Guidelines for Medication Safety
Institute for Safe Medication Practices (ISMP)
The Joint Commission
MMWR Guideline for Hand Hygiene
What is a medication error?
Any preventable error that may cause or lead to inappropriate medication use or patient harm while the medication is in the con...
NAPLEX: Medication Safety
Questions and answers
Guidelines for Medication Safety - answer Institute for Safe
Medication Practices (ISMP)
The Joint Commission
MMWR Guideline for Hand Hygiene
What is a medication error? - answer Any preventable error that
may cause or lead to inappropriate medication use or patient harm
while the medication is in the control of the healthcare professional
What is an adverse drug reaction - answer Generally not avoidable
Sentinel event - answer Unexpected occurrence involving death or
serious physical or psychological injury, or risk thereof
Error investigations need to occur - answer Within 48 hours of the
incident
*States may mandate errors are to be reported to patient and
prescriber
, The hospital's ____________ and ___________ must be informed of the
error - answer P&T
Medication Safety Committee
Medication Errors Reporting Program (MERP) - answer ISMP's
confidential national voluntary reporting program that provides
expert analysis of the system
Root cause analysis - answer Retrospective investigation of an
event that has already occurred including sequence of events
Repetitive process
Continuous quality improvement (CQI) tool
Failure mode and effects analysis (FMEA) - answer Prospective to
reduce the frequency and consequences of errors
Evaluate the potential for failures
National patient safety goals (NPSGs) are set - answer Annually by
TJC and include Elements of performance that must be met
NPSG 03.05.01 (anticoagulation) - answer Programmable pumps for
heparin
Education to patients and families
Dosing protocols (baseline INR)
NPSG 07.03-05.01 (Evidence based) - answer Prevent HC-associated
infections with multidrug-resistant organisms
Ex. catheter limiting use and duration
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