Medication errors
Help! I need a pharmacist!
Use your head!
100

The following are examples of this kind of safety risk:
Novolog vs Novolin
Tramadol vs trazodone
Alprazolam vs lorazepam
Methylprogesterone vs methyltestosterone

What is LASA (look-alike/sound-alike) medications?

100
This pharmacist intervention involves any type of injury that is caused after administration of a medication.

What is an adverse drug event (ADE)?

100

The best way to prevent choosing the incorrect patient on order entry.

What is verify two patient identifiers (name, DOB, address, phone number, last 4 of SSN, etc)?

200

The labeling of LORazepam, clonazePAM, and methylPREDNISolone are examples of this type of strategy to minimize medication errors?

What is "tall man lettering"?

200

This type of pharmacist intervention can save a patient money if they don't need a prescription to acquire their medication.

What is OTC Recommendation?

200

Hand-washing should last at LEAST this long as recommended by the World Health Organization.

What is 40 seconds?

300

These types of medications if administered incorrectly can lead to acute emergent conditions, permanent disability, or death.

What are high-alert (or high-risk) medications?

300

Patient education and counseling as well as monitoring early refills are types of pharmacist intervention strategies that should be used to prevent and detect this type of issue.

What is misuse?

300

The best way to eliminate possible errors in decimal numbers.  For example, identify the problems with the following...

0.5
.5
.50

What is USE leading zeroes and ELIMINATE trailing zeroes?

400

The 5 checks during the medication dispensing process in which presceription correctness is tested.

Check 1: drop off
Check 2: order entry
Check 3: dispensing
Check 4: pharmacist verification
Check 5: point-of-sale

400
Patient allergy, poor tolerance of side effects, or poor medication adherence can be a few reasons why this pharmacist intervention may be indicated.

What is therapeutic substitution?

400

List the steps for FOCUS-PDSA.

F - find the problem
O - Organize a team
C - Clarify the problem
U - Understand the problem
S - Select an intervention
P - Plan
D - Do
S - Study
A - Act

500

A pharmacy technician was interrupted during order entry and incorrectly selects tramadol 50mg instead of trazodone 50mg.  The error is caught by the pharmacist before it reached the patient.  This is considered this kind of error.

What is a "near-miss" event?

500

This quality assurance program requires pharmacist intervention and can be classified as either prospective, concurrent, or retrospective.

What is drug utilization review (DUR)?

500

Sterile compounding safety requirements are laid out by the United States Pharmacopeial Convention in what publication chapter?

What is USP <797>?

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