Deck 14: Medication Safety and Error Prevention

Question 1

What changes have been made to pediatric OTC dosing?

A)Pictograms
B)Use of plain language
C)Multicultural labels
D)Both A and B

Answer 1

D
Pictograms and the use of plain language have been shown to decrease the possibility of parents dosing their children inappropriately.

Question 2

The most common IV medication(s)involved in overdosing is (are):

A)Insulin
B)Heparin
C)KCl
D)All of the above

Answer 2

D
There have been several cases of heparin and insulin overdoses.Heparin is of great concern because it is common to flush IV lines with Hep-Lok solutions,which may be confused with the similarly sized vials of much more concentrated heparin solutions.Potassium chloride solutions are also problematic.There have been several cases of patients dying from being given concentrated KCl injections by personnel who misunderstood the labeling.

Question 3

Sound-alike and look-alike drugs should be kept in different areas of the pharmacy or labeled with Name Alert stickers.

Answer 3

True
Drug companies have been urged to make several changes in their labeling of any type of medication that can be confusing or misinterpreted.One of these changes includes placing Name Alert stickers on the bins holding problematic sound-alike or look-alike drugs or stocking these drugs in different areas of the pharmacy to reduce the possibility of pulling the wrong drug.

Question 4

Which of the following contribute to medication errors?

A)Look-alike drugs
B)Illegible handwriting
C)Excessive workload
D)All of the above

Question 5

All errors can be avoided through proper education and training.

Question 6

The most important factor in drug error prevention is:

A)Automated systems
B)Reporting drug errors
C)Medical intervention
D)Reporting and education of drug errors

Question 7

Many errors can be prevented with the use of automated dispensing systems.

Question 8

Seniors have fewer interactions with medications than younger patients.

Question 9

Only pharmacists can load ADS machines with medications.

Question 10

Studies reported by IOM "indicate that 400,000 preventable drug-related injuries occur each year in hospitals."

Question 11

The FDA is the only reporting organization that tracks drug errors.

Question 12

Physician's handwriting has long been known for its difficulty to read and has resulted in many medication errors over the years.

Question 13

Many technicians have relied on the pharmacist to catch mistakes that might have occurred.What is wrong with this common practice?

A)Pharmacists are solely responsible for the technician's actions.
B)Pharmacists miss or make mistakes under certain circumstances, just like technicians.
C)Pharmacy technicians are on the front lines and should be protected by the pharmacist.
D)Technicians need more supervision.

Question 14

A diabetic patient is ordered cefazolin in D₅W IV q8h.What possible problem may exist with this order?

A)A diabetic patient cannot be given cefazolin because of a possible drug interaction.
B)Cefazolin can only be given SubQ.
C)The dose should only be given q12h.
D)D₅W may be the wrong solution because the patient has diabetes.

Question 15

An error is any type of preventable mistake that is made,intentional or unintentional,whether or not it causes harm.Which of the following drug errors would not cause harm to the patient?

A)A patient receives an otic medication for the eye.
B)A patient is given 100 mg of a medication and the prescription called for 10 mg.
C)An antibiotic was discontinued by the physician, but an additional dose was given to the patient after discontinuation.
D)A patient allergic to sulfa drugs was given Bactrim.

Question 16

Bar codes list the drug's expiration date,lot number,and amount of drug per container.

Question 17

The organization that accredits pharmacy technician schools is:

A)The Joint Commission
B)PTCB
C)ASHP
D)PTEC

Question 18

Of the reasons listed below,which one is NOT related to errors?

A)Medication names that sound alike
B)Stress and noise levels
C)Orders arriving from different sources
D)Multi-tasking

Question 19

Patients themselves cause many drug errors when taking their own medications at home.Which of the following is NOT an error commonly made at home?

A)Improper technique of administration
B)Wrong amount
C)Wrong time
D)Monitoring error

Question 20

Black Box Warnings are printed on all medications.

Question 21

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
Founded by the USP,this is an independent council of more than 25 organizations gathered to address interdisciplinary causes of medication errors and strategies for prevention

Question 22

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
Association of pharmacists,pharmacy students,and technicians practicing in hospitals and health care systems,including home health care

Question 23

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
U.S.organization whose mission is to assist the profession of pharmacy in preparing high-quality well-trained technical personnel through education and practical training. Promotes the profession of pharmacy through professional activities and dissemination of information and knowledge to members,pharmacy organizations,and other specialists and professions

Question 24

Home health insurance coverage does NOT typically include:

A)Home IV supplies
B)Medications
C)Nurses' visits
D)Physicians' visits

Question 25

Why are more patients being discharged home to administer medications to themselves or with the help of visiting nurses?

A)The home infusion industry has grown to an $11 billion dollar industry annually.
B)Patients would rather treat themselves at home.
C)Hospitals and nursing homes are becoming severely overcrowded.
D)This is due to the rising costs associated with hospital stays.

Question 26

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
Independent organization that strives to ensure the quality,safety,and benefit of medicine and dietary supplements by setting standards and certification processes

Question 27

Drug errors can be reported to:

A)MedWatch
B)USP
C)TJC
D)PTEC

Question 28

How often should a technician check the prescription during the filling process?

A)Three times
B)Twice
C)Only if something looks unclear
D)As many times as needed

Question 29

Which of the following abbreviations should NOT be used according to ISMP?

A)Tid
B)mg
C)IV
D)Sl

Question 30

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
A nonprofit organization devoted entirely to safe medication use and the prevention of medication errors.Gathers information on drug errors and suggests new safer standards to avoid such errors

Question 31

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
A nonprofit organization working towards the improvement of health care by promoting promising concepts through safety,efficiency,and other patient-centered goals

Question 32

Match the descriptions with the correct organization.
a.PTCB
e.IHI
b.ISMP
f.USP
c.NCC MERP
g.PTEC
d.ASHP
Offers national certification for pharmacy technician in the United States