Key Terms
-compulsive and uncontrollable use of a drug substance for reasons other than prescribed
Addiction
-when aseptic technique is not followed in compounding, and the drug is no longer sterile, causing a microorganism infection
Contaminated product error
-an error in which more doses are received by a patient than were prescribed by the physician
Extra dose error
-a specific risk assessment program for isorrecinoin, which can cause a high incidence of birth defects if not properly monitored
iPledge program
-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 initiates an allergy or an adverse drug interaction flag that was missed
Adverse drug 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
Distraction error
-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
-principal information in which the PDA communicates side effects, adverse reactions, and black-box warnings for high-risk drugs
Medguide
-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 parent from taking a particular drug, due to the nature of the drug itself, for certain vulnerable populations
ADR (adverse drug reaction)
-when essential information is not properly noted, such as a prescription, allergy, patient request, or other information in the medication profile, or when insurance or billing
Documentation error
-an error generated by failure that occurs at an individual level
Human failure
-when the proper medication education materials and counsel are not passed on to the patient or medication administrator
Medication education error
-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 warning.
Alert fatigue
-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
Drug seeker
-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
-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, parent, or consumer
Medication error
-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
-when the body adapts to a drug so that higher doses are needed to produce the same pharmacological effect
Drug tolerance
-occurs when an essential piece of information cannot be verified, and an assumption is made
Incorrect assumption error
-failure to take medication therapy as the physician instructs; also called nonadherence
Medication noncompliance
-groups designed to collect and analyze error data from more than one health provider and offer quality improvement counsel
Patient Safety Organization