Name That Dispensing System
8 - 7 - 7 - 7 - 7.....
Traditional System
An event that could have caused unwanted consequences, but did not reach the patient, either by chance for through timely intervention
Near Miss / Good Catch
HOW MANY DOSES?
Unit Dose:
New Order written 19:55
Quetiapine 25mg po q8h
3 doses
A Board of Directors is made up by...
Members of the Public
What has to be broken before you can use it?
An egg
Every medication is reviewed and dispensed by Pharmacy - Medication labels contain drug information AND patient information
Individual Prescription Ordering System - IPO
Severity level of an incident that results in loss of life, limb or vital organ of a patient
Critical Incident
HOW MANY DOSES?
Unit Dose:
Cart Fill:
Metoprolol 50mg po BID
2 doses
This law governs patient records
PHIPA (Personal Health Information Protection Act)
What comes down but never goes up?
Rain
A large stock of non-patient specific medication is kept on every ward. Nurses retrieve medications from this supply.
Ward Stock System
Patient allergy information not gathered or documented properly on a patient profile. What type of error is this?
Error of Omission
HOW MANY DAYS SUPPLY?
Traditional System:
Xarelto 10mg po daily
8 days
You have seen your next door neighbour in the emergency department. You look up their Patient Record because you are concerned for them. This is a breach of:
Patient Confidentiality
What goes up but never comes down?
Your age
A system known for it's reduction of waste
Unit Dose System
System errors, psychological and physiological factors, institutional factors and a lack of "Just Culture" are examples of...
Root Cause
HOW MANY DAYS SUPPLY?
Traditional System:
Clindamycin 500mg po qid
7 days
When faced with a morally ambiguous situation, RPh and RPhT can refer to this OCP document to guide their decision making
Code of Ethics Document
David's parents have three sons: Snap, Crackle and _____________
David
A combination of Wardstock and IPO where 70% of medications are reviewed and delivered by pharmacy in multi-day vials
Traditional System
A S-A-L-A-D is entered incorrectly onto a patient's profile. What type of error is this an example of?
HOW MANY DOSES?
Unit Dose:
Cart Fill:
Insulin Glargine 32 units hs
Zero
The act that divides hospitals into groups or classifications
The Public Hospitals Act
What can you catch but not throw?
A cold