PART 5: CULTURE OF SAFETY

Culture of safety

The organizational approach in which everyone is committed to preventing patient harm during medication administration.

Just culture

The concept that encourages reporting medication errors without automatically punishing individuals for system failures.

Drug reconciliation

The process of obtaining the most accurate list of all medications a patient is taking during transitions in care.

Prevention of drug errors

The purpose of drug reconciliation in preventing medication discrepancies.

The Joint Commission

The independent not

Do Not Use abbreviations

The National Patient Safety Goal that identifies dangerous abbreviations that should never be used.

Black box warning

The strongest safety warning required by the US FDA for medications with serious risks.

Tamper

resistant container

Jet injector

A needle

Counterfeit drugs

Drugs that appear genuine but may contain no active ingredient or the wrong active ingredient.

High

alert medications

Insulin

The medication used as an example of a high

Independent double checks

The strategy of using independent double checks to reduce errors with high

Red or orange flag

The colored marker used in some hospitals to identify high

Akapulko

The DOH

Ampalaya

The DOH

Bawang (Garlic)

The medicinal plant widely used to lower cholesterol and blood pressure.

Lagundi

The medicinal plant commonly used for cough, colds, and fever.

Niyog

niyogan

Sambong

The medicinal plant commonly used for kidney stones.

Yerba Buena

The medicinal plant used as an analgesic for body aches and pain due to rheumatism and gout.

Ginger

The herbal remedy commonly used for nausea and motion sickness.

Chamomile

The herbal remedy commonly used for insomnia and anxiety.

St. John’s Wort

The herbal remedy associated with treatment of mental disorders and nerve pain.

Philippine National Drug Formulary (PNDF)

The Philippine reference that provides a list of registered essential medicines.

RA 9711 (Food and Drug Administration Act of 2009)

The law that strengthened and renamed the BFAD into the FDA.

RA 9502 (Universally Accessible Cheaper and Quality Medicines Act of 2008)

The law that promotes access to affordable quality medicines.

RA 6675 (Generics Act of 1988)

The law that requires the use of generic names in prescribing and dispensing.

Generic name

The name of the medication that is assigned by its official nonproprietary designation.

Brand (trade) name

The commercial name given by the manufacturer of a medication.

Dosage strength

The part of the drug label that indicates the medication strength.

Lot number

The part of the drug label that identifies the production batch.

BID

In the order “Co

PO (Per Orem)

In the same doctor’s order, the abbreviation meaning by mouth.

Basic formula

The formula used to calculate the amount of medication to administer from the desired dose, drug on hand, and vehicle.

Body surface area

The most precise method for pediatric dosage calculation.

Young’s rule

The pediatric dosage rule based on the child’s age in years.

Clark’s rule

The pediatric dosage rule based on the child’s weight in pounds.

Microdrip

The IV tubing calibration that delivers 60 drops per milliliter.

Geriatric patients

The age group in which decreased renal excretion commonly requires dosage adjustment.