UPDATED Exam Questions and CORRECT
Answers
Prior to automation of pharmacy systems in healthcare, where did medication errors occur? -
CORRECT ANSWER - there was little automation in healthcare & orders were handwritten
Out of the following 4 medication errors, which 2 had the biggest percentage of error?
a. Prescribing
b. Transcribing
c. Dispensing
d. Administering - CORRECT ANSWER -A&D
What is the Swiss Cheese Model of Accident Causation - CORRECT ANSWER - a simple
model used in the risk analysis of human systems in health care
each hole is a potential process failure point
Barcode med admin is an integral part of which med safety system? - CORRECT ANSWER -
Closed-loop medication managment process
What was the "traditional" medication order process? - CORRECT ANSWER - Physician -->
Unit Secretary --> Pharmacy --> Nurse
What closes the loop in closed loop med management? - CORRECT ANSWER - the checks
and balances
The traditional system had 24 individual steps bu the closed loop medication management
process has reduced the number to how many? - CORRECT ANSWER - 8 steps
, Paper medication administration records had the Nurses transcribe the information but what was
necessary to initial or yellow out and when? - CORRECT ANSWER - -Initialed upon
administration (but they never knew exact time of admin)
-Yellowed out upon discontinuation
True or False:
The paper MAR could be inconsistent with the information available in the pharmacy
administration system. - CORRECT ANSWER - True
What is an advantage of the eMAR? - CORRECT ANSWER - - It is available on computer,
tablet, workstation, or PDA - all the form factors
-Is always current, never out of sync
-Can be viewed concurrently
-Captures exact time of admin
-Provides clinical support & supplemental info to the user
Does the eMAR require a barcode medication administration? - CORRECT ANSWER - No
but it is a missed opportunity for a final fail safe
the hospital may implement eMAR and then the barcode element later
What would a successful eMAR and barcode implementation require? - CORRECT
ANSWER - -A database to validate all the data
-Associate NDCs w/ particular meds & dosages