Patient Safety and Quality Assurance

Which of the following is a strategy to reduce the risk of confusing look-alike sound-alike drugs?

Configuring pharmacy information systems so that they do not appear consecutively

Use of tall man lettering

Including the indication on drug orders

Use of both the brand and generic name on drug labels

ALL OF THE ABOVE

Who publishes a list of look-alike sound-alike medications?

Institute for Safe Medication Practices (ISMP)

Which of the following is NOT a high-alert medication?

Metronidazole

Which of the following is a high-alert medication?

Oxycodone

Which of the following is a high-alert medication?

Propofol

Which of the following is a potential strategy to reduce errors with high-alert medications?

Manual double checks when feasible

Readily available information about the drug

Mandatory patient counseling

Safeguards to limit access

ALL OF THE ABOVE

Which of the following is a high-alert medication?

Intravenous metoprolol

Which of the following best describes the term "high-alert medication?"

Drugs that have a heightened risk of causing significant patient harm when used in error

Which of the following is a high-alert medication?

Potassium chloride injectable

Cisatracurium

1000 mL bag of sterile water

ALL OF THE ABOVE

Which of the following is a high-alert medication?

Warfarin

True or False: Errors are more common with all high-alert medications

False

Which of the following is true regarding adverse drug events?

They can be the result of medication errors

They can often be prevented

They represent patient injury that occurs from medical intervention related to a drug

ALL OF THE ABOVE

Which of the following abbreviations is considered a dangerous abbreviation?

Q.D. for every day

Which of the following scenarios may pose risk for an administration error?

Dispensing an oral pediatric liquid in a multi-purpose syringe

Which of the following is NOT a strategy to reduce the risk of drug administration errors?

Reliance on manual calculations for infusion rates

Which of the following is NOT considered a dangerous abbreviation?

Q.I.D. for four times daily

Which of the following strategies, used at the bedside, reduces the risk of a wrong drug or wrong patient administration error?

Barcode-assisted medication administration (BCMA)

Which of the following terms best describes a medication error that was intercepted before it reached a patient?

Potential adverse drug event

Which of the following is an appropriate numbering convention?

0.5

Which of the following is NOT considered a dangerous abbreviation?

mL for milliliter

Which of the following terms best describes patient injury that results from a medication error?

Preventable adverse drug event

Which of the following is NOT an appropriate way to represent a number?

65.0

Which of the following is a strategy to prevent transcription errors?

Computerized Physician Order Entry (CPOE)

Preprinted order forms

Tall man lettering

ALL OF THE ABOVE

Which of the following abbreviations is NOT considered a dangerous abbreviation?

IM for intramuscular

Which of the following is a strategy to prevent preparing, compounding, or dispensing medication errors?

Segregation of look-alike sound-alike drugs

Barcode systems for product selection

Use of unit-dose or ready-to-administer packaging

ALL OF THE ABOVE

Which of the following is a tool to help in the proper selection of drugs during medication ordering, by alerting the prescriber to clinical pathways, drug interactions, allergies, or other alerts pertinent to the order?

Clinical decision support

Which of the following can best help to prevent medication error that may occur during transitions of care?

Medication reconciliation

Which of the following best defines "sentinel event"?

Patient safety events that result in death, permanent harm, or severe temporary harm and intervention required to sustain life

Which of the following would be considered a sentinel event?

An adverse drug event that results in a cardiac arrest

Which of the following should be included in a medication error report?

Causes and contributing factors of the event

All details of the medication involved

How the event was discovered or intercepted

Several more

Which of the following should NOT be included in a medication error report?

VAERS

Which of the following databases is used to report adverse drug events?

MedWatch

Which of the following is a process used to analyze medication errors?

Root cause analysis

True or False: Healthcare providers are required by law to report certain vaccine related adverse events.

True

Which of the following can be reported to MedWatch?

Product quality problems

Unexpected side effects or adverse events

Preventable medication errors

Therapeutic failures

ALL OF THE ABOVE

Which of the following organizations has resources on medication errors and a voluntary reporting platform for medication and vaccine errors?

Institute for Safe Medication Practices (ISMP)

True or False: When analyzing a medication error or adverse drug event, focus should be on the process and not the individual.

True

Which of the following questions may be answered by the pharmacy technician?

Which strengths of dextrose injectable solutions are stocked in the pharmacy?

Who is the manufacturer for Livalo?

How much water should be added to Cefaclor to prepare the 187 mg/5 mL suspension?

ALL OF THE ABOVE

Which of the following questions should not be answered by a pharmacy technician; instead referred to a pharmacist?

Can diphenhydramine cause a rash?

If I'm allergic to gluten, can I take Invokana?

ALL OF THE ABOVE