The Usual Suspects
Its Gotta Be "Right"
Med Rec or Med Wreck
By the numbers
Messy eMR
100

This drug is the most common medicine involved in errors leading to serious patient harm related to blood glucose levels.

What is Insulin?

100
To obtain the maximum benefit, anti-Parkinson's drugs should be given with this "right" in mind.
What is the right time.
100

This is when medication errors related to medication reconciliation typically occur 

What is the transition of care (admission, transfer, discharge) 

100

3 questions you must ask when entering a room to administer a drug 

what are: 

1. Name

2. DOB

3. Allergies 

100

Never leave...

What is drugs unattended

200

Confusion between these two drugs may lead to administration errors that result in serious adverse patient outcomes (including death). 

What are Morphine and Hydromorphine?

200

An important safety strategy recommended for ensuring that "right" preparation and administration occurs for high-risk medications and procedures.

What are independent second checks? 

200

Dr. House would have no problem breaking into a patient's medicine cupboard to improve a "BPMH".

What is a Best Possible Medication History.

200

3 main causes for medication errors during administration. 

What are:

1.  interruptions/distractions to nursing staff 

2. insufficient knowledge of pharmacology 

3. incorrect safety checks

4. Difficulty performing drug calculations

200

Too many eMAR alerts can desensitize staff, leading to this condition, where important notifications such as late doses or potential drug interactions are ignored or overlooked.

What is "alert fatigue" 

300

For this class of medications overdosing can lead to excessive bleeding and underdosing can lead to clot formation. 

What are anticoagulants (heparin, warfarin, DOACs)?

300

You would have been "right" if you answered 5 to this question before 2008.

What is how many "rights" of safe medication administration are there ?

300

The name and number for the NSQHS standard which aims to ensure  that clinicians safely prescribe, dispense and administer medicines. 

What is standard 4 - Medication safety

300

Doing this to nurses during medication administration is significantly associated with increased number of medication errors and more severe errors

What are interruptions?

300
Besides beginning with the letter "G", garlic, ginseng, gingko biloba, ginger and green tea have this in common.
What is interact with Coumadin.
400

Opioids, cytotoxics and antibiotics are classified as high risk medications for this reason. 

What are drugs that have a higher risk of causing serious harm if administered incorrectly?

400
After making sure it's the "right route", this intramuscular site is the preferred location for most adults.
What is ventrogluteal?
400

All incidents, including near miss incidents, associated with medication use must be reported here. 

What is IMS+ ?

400

54% of medication errors are made at this point of the medicines use process (prescribing, transcribing, preparation, administration, and monitoring). 

What is the point of administration?

400

Implementing eMR in hospitals has reduced this type of error by approximately 50%, according to a study by the Australian Digital Health Agency.

What are prescribing errors?

500

This acronym assists clinicians to identify a group of medicines known to be associated with high risk for medication-related harm.

What is APINCHS?

500

This can occur when checking the "5 rights" if an individual confirms what they expect to see rather what is actually there

What is confirmation bias

500

This procedure ensures that the patient's medication list is accurate and up to date, preventing errors related to duplications, omissions, or incorrect orders during hospital admissions, transfers, or discharges.

What is Medication reconciliation?

500

35% of Aussies over the age of 70 take more than this number of medicines in a day. 

What is 5 or more?

Increasing the risk of error due to polypharmacy. 

500

Typographic technique that uses selective capitalisation to help make similar looking medicine names more easily distinguishable

Tallman lettering