standard operating procedures
-is a protocol which details how a certain procedure should be carried out every time it is performed.
failure to separate sound-alike-look alike drugs, failure to check drug against the label and actual prescription
What are the two most common explanations for wrong drug dispensing errors?
ergonomics
-the study of all the factors that make it easier to do the work in the right way
or
-the interaction between humans and the system in which they work
non-technical skills
__________ has been shown to reduce errors in several industries.
drug utilization review
-Authorized, structured, ongoing review of prescribing, dispensing and use of medication
b
Which type of DUR deals with the evaluation of a patient's drug before the medication is dispensed?
a) retrospective
b) prospective
c) concurrent
c
Which type of DUR is an ongoing monitoring of drug therapy during the course of the treatment?
a) retrospective
b) prospective
c) concurrent
a
Which type of DUR is a review of drug therapy after the patient has received the medication?
a) retrospective
b) prospective
c) concurrent
prospective DUR; OBRA 90
Third party payers must do __________; this is mandated by __________ federal law for Medicaid.
high dose, drug interaction, excessive utilization
What are some reasons a prospective DUR may need to be done?
ISMP; put it in a bag
What organization changed how we administer intravenous Vincristine? How do we administer/store it now?
inverse
There is an _________ relationship between low concentration & low dose.
can result in overdoses & cross contamination
Why do we avoid using multi-dose vials in the operating room?