Medication Errors
Any preventable event that may cause or lead to inappropriate medication use of patient harm
Medication error
All adverse drug reactions should be reported through this form
MedWatch
Suggested method to help distinguish between similar medication names
Tall Man Lettering
A program, managed by the FDA, that collects data on adverse reactions during or after vaccine administration
VAERS (Vaccine Adverse Event Reporting System)
Cars 1:
What is Lightning McQueen's number?
95
An incorrect drug is substituted for the one prescribed
Wrong medication error
The Medication Error Reporting Program (MERP) is provided by this agency
ISMP (Institute of Safe Medication Practices)
A type of technology that helps to select the correct medications
Bar coding technology
Medications that are similar in appearance or pronunciation
LASA drugs (look alike-sound alike)
Cars 1
What is the name of Lightning McQueen's agent?
Harv
When a technician or pharmacists fails to gather all the information about medications, supplements, and allergies
Incomplete information error
This should be included on all controlled substance prescriptions
DEA number
A systemic approach to identify the deep cause of something that HAS occurred
Root Cause Analysis
A program designed to gather data on controlled substance drug use with the majority of States participating
PDMP (Prescription Drug Monitoring Program )
Cars 2:
Where does the airplane take Lightning McQueen to first?
Japan
Corporate executives pressure pharmacy staff to meet imposed time constraints, often with consequences if they are not met
Rushed error
Indicated by the second set of numbers in an NDC
Drug name and strength
Issued by the Joint Commission to help prevent confusion during transcribing
"Do not use" list
Important to use for medications with a NTI
DAW (dispense as written)
Cars 2:
The British Intelligence seal in the private jet that McMissile and Shiftwell use says "Honor, Animus, Vis Equorum" What does this mean?
Honor, Spirit, Horse Power
The proper medication education materials are not passed on to the patient
Medication education error
Pharmacy personnel version of "first do no harm"
The seven patient rights:
Right patient, right drug, right strength, right route/form, right time, right documentation, right education
Issued by the ISMP to help prevent confusion during transcribing
“List of Error-Prone Abbreviations”
The organization that defines a sentinel event
JCAHO (the Joint Commission on Accreditation of Healthcare Organizations)
Cars 3:
There are one winner and how many losers according to Lightning Mcqueen’s opening pep talk?
42 losers