General Safety
What went wrong?
Avoiding the Oops
Dangerous Duos
LASA
100

This label color is often used to indicate a high-alert medication.

What is RED?

100

This is the type of error that occurs when a patient receives a drug different from the one prescribed.

What is a medication error or wrong drug administration?

100

Double-checking this patient-specific information is essential before dispensing medications.

What is patient identity or patient information?

100

Combining digoxin with either verapamil or amiodarone can lead to what dangerous condition?

What is digoxin toxicity?

100

This antihypertensive drug is often confused with clonazepam because of similar spelling and packaging.

What is Clonidine?

200

The term for a medication error that reaches the patient but causes NO harm.

What is a near miss or a Precursor Safety Event?

200

What type of error occurs when a patient does not adhere to the prescribed medication regimen, such as taking a dose late or stopping medication early?

What is a compliance or adherence error?

200

Using this type of bar code scanning helps verify the correct medication before administration.

What is barcode medication administration (BCMA)?

200

This common over-the-counter pain reliever can increase the risk of bleeding when taken with warfarin.

What is aspirin?

200

This is the best method to confirm a medication order when dealing with LASA drugs

What is double-checking or independent verification?

300

This type of audit reviews medication use and outcomes to identify and reduce errors.

What is a medication use evaluation (MUE) or Drug use evaluation?

300

Writing this type of number improperly on a prescription can increase the risk of medication errors

What is decimal points or trailing zeros?

300

This quality assurance method involves regularly updating pharmacy staff on new safety protocols.

What is continuing education (CE) or staff training?

300

Foods high in this vitamin, such as broccoli and leafy greens, decrease the effect of warfarin.

What is vitamin K?

300

These two drugs differ by only two letters — one treats erectile dysfunction, the other treats pulmonary hypertension, but both can dangerously lower blood pressure.

What are sildenafil and tadalafil?

400

This organization publishes Medications Safety Alerts and helps reduce medication errors in healthcare.

What is the Institute for Safe Medication Practices (ISMP)?

400

This federal form must be used by pharmacies to order Schedule II controlled substances

What is DEA Form 222?

400

Checking this patient history detail is crucial to avoid allergic reactions.

What is drug allergies?


400

This document is maintained to track medication errors and near misses to improve safety.

What is a medication error report or incident report?

400

This drug is distinguished as cloNAZepam using Tall Man letters, but is commonly confused with a different medication ending in “pine.” Name the confused drug.

What is cloZAPine?

500

This labeling technique uses mixed-case letters to differentiate look-alike drug names and reduce medication errors.

What is tall man lettering?

500

Following USP <800> guidelines helps safely handle this category of drugs

What are hazardous drugs, including chemotherapy agents?


500

Implementing this practice of reviewing a patient’s entire medication list helps prevent errors from duplicate or contraindicated drugs.

What is a medication reconciliation?

500

This regulatory agency oversees the quality and safety standards for pharmacies in the United States.

What is the U.S. Food and Drug Administration (FDA)?

500

The drug diazePAM uses Tall Man lettering to differentiate it from a drug used to treat hypertension ending with “zem.” What is the confused drug?

What is dilTIAZem?