Naplex Chapter 8 Med Errors, Sagety, And Jc

Front 1

what is a RCA

Back 1

root cause analysis- it is a retrospective investigation of an event that has already occurred

info will be used to make changes in the system to prevent future errors

Front 2

define sentinel event

Back 2

unexpected occurrence involving death or serious physical or psychological injury

Front 3

RCA is an example of what kind of tool

Back 3

CQI-continuous quality improvement

RCA is a repetitive process

Front 4

what is a proactive method for determining med errors

Back 4

FMEA- failure mode and effects anaylsis

done sometimes when a new med is added to formulary

Front 5

define an error of omission

Back 5

leaving something out for safety- missed instructions or a dosing syringe

Front 6

define an example of commission

Back 6

prescribing Bactrim when a pt is allergic to sulfa

or pt with renal fxn imparement receiving vanc 1 g iv q 8H

Front 7

a hospital med error should be reported to who

Back 7

P&T committee and medication safety committee

Front 8

what is the MERP

Back 8

ISMP's medication error reporting program

voluntary reporting program gathers data and disseminates reasons for med errors

you can report med errors AND close calls here

Front 9

medguides are

Back 9

FDA approved patient handouts and considered part of the med labeling

Front 10

what is considered most important error reducing tool

Back 10

bar coding

Front 11

___________ is considered unsafe and causes many medical errors

Back 11

abbreviations

Front 12

who provides a list of error prone abbreviations

Back 12

ISMP

Front 13

measurements should all be in what system?

Back 13

metric

Front 14

TJC requires that standard order sets be used for all.....

Back 14

antithrombotics

Front 15

whats a PCA

Back 15

patient controlled analgesic

allows pt to treat pain quickly and provides good pain control

often given with anti-emetics and anti-histamines

Front 16

who can administer a PCA

Back 16

the patient

family members and friends should NOT, this is a JC requirement

Front 17

before the medication can be removed from the ADC (automated dispensing cabinet) what must occur

Back 17

the order must be reviewed by the pharmacist, per the joint commission....except in certain circumstances

Front 18

how to limit UTI's in the hospital

Back 18

remove the catheter as soon as possible

Front 19

which type of hand hygiene is considered more effective in healthcare setting

Back 19

alcohol based hand rubs

more than soap and antimicrobial soap

Front 20

alcohol based hand rubs are not effective against

Back 20

c. diff and spore forming organisms- norovirus

Front 21

T or F
Single dose vials are preferred over multiple dose vials

Back 21

T

less likely to spread infxn from used needles

Front 22

define laminar flow

Back 22

air is moving in an uninterrupted constant stream

the air then moves through a HEPA (high efficiency particulate air) filter

Front 23

heap filters remove what size of particulates

Back 23

0.3 mm or larger

Front 24

name some of the JC recommendations to reduce health-care associated infxns

Back 24

1) assess catheter use-to remove ASAP
2) Elevate head 30-45 degrees
3) Assess readiness to wean off ventilator daily
4) use reductions in sedation
5) DVT prophylaxis
6) stress ulcer prophylaxis