Med Error Terms ❌
What is a medication Error?
A event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.
What is the Reasons Swiss cheese model?
a model that courses on various levels of defenses
According to the CNO practice standard what is Competence in nursing?
Ensuring you have the knowledge, skill and judgment needed to perform medication practices safely
What is CQI?
a process that focuses on improvement, safety and patient care. the goal is CQI may also include improvement of operations, outcomes, systems processes, and improved work enviorment.
A patient needs 500 mg of medication, and the tablets available are 250 mg each. How many tablets should the patient take?
2 tablets
What is a near miss?
An event, situation, or error that took place but was captured before reaching the patient
The "holes" in the reasons Swiss cheese in model are caused by what?
Active Failures & Latent Conditions
According to the CNO practice standard, what are nurses called to do in regard to safety?
Promoting safe and contributing to a culture of safety within their practice environments when involved in medication practices.
What is the Six Sigma Model?
Developed by Motorola this is a methodology that focuses on reducing error rates.
A doctor orders 0.5 grams of medication. The available medication is 250 mg per tablet. How many tablets are needed?
2 tablets
What is a controlled act?
Acts that could cause harm if performed by those who do not have the knowledge, skill and judgment to perform them
Active failures arise from what?
They arise from people who deal with direct contact with the patient or system
They have 4 forms:
Slips, Lapses, Mistakes, Violations
RN's and RPN's require a order for a medication practice when:
A controlled act is involved
Administering Prescription medication
or is required by legislation
What is the Lean model?
Developed by Toyota Corporation, Lean methodology is a process of improving value to customers and employees with a focus on the reduction of waste.
A child weighing 20 kg needs a medication dosed at 5 mg/kg. What is the total dose in mg?
100 mg
What is the definition of an Adverse reaction?
A unintended / unexpected reaction from a drug / treatment
What are latent conditions brought upon by?
Errors within a system
T/F Nurses can choose to avoid using the route of a medication that was initially indicated by the prescriber
False, nurses must administer medication using the route of administration indicated by the prescriber
What is the Baldrige Award Criteria?
This methodology focuses on improving the entire organization and instituting and nourishing a culture focused on CQI
A patient is prescribed a medication with a recommended dosage range of 0.5 to 1.0 mg/kg/day. The patient's weight is 70 kg. What is the Minimum and Maximum daily dosage?
What is the definition / explanation of the concept " Evidence Informed"
Practice that is based on successful strategies that improve client outcomes and are derived from a combination of various sources of evidence.
What is an example is a Active Failure ( Slip)?
A plan is made but is incorrectly executed
For example, Accidently driving to Work instead of school
According to the CNO practice standards what is Authority?
Healthcare professionals ( RPN & RN) must have the required order for medication practice for example orders for the use of controlled acts
What is the PDA model?
Plan-Do-Study-Act, is a four-step process for quality improvement.
A patient needs 1 gram of medication, and the available suspension is 200 mg/5 mL. How many milliliters should be administered?
25 mls