PT110
What is MediGap? pg 294
Supplemental insurance provided through private insurance companies that help cover costs not reimbursed by Medicare
What is AWP? pg 287
Average Wholesale Price
T/F - The copay is usually higher for an office visit than with an HMO pg 291
True
What is the error type if a physician orders an IV to run at 175 mL/hr instead of 100 mL/hr? pg 317
Prescribing Error
Which organization tracks errors? pg 326
Box 14.3
What is a Category C error? pg 317
When the error reaches the patient but does ot cause harm
What is the most important aspect of dealing with errors? pg 326
The reporting process
What is the Trade, Brand or Proprietary Name? pg 288
The name a company assigns to a commercial drug product for marketing and identification purposes
Which system automatically tracks inventory? pg 305
Automated Dispensing Systems
Who is eligible for Medicare coverage? pg 291
Senior Citizens
Disabled Patients
Dialysis Patients
Who pays for workers compensation? pg 296
The Employer
Which medications does Coumadin (warfarin) interact with? pg 322
Table 14.4
What is a flexible spending account and how does it work? pg 303
A flexible spending account is a plan similar to a savings account. The government limits the amount of money a person can put into these accounts each calendar year. Restrictions are placed on what services are covered. It is also considered a lose it or use it situation.
What are the focuses of ISMP? pg 326/327
It's not specific but try to figure out what it could be
The type of error, how the error occurred, and how to prevent similar errors from happening
What foods does warfarin (Cooumadin) interact with? pg 322
Broccoli and other green vegetablesor foods high in Vitamin K
Soybean and Canola oils
Cranberry Juice
What are the reasons IV Heparin is so dangerous? pg 325
1. IV heparin is available in many similar-looking strengths
2. IV heparin quickly takes effect and is not easily reversed
3. Flushing IV lines with a Hep-Lock solution is common, which is a very low dose of heparin that can be confused with significantly higher concentrations.
What is covered under Medicare Part D? pg 292
Prescription Drugs
What are the reasons a pharmacy would return a medication to the manufacturer to receive credit?
pg 307
1. Damaged
2. Recalls
3. Expired
4. About to Expire
What is a back-ordered item? pg 304
It is an item that is not currently in stock but will be sent as soon as it is available
What are the 5 safety standards of The Joint Commission? pg 327/328
Leadership Process and Accountability
Competent and Capable Workforce
Safe Environment for Staff and Patients
Clinical Care of Patients
Improving Quality and Safety
What are the types of lettering changes that drug companies can incorporate to help reduce errors? pg 321
Color coding
Tall man Lettering
Bold Face Lettering
What is a Category I error? pg 317
When the error occurs and may have contributed to or resulted in the patient's death
What is an Extended Release drug, what is its purpose, and how does the coating work? pg 325
These drugs also are recognized Delayed Release
Extended-release formulations can improve patient compliance and ultimately result in better health
Extended-release formulations are designed to deliver the dose over a longer interval than an immediate-release (IR) product.
Extended-release formulations are a cause of medication errors if crushed or administered in place of IR doses
According to TJC, what is the purpose of requiring hospitals and institutions to prepack all liquid doses in oral syringes or containers? pg 330
Continually opening bulk containers has led to an increased risk of contamination.
Patient-specific instructions are not denoted on the bulk medication; therefore the likelihood of an inappropriate dose increases when nurses pour medicine from bulk containers.
The pharmacy must maintain control over each dose to ensure accuracy.
Which organization defines Medication Reconciliation as the process of identifying the most up-to-date list of all of the medications a patient is currently taking? pg 331
The Institute for Healthcare Improvement (IHI)