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8 Cards in this Set

  • Front
  • Back
Safety stats
in 1998 IOM reports that approx. 98K people die in hospitals each year as a result of medical errors.
Error prone system
Prescribing
Transcribing
Dispensing
Preparing
Administering
Evaluating & Monitoring
Medication Safety
26% - 33% of medication errors during administration - nurses administer most medications.
ISMP 10 key elements w/ the greatest impact on medication errors
1. Patient information
2. Drug information
3. Adequate communication
4. Drug packaging, labeling & nomenclature
5. Medication storage, stock, standardization, distribution
6. Drug device acquisition, use and monitoring
7. Environmental factors
8. Staff Education
9. Patient Education
10. Quality Processes and Risk Mgmt.
SBAR Communication technique
- Situation
- Background
- Assessment
- Recommendations
Tall man lettering
ie: oxyCODONE
cefTRIAXONE
How can you prevent a medication error
Right Patient, Right Drug
Right dose, Right Route
Right time, Right reason for the drug
Right Documentation
Right to refuse medication
Right evaluation and monitoring
How can you prevent a medication error, cont'd
Don't work around safety systems
Ask a colleague to double check meds
Assess patient for allergies before giving a new med.
Be alert
Always follow your institution's policies and procedures