MEDICATION RELATED PROBLEMS.

33問 • 2年前

Quinn Karylle Fuentes

通報

問題一覧

No error, capacity to cause error

Category A.

Error that did not reach the patient

Category B.

Error that reach the patient but unlikely to cause harm (omissions considered to reach patient)

Category C.

Error that reached the patient & could have necessitated monitoring and or intervention to preclude harm

Category D.

Multivitamins was not ordered on admission

Category C.

Regular release metoprolol was ordered to patient instead of extended-release

Category D.

Error that could have caused temporary harm - Needs treatment or intervention

Category E.

Antihypertensive as inadvertently omitted from the orders.

Category E.

Error that could have cause temporary harm requiring initial prolonged hospitalization

Category F.

Anticoagulant such as warfarin was ordered daily when the patient takes it every other day

Category F.

Error that could have resulted into permanent harm

Category G.

Immunosupressant medication was unintentionally ordered at ¼ of the dose

Category G.

Error that could have necessitated intervention to sustain life

Category H.

Anticonvulsant therapy was inadvertently omitted

Category H.

Error that could have resulted in death

Category I.

Beta blocker was not re-ordered post-operatively.

Category I.

This allows the person who commits the error or the person who discover the error to report it without being associated with the error.

Anonymous self reports.

This is the official written legal reports of a medication error as documented by the hospital staff.

Incident reports.

This results to underreporting of the errors due to punitive action that might occur due to the report

Incident reports.

This involves in depth analysis of a large number of individual errors or the purpose of identifying a common cause.

Critical incident techniques.

it involves an observer accompanying the person who will give the medication and witnessing the administration of each dose.

Distinguished observation.

obtained directly from patient given by the patient, family members or significant others or caregivers typically cannot be directly measure.

Subjective.

Measurable and not influenced by memory, emotions, or prejudice

Objective.

outlines what the practitioner thinks the patient’s problem is, based upon the subjective and objective information acquired

Assessment.

Involves the action that needs to be taken to resolve any problems that have been identified

Plan.

includes initiating, revising, or discontinuing treatment or ordering additional diagnostic tests.

Plan.

It outlines the drug, dose, dosage form, schedule, route of ad- ministration, and duration of therapy should be included

Plan.

clearly state the nature of the drug-related problem(s) à types of medication-related problems. This will include medical information both subjective and objective findings that indicate a drug-related problem

Findings.

includes the pharmacist’s evaluation of the current situation (i.e., the nature, extent, type, and clinical significance of the problem). This part of the note should delineate the thought process that led to the conclusion that a problem did or did not exist and that an active intervention either was or was not.

Assessment.

this should reflect the actions proposed (or already performed) to resolve the drug-related problem based upon the preceding analysis

Resolution.

include questioning the patient, gathering laboratory data, and performing the ongoing physical assessments necessary to determine the effectiveness of the plan implemented to assure that it results in an optimal outcome for the patient.