Terms & Definitions
preventable error that may cause or lead to inappropriate medication use or patient harm
Medication error
Medication administered in a dosage form other than what was ordered
Wrong dosage form
Mix of upper and lower case letters to draw attention to dissimilarities in look-alike drug names
Tall Man Lettering
Process of identifying the most up-to-date list of all the medications a patient is currently taking
Medication Reconciliation
Ensuring the medication dosage is correct
The Right Dosage
Organization that offers national certification for pharmacy technicians in the US
Pharmacy Technician Certification Board (PTCB)
Prescriber orders a medication that is not correct or is selected incorrectly based on indications or contraindications
Prescribing error
Where can errors occur?
Anywhere!
Hospitals, clinics, pharmacies, Drs office, patient's home
Process of discovering the root cause of problems in order to identify appropriate solutions
Root Cause Analysis
Ensuring the medication is taken during the correct time of the day
The Right Time
Strategy for managing a known or potential serious risk associated with a drug or biological product
Risk Evaluation and Mitigation Strategies (REMS)
Patient does not adhere to prescribed medication regiment
Paper handouts that address issues specific to particular drugs and drug classes
MedGuides
______ should be scanned on medications when dispensing or filling to reduce errors
Barcodes
Ensuring the correct medication has been selected
The Right Medication
Nonprofit organization devoted entirely to promoting safe medication use and preventing medication errors
ISMP (Institute for Safe Medication Practices)
Dose administered is greater or less than prescribed
Improper dose error
Open error reporting should occur so there is no fear of____________
retaliation
Overseen by OSHA to make sure employees are aware of chemicals being used in the workplace
Ensuring the patient identification is correct
The Right Patient
Program established by the US FDA for reporting drug and medical product safety alerts and label changes
MedWatch
Expired medication is administered or the integrity of the ingredients has been compromised
Deteriorated Drug Error
Medication that is part of the REMS program that may potentially put the patient at risk for neutropenia
Clozapine
Electronic ordering of medications by a physician that are sent directly to the pharmacy
Computerized Physician Order Entry (CPOE)
Ensuing the medication is taken correctly
The Right Route