PTCE Patient safety and Quality Assurance

Medication Error

any preventable event that may lead to inappropriate medication use or patient harm

Adverse Drug Event (ADE)

harm experienced by a patient that results from exposure to a medication

Leading zero

omitting can lead to patients receiving higher dosages

Trailing zeros

using can cause patient to recive higher dosages than usual

Error prone abbreviations

IU and IV

QD Q.D. and QID

MgSO4 and morphine sulfate
SS and 55

First set of number in an NDC code

Drug manufacterer

Second set of numbers in an NDC

identifies the drug

third set of numbers in an NDC

package size

7 rights of medication administration

right patient
right medication
right dose
right route
right time
right indication
right documentation

REMS

Risk Evaluation and Mitigation Strategies

Medwatch

to report adverse events or sentinel events that are observed in human medical products

FDA Adverse Event Reporting System (FAERS)

Database that contains information on adverse event and medication error reports submitted to the FDA

Vaccine Adverse Reporting System (VAERS)

Used to collect and analyze data from adverse events after vaccination co sponsored by the FDA and CDC

MEDMARX

online error reporting program designed for hospitals and health systems, overseen by usp