MEDICATION ERRORS: Improving Practices and Patient Safety
50 questions available
Questions
What is the primary goal of the shift in addressing medication errors, as promoted by the Institute of Medicine (IOM)?
View answer and explanationAccording to the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP), what is the definition of a medication error?
View answer and explanationWhat is the primary characteristic of medications termed 'high-alert medications'?
View answer and explanationWhat is the purpose of using 'tall man' letters in drug names, such as acetoHEXAMIDE versus acetaZOLAMIDE?
View answer and explanationWhich practice regarding decimal numbers in medication orders is a known cause of massive, ten-fold overdoses?
View answer and explanationThe Latin abbreviation 'QOD' has been frequently misinterpreted, leading to medication errors. What was it often mistaken for?
View answer and explanationWhat is a primary prevention strategy a nurse should implement when taking a verbal medication order?
View answer and explanationWhat is a key reason for conducting patient education about medications?
View answer and explanationWhat action is required by a second practitioner when checking high-alert medications?
View answer and explanationWhat type of system-level strategy helps reduce prescribing errors by linking orders to patient-specific data?
View answer and explanationWhich of the following drugs is listed in Table 1 as a High Alert Medication?
View answer and explanationAccording to Table 2, what is the recommended practice for the abbreviation 'MS' or 'MSO4'?
View answer and explanationWhat is the correct interpretation and recommended action for an order that includes a zero AFTER a decimal point, such as '1.0 mg'?
View answer and explanationWhat does the abbreviation 'HCTZ' often get mistaken for, according to Table 2?
View answer and explanationThe use of apothecary measures such as grains and drams is discouraged because they are poorly understood and easily confused with what?
View answer and explanationA poorly handwritten order for '10 u' of insulin is a common source of error. What is it frequently misread as?
View answer and explanationAccording to the text, which of the following is an example of a 'poor drug distribution practice'?
View answer and explanationWhat is one of the main problems associated with drug delivery systems like infusion pumps that can lead to errors?
View answer and explanationIf a medication dose ordered requires the use of multiple dosage units (e.g., more than 3 tablets), what is a recommended prevention strategy?
View answer and explanationWhat is the key principle behind cultivating a culture that looks for 'root causes' of medication errors?
View answer and explanationWhich drug is NOT listed as a high-alert medication in Table 1?
View answer and explanationAccording to Table 2, what is the intended meaning of the abbreviation 'o.d. or OD'?
View answer and explanationIn Table 2, what is the recommendation for the symbol '@'?
View answer and explanationWhat is the primary danger of having a drug name and dose run together in an order, such as 'Inderal40 mg'?
View answer and explanationWhy should nurses be cautious about the printing on medication packaging, such as vials and ampules?
View answer and explanationWhich of the following represents a failed communication error due to similar-sounding names?
View answer and explanationWhat is the primary risk associated with using an incomplete medication order?
View answer and explanationThe United States Pharmacopeia (USP) has identified how many 'sound-alike, look-alike' drugs?
View answer and explanationWhat is the recommended prevention strategy when a nurse receives an order that is not clearly legible?
View answer and explanationWhy is borrowing medication from another patient's supply a dangerous practice?
View answer and explanationWhat is the recommended practice for abbreviations such as q.d., QD, q.o.d., and QOD?
View answer and explanationWhich of the following is an example of a human factor that contributes to medication errors?
View answer and explanationThe Joint Commission (TJC) monitors the use of several frequently prescribed high-alert medications. Which of the following is NOT on that specific list mentioned in the text?
View answer and explanationAccording to Table 2, what is the problem with using 'cc' for cubic centimeters?
View answer and explanationWhat is the recommended safe practice for the abbreviation 'D/C'?
View answer and explanationWhat is a major source of dose miscalculation errors?
View answer and explanationWhat is the recommended action if a nurse must transcribe a clerk's transcription of a medication order?
View answer and explanationWhat is the danger associated with the abbreviation 'TIW'?
View answer and explanationWhich drug from Table 1, a chemotherapeutic agent, is listed as a high-alert medication?
View answer and explanationWhat is the recommended way to administer a dose of 'point one mg' to avoid errors?
View answer and explanationWhat type of error is associated with misidentifying a patient or using an incorrect route of administration?
View answer and explanationWhat is the primary reason to provide standard concentrations and infusion rate tables for high-alert medications?
View answer and explanationAccording to Table 2, what is the abbreviation for Zidovudine and what drug is it commonly mistaken for?
View answer and explanationWhat is the danger of using the abbreviation 'HS' or 'hs'?
View answer and explanationWhen a massive overdose has been administered due to misreading a label, what is a common cause of the error?
View answer and explanationWhich organizational group, along with the IOM and USP, called for the redesign of error-prone systems?
View answer and explanationWhat is the recommended final step a nurse should take after writing down a verbal order?
View answer and explanationAccording to Table 2, what is the risk of using a slash mark (/) in a medication order?
View answer and explanationThe drug chloral hydrate, listed in Table 1, is an example of what class of high-alert medication?
View answer and explanationWhat is the recommended safe practice regarding the abbreviation 'IU' for International Units?
View answer and explanation