Workplace Organization & Error Reduction

Why are cleanliness and organization important in pharmacy work areas?

They minimize stress and reduce errors.

When should pharmacy work areas be cleaned?

At the beginning, during, and end of each shift.

How should counting trays be cleaned?

With 70% isopropyl alcohol, especially after penicillin and sulfa drugs.

Why do sulfa-containing drugs need special handling?

To prevent cross-contamination; even trace amounts can cause severe allergic reactions.

Why should automated counting machines be avoided with sulfa drugs?

Because trace contamination may trigger allergic reactions.

What is the purpose of Root Cause Analysis (RCA)?

To investigate the underlying cause of errors.

What does Root Cause Analysis (RCA) focus on?

Improving systems and processes, not blaming individuals.

What is Continuous Quality Improvement (CQI)?

Regular review and improvement of medication safety processes

How often are CQI meetings held and who attends?

Monthly; key members of the pharmacy team.

Why is communication important in error prevention?

It ensures quick resolution, prevents recurrence, and maintains patient safety.

Why should errors be discussed privately?

To maintain confidentiality and focus on patient safety.

What discreet phrase can signal an urgent issue without alarming others?

“I have an urgent matter to discuss with you.”

Why is documenting errors and near misses important?

Tracks trends, identifies recurring issues, and prevents recurrence.

What program tracks and reports medication errors through ISMP?

Medication Error Reporting Program

What program tracks and reports adverse events through the FDA?

Adverse Event Reporting System