Error Definitions
What is Medication error?
Any preventable mistake that may cause patient harm.
What is Medication education error?
When proper counseling or materials are not given.
What is Pharmacist Recovery Network (PRN)?
Helps pharmacists with impairment without losing license.
What is Human failure?
Error caused by an individual’s mistake.
What is Teratogenicity?
Drug with high potential to cause birth defects.
What is ADR (Adverse Drug Reaction)?
A harmful reaction caused by the drug itself.
What is SPEAK UP?
Encourages patients to ask questions about their care.
What is iPLEDGE program?
Monitors isotretinoin use to prevent birth defects.
What is Organizational failure?
Error caused by organizational rules or policies failing.
What is Product line extension?
Marketing strategy using same brand with different ingredients
What is Adverse drug error?
When an allergy or interaction warning was missed.
What is Incomplete information error?
When full patient information is missing.
What is Patient Safety and Quality Improvement (PSQI) Act?
Federal safety law promoting healthcare quality improvement.
What is Rushed error?
Error caused by rushing and not double-checking
What is Prescription Drug Monitoring Program (PDMP)?
State program tracking controlled substance dispensing
What is Capture error?
When focus shifts and the mistake goes unnoticed.
What is Tall man lettering?
Capital letters used to separate look-alike drug names.
What is Medication Errors Reporting Program (MERP)?
ISMP program that allows reporting medication errors directly.
What is Wrong formulation error?
Error when dosage form is not the correct interpretation
What is HAMMERS?
Tool from ISMP to evaluate high-alert medication risks
What is Documentation error?
When essential information is not properly recorded.
What is Root-cause analysis?
Process used to find the main cause of an error.
What is RxPatrol?
Collaborative system tracking pharmacy theft information.
What is Wrong time error?
Error when medication is given 30+ minutes too early or late.
What are Accountable Care Organizations (ACOs)?
Groups of providers working together to improve outcomes.