Medication education error
When aseptic technique is not followed in compounding, and the drug is no longer sterile and causes a microorganism infection.
Contaminated product error
When the body adapts to a drug so that higher doses are needed to produce the same pharmacological effect.
Drug tolerance
An Internet-based USP program for hospitals to document, track, and identify trends for medication errors.
MEDMARX
An acronym used to train staff on what to do in the case of a pharmacy robbery.
REACT
Failure to take medication therapy as the physician instructs, also called nonadherence.
Medication noncompliance
Occurs when a technician or pharmacist is interrupted in the middle of a filling process and forgets a portion of key information or a safety decision.
Distraction error
Failure to take medication therapy as the physician instructs (also called nonadherence).
Medication noncompliance
A voluntary FDA program for healthcare professionals and consumers to report serious adverse events.
MedWatch
The ability of a pharmacist to decline with cause to fill any prescription, especially for controlled substances.
Right of refusal
An Internet-based program of the USP used by hospitals and healthcare systems for documenting, tracking, and identifyign trends for adverse events and medication errors.
MEDMARX
When essential information is not properly noted (e.g., prescriptions, allergies, insurance) in the medication profile.
Documentation error
Taking a drug continuously so that when the medication is stopped, physical withdrawal symptoms occur.
Physical dependence
An FDA-designed program for prescribers and pharmacies to closely monitor selected high-risk drugs.
REMS (Risk Evaluation and Mitigation Strategy)
A systematic process used to identify what, how, and why something happened to prevent recurrence.
Root-cause analysis
Groups designed to collect and analyze error data from more than one health provider and offer quality improvement counsel.
Patient Safety Organization