NAPLEX: Medication Safety Exam Questions With Correct 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 Response to Medication errors - ANSWER-Internal notification External reporting Disclosure Investigation Improvement 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 03.06.01 (Medication information) - ANSWER-Medication reconciliation and conducting discharge counseling NPSG 07.03-05.01 (Evidence based) - ANSWER-Prevent HC-associated infections with multidrug-resistant organisms Ex. catheter limiting use and duration NPSG 01.01.01 - ANSWER-Two patient identifiers NPSG 02.03.01 - ANSWER-Critical results in timely basis NPSG 03.04.01 - ANSWER-Label all medication, containers and other solutions NPSG 07.01.01 - ANSWER-CDC hand hygiene guidelines Do not use abbreviations - ANSWER-U, u IU QD, QOD Trailing zero, leading zero MS MSO4, MgSO4 Examples of high-alert drugs - ANSWER-Insulin, oral hypoglycemic, anticoagulants, concentrated electrolytes, antiarrhythmics, anesthetics, chemo, opioids, inotropic meds and epideral/ intrathecal medications High alert medications can be used more safely by - ANSWER-Developing protocols or order sets for use Use premixed products Limiting concentrations Stocking high-alert products only in the pharmacy Comprehensive Medication Review - ANSWER-Process of medication therapy management where a personal medication record is prepared, and a medication-related action plan is developed Patients targetd for MTM includ - ANSWER-Multiple chronic conditions Taking multiple drugs Pts likely to incur annual costs that exceed a predetermined level