Medication Management & Use

Vocabulary flashcards based on the lecture notes about medication management in a hospital setting.

Pharmacy and Therapeutics (P&T) Committee

A committee responsible for oversight and approval of policies related to drug selection, distribution, handling, use, and administration; develops and maintains the hospital formulary.

Formulary System

The list of available medicines in the hospital which is approved by the P & T Committee of the hospital.

Non-formulary Medication

Medications not approved by the P&T Committee and not listed in the hospital formulary.

Beyond Use Date

A new expiry date given to a compounded medication other than its original package expiry date.

Medical Samples

Non-for-sale and non-priced items donated to the hospital, including medications, cosmetics, ready-to-feed liquid milk, etc. Sample medication should not be used under any circumstances.

Restricted Medications

A medication for which the (P&T) committee has imposed certain limitations for prescription and use, based on patient's condition, physician specialty, a specific location for use, and indication.

Tapering Dose

Dose decreased by a specified amount each interval.

Titration Order

Dose adjusted based on patient status with upper/lower limits.

Range Order

Dose varies over a prescribed range.

Verbal Order

Accepted by a pharmacist or nurse in an emergency.

Telephone Order

Accepted by a pharmacist or nurse during an emergency or when the patient's condition doesn't require physician's presence

Off-labelled Use of Formulary Medication

Use of a formulary drug outside of FDA/SFDA-approved doses, populations, indications, or routes.

Medication Reconciliation

Comparing a patient's medication order to all medications the patient has been taking, to avoid errors such as omissions, duplications, dosing errors, or drug interactions.

Automatic Stop Orders (ASO)

Standing order to discontinue medication after a specified number of doses or days, unless renewed by the physician to ensure that orders for potent drugs are reviewed in a timely fashion.

Unit Dose System

A pharmacy-coordinated method for dispensing and controlling medications in healthcare settings where medications are in single-unit packages, ready to administer.

SMAT (Standard Medication Administration Time)

The exact time assigned to give a scheduled medicine

Adverse Drug Events (ADE)

Any medication error, potential adverse drug event, or adverse drug reaction (non-injury event).

Medication error

Any preventable event that may cause / lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional or patient.

Adverse drug reaction (ADR)

An unintended physical reaction to a drug when used as approved.

High Alert Medications (HAM)

Heightened risk of significant patient harm if used incorrectly.

Look Alike Sound Alike Medications

Medications that are visually similar in physical appearance or packaging and names of medications that have spelling similarities and/or similar phonetics.

HAZARDOUS MEDICATIONS

NIOSH considers a drug hazardous if it exhibits characteristics such as carcinogenicity, teratogenicity toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, or if its structure and toxicity profile resemble existing hazardous drugs.

Patient's Own Medication (POM)

Medication given to a family member or friend to take home or removed from the patient's possession for safekeeping. Patient self-administration of medications is not allowed.