Word
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
Pharmacist Recovery Network(PRN)
an organization to provide assistance and treatment for impaired colleagues who seek help without the risk of losing their license of registration
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)
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
an error that occurs when focus on a task is diverted elsewhere and, therefore, the error goes undetected
Capture error
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
Physical dependence
taking a drug continuously so that when the medication is stopped, physical withdrawal symptoms occur
a logical and systemative process used to help identify what, how, and why something happened to prevent reoccurrence
Root-cause analysis
Technical failure
an error generated by failure of equipment
where the technician and/or the pharmacist starts to have a relaxed attitude and bypasses drug utilization warnings
Alert fatigue
when a medication has incorrect information on it leading to the wrong use of it, or the wrong patient receiving it
Mislabeling error
Psychological dependence
when the patient takes a drug on a regular basis because it produces a sense of well-being that the patient does not want to consider living or being without
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
Rushed error
Wrong amount error
occurs when a dose is either above or below the correct amount by more than 5%
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)
an administration error in which a prescribed dose is not given
Omission error
REACT
an acronym for what to do in the case of a robbery
an error that occurs when two or more options exist, and the incorrect option is chosen
Selection error
VAERS (vaccine adverse event reporting system)
a postmarketing surveillance system operated by the FDA and CDC that collects information on adverse events that occur after immunization
occurs when the prescribed drug initiates an allergy or an adverse drug interaction flag that was missed
Adverse drug error
groups designed to collect and analyze error data from more than one health provider and offer quality improvement counsel
Patient Safety Organization
Right of refusal
the ability of a pharmacist to decline with cause to fill any prescription, especially those for controlled substances
an acronym for advice for hospital patients to get the safest, best healthcare, promoted by the Joint COmmission and Centers for Medicare and Medicaid Services
SPEAK UP
VERP (vaccine error reporting program)
a program designed to allow healthcare professionals to report vaccine errors directly to the Institute for Safe Medication Practices
compulsive and uncontrollable use of a drug substance for reasons other than prescribed
Addiction