MEDICATION ERRORS: Improving Practices and Patient Safety

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Questions

Question 1

What is the primary goal of the shift in addressing medication errors, as promoted by the Institute of Medicine (IOM)?

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Question 2

According to the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP), what is the definition of a medication error?

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Question 3

What is the primary characteristic of medications termed 'high-alert medications'?

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Question 4

What is the purpose of using 'tall man' letters in drug names, such as acetoHEXAMIDE versus acetaZOLAMIDE?

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Question 5

Which practice regarding decimal numbers in medication orders is a known cause of massive, ten-fold overdoses?

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Question 6

The Latin abbreviation 'QOD' has been frequently misinterpreted, leading to medication errors. What was it often mistaken for?

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Question 7

What is a primary prevention strategy a nurse should implement when taking a verbal medication order?

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Question 8

What is a key reason for conducting patient education about medications?

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Question 9

What action is required by a second practitioner when checking high-alert medications?

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Question 10

What type of system-level strategy helps reduce prescribing errors by linking orders to patient-specific data?

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Question 11

Which of the following drugs is listed in Table 1 as a High Alert Medication?

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Question 12

According to Table 2, what is the recommended practice for the abbreviation 'MS' or 'MSO4'?

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Question 13

What is the correct interpretation and recommended action for an order that includes a zero AFTER a decimal point, such as '1.0 mg'?

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Question 14

What does the abbreviation 'HCTZ' often get mistaken for, according to Table 2?

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Question 15

The use of apothecary measures such as grains and drams is discouraged because they are poorly understood and easily confused with what?

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Question 16

A poorly handwritten order for '10 u' of insulin is a common source of error. What is it frequently misread as?

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Question 17

According to the text, which of the following is an example of a 'poor drug distribution practice'?

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Question 18

What is one of the main problems associated with drug delivery systems like infusion pumps that can lead to errors?

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Question 19

If a medication dose ordered requires the use of multiple dosage units (e.g., more than 3 tablets), what is a recommended prevention strategy?

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Question 20

What is the key principle behind cultivating a culture that looks for 'root causes' of medication errors?

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Question 21

Which drug is NOT listed as a high-alert medication in Table 1?

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Question 22

According to Table 2, what is the intended meaning of the abbreviation 'o.d. or OD'?

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Question 23

In Table 2, what is the recommendation for the symbol '@'?

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Question 24

What is the primary danger of having a drug name and dose run together in an order, such as 'Inderal40 mg'?

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Question 25

Why should nurses be cautious about the printing on medication packaging, such as vials and ampules?

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Question 26

Which of the following represents a failed communication error due to similar-sounding names?

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Question 27

What is the primary risk associated with using an incomplete medication order?

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Question 28

The United States Pharmacopeia (USP) has identified how many 'sound-alike, look-alike' drugs?

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Question 29

What is the recommended prevention strategy when a nurse receives an order that is not clearly legible?

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Question 30

Why is borrowing medication from another patient's supply a dangerous practice?

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Question 31

What is the recommended practice for abbreviations such as q.d., QD, q.o.d., and QOD?

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Question 32

Which of the following is an example of a human factor that contributes to medication errors?

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Question 33

The 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?

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Question 34

According to Table 2, what is the problem with using 'cc' for cubic centimeters?

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Question 35

What is the recommended safe practice for the abbreviation 'D/C'?

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Question 36

What is a major source of dose miscalculation errors?

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Question 37

What is the recommended action if a nurse must transcribe a clerk's transcription of a medication order?

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Question 38

What is the danger associated with the abbreviation 'TIW'?

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Question 39

Which drug from Table 1, a chemotherapeutic agent, is listed as a high-alert medication?

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Question 40

What is the recommended way to administer a dose of 'point one mg' to avoid errors?

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Question 41

What type of error is associated with misidentifying a patient or using an incorrect route of administration?

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Question 42

What is the primary reason to provide standard concentrations and infusion rate tables for high-alert medications?

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Question 43

According to Table 2, what is the abbreviation for Zidovudine and what drug is it commonly mistaken for?

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Question 44

What is the danger of using the abbreviation 'HS' or 'hs'?

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Question 45

When a massive overdose has been administered due to misreading a label, what is a common cause of the error?

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Question 46

Which organizational group, along with the IOM and USP, called for the redesign of error-prone systems?

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Question 47

What is the recommended final step a nurse should take after writing down a verbal order?

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Question 48

According to Table 2, what is the risk of using a slash mark (/) in a medication order?

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Question 49

The drug chloral hydrate, listed in Table 1, is an example of what class of high-alert medication?

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Question 50

What is the recommended safe practice regarding the abbreviation 'IU' for International Units?

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