Ch. 15

By definition, some medication errors can be prevented, and others cannot.

False

Which of the following is true regarding quantifying medication events?

Underreporting

Which of the following is incorrect regarding victims of medical error?

Criminal prosecution

A patient presents with a migraine and is prescribed sumatriptan 6 mg subcutaneously x 1, but it is administered intravenously. What category of medication error has occurred?

Wrong route

A patient's Effexor XR prescription was mistakenly filled with immediate-release venlafaxine tablets. This medication error would be considered which type?

Wrong dosage form

During an immunization clinic inventory check, the liquid DTaP-IPV component was administered without being used to reconstitute the ActHIB component. What category best fits?

Omission error

Omission errors are less likely to result in negative outcomes than improper dose errors, because the patient is not receiving a harmful dose.

False

Most medication errors can be tracked back to a single faulty act by an individual.

False

Experienced pharmacy technicians are less likely to make calculation errors than technicians-in-training.

False

Which of the following is least likely to lead to a wrong dose error?

10 mg

Which of the following actions might increase the likelihood of a medication error?

Phoned-in order

The term high-alert medication is defined as a medication that ______.

Higher harm-risk

All of the following can contribute to prescribing errors, except

Allergies/weight included

The purpose of tall man lettering in drug names is to ______.

Distinguish names

Which of the following statements is true regarding the practice of color-coding drug product packaging and its relationship to medication errors?

Unsafe practice

All of the following increase safety in the workplace, except

Criticizing coworker

Which type of evaluation is used to predict the likelihood and severity of potential errors?

FMEA

All of the following pair a high-alert medication or class with an appropriate risk-reduction strategy, except

Ceftriaxone/floor prep

Which of the following error prevention strategies might be useful in distinguishing between two drug products available in similar packaging?

All strategies

Which of the risk-reduction strategies listed in question 19 has the highest potential to prevent an error from harming a patient?

Combined strategies

All of the following pair a risk-reduction strategy with an example of that strategy, except

"Be more careful"

A prescriber calls in a new prescription; the pharmacist writes it down, reads it back, and the prescriber confirms it was communicated correctly. The safety strategy used is called ______.

3-way repeat-back

A patient calls in a refill 12 days after her 30-day Eliquis prescription was filled. What should the pharmacy technician do first?

Tell pharmacist

An order is received for a 2-year-old for "acetaminophen 5 mL PO prn." What additional information will have the greatest impact in reducing the risk of an error?

Weight & concentration

While preparing IV Piggyback antibiotic orders for two patients with similar names, ways to reduce the risk of making an error include

All measures

A technician notices hydrOXYzine 10 mg and 100 mg tablets mixed in the same storage bin. What can the technician do to create a safer environment?

Separate bins

A technician compounding an IV preparation notices the calcium gluconate injection looks slightly cloudy. What should the technician do?

Notify pharmacist

A pharmacy technician notices the carvedilol tablets are almost gone with no restock available. What is the next action she can take to reduce the chance of a medication error?

Notify pharmacist/purchasing

All of the following are true regarding event reporting, except

Harm-only reporting

Which of the following describes the four steps of the PDSA cycle?

Plan, Do, Study, Act