term
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
REMS (risk evaluation and mitigation strategy)
a program designed by the FDA for prescribers, pharmacies, and patients to more closely monitor selected high-risk drugs
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
compulsive and uncontrollable use of a drug substance other than for reasons other than prescribed
Addiction
when aseptic technique is not followed in compounding, and the drug is no longer sterile and causes a microorganism infection
Contaminated product error
Physical dependence
taking a drug continuously so that when the medication is stopped, physical withdrawal symptoms occur
Root-cause analysis
a logical and systematic process used to help identify what, how, and why something happened to prevent recurrence
Technical failure
an error generated by failure of equipment
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 filing process and forgets a portion of key information or train of thought and some information or a safety decision gets missed
Distraction error
Psychological dependence
when the patient takes a drug on a regular basis because it produces a sense of wellbeing that the patient does not want to consider living or being without
Rushed error
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
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)
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
REACT
an acronym for what to do in the case of a robbery
Selection error
an error that occurs when two or more options exist, and the incorrect option is chosen
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
where the technician and/or the pharmacist starts to have a relaxed attitude and bypasses drug utilization warnings
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
Right of refusal
the ability of a pharmacist to decline with cause to fill any prescription, especially those for controlled substances
SPEAK UP
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
VERP (vaccine error reporting program)
a program designed to allow healthcare professionals to report vaccine errors directly to the Institute for Safe Medication Practices
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