terms
compulsive and uncontrollable use of a drug substance for reasons other than prescribed
addiction
Contaminated product error
when aseptic technique is not followed in compounding, and the drug is no longer sterile and causes a microorganism infection
an error in which more doses are received by a patient than were prescribed by the physician
extra dose error
iPledge program
a specific risk assessment program for isotretinoin, which can cause a high incidence of birth defects if not properly monitored
an internet-based program of the USP for use by hospitals and healthcare systems for documenting, tracking, and identifying trends for adverse events and medication errors
MEDMARX
occurs when the prescribed drug irritates an allergy or an adverse drug interaction flag that was missed
adverse drug error
Distraction error
occurs when a technician or pharmacist is interrupted in the middle of a filling process and forgets a portion of key information or train of thought, and some information or a safety decision gets missed
occurs when a technician fears the consequences of speaking up and asking the pharmacist or the prescriber to double check an element of the prescription
fear error
Medguide
printed information in which the FDA communicates side effects, adverse reactions, and black-box warning for high risk drugs
a voluntary program by the FDA that allows any healthcare professional or consumer to report a serious adverse event associated with the use of any drug, biological device, or dietary supplement
MedWatch
a negative consequence to a patient from taking a particular drug, due to the nature of the drug itself, for certain vulnerable populations
ADR (adverse drug reaction)
documentation error
when essential information is not properly noted, such as a prescription, allergy, patient request, or other information in the medication profile, or not properly processing insurance or billing
an error generated by failure that occurs at an individual level
human failure
medication education error
when the proper medication education materials and the counsel are not passed on to the patient or medication administrator
when a medication has incorrect information on it leading to the wrong use of it, or the wrong patient receiving it
Mislabeling error
where the technician and/or the pharmacist starts to have a relaxed attitude and bypasses drug utilization warnings
alert fatigue
drug seeker
a patient who is dependent on or addicted to drugs, who may receive prescriptions for the same or similar controlled drugs from several physicians and pharmacies
occurs when full information is not available because the patient was not asked sufficient or proper questions, or the answers were somehow not recorded in the profile, or the patient withheld information deliberately or by accident of memory
incomplete information error
medication error
any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer
an administration error in which a prescribed dose is not given
omission error
an error that occurs when focus on a task is diverted elsewhere and therefore, the error goes undetected
capture error
drug tolerance
when the body adapts to a drug so that higher doses are needed to produce the same pharmacological effect
occurs when an essential piece of information cannot be verified, and an assumption is made
incorrect assumption error
medication noncompliance
failure to take medication therapy as the physician instructs: also called nonadherence
groups designed to collect and analyze error data from more than one health care provided and offer quality improvement counsel
Patient safety organization