definition
SPEAK UP
an acronym for advice for hospital patients to get the safest, best health-care, promoted by the Joint Commission and Centers for Medicare and Medicaid Services
an error that occurs when two or more options exist, and the incorrect option is chosen
Selection error
MEDMARX
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
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
Mislabeling error
when a medication has incorrect information on it leading to the wrong use of it, or the wrong patient receiving it
Wrong amount error
occurs when a dose is either above or below the correct amount by more than 5%
a logical and systematic process used to help identify what, how, and why something happened to prevent recurrence
Root-cause analysis
Omission error
an administration error in which a prescribed dose is not given
groups designed to collect and analyze error data from more than one health provider and offer quality improvement counsel
Patient Safety Organization
Pharmacist Recovery Network(PRN)
an organization to provide assistance and treatment for impaired colleagues who seek help without the risk of losing their license or registration
Technical failure
an error generated by failure of equipment
a program designed by the FDA for prescribers, pharmacies, and patients to more closely monitor selected high-risk drugs
REMS (risk evaluation and mitigation strategy)
iPledge program
a specific risk assessment program for isocretinoin, which can cause a high incidence of birth defects if not properly monitored
printed information in which the FDA communicates side effects, adverse reactions, and black-box warnings for high-risk drugs
Medguide
Incomplete information
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
Tall man lettering
enhanced lettering on the stock labels of similar-sounding high-risk medications, or other labeling changes to help better differentiate products and dosages and reduce medication errors
occurs because of the pressure of meeting corporate or self-imposed time constraints and thus not fully checking and double-checking information by the technician and pharmacist
Rushed error
Adverse drug error
occurs when the prescribed drug initiates an allergy or an adverse drug interaction flag that was missed
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
Documentation error
Human failure
an error generated by failure that occurs at an individual level
VERP (vaccine error reporting program)
a program designed to allow healthcare professionals to report vaccine errors directly to the Institute for Safe Medication Practices (ISMP)
a postmarketing surveillance system operated by the FDA and CDC that collects information on adverse events that occur after immunization
VAERS (vaccine adverse event reporting system)
Incorrect assumption error
occurs when an essential piece of information cannot be verified, and an assumption is made
an acronym for what to do in the case of a robbery
REACT
Physical dependence
taking a drug continuously so that when the medication is stopped, physical withdrawal symptoms occur