Medication errors have been a highlighted safety issue targeted by The Joint Commission (TJC) due to an estimated 7 million patients being affected annually at a cost of $21 billion (Da Silva & Krishnamurthy, 2016; Donaldson et al., 2000). Further, medication errors cause 7,000 U.S. deaths annually (Da Silva & Krishnamurthy, 2016; Donaldson et al., 2000). Medication errors occur for multiple reasons and are usually not due to the faulty judgment of a single person. Instead, they often indicate a system that is flawed and cannot adequately detect mistakes.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Florida Board of Pharmacy (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Key Elements in Medication Errors
Defining the Problem
Medication-Use Process
What Is a Medication Error?
What Is an Adverse Drug Reaction?
What Is a Side Effect?
What Is an Adverse Drug Event?
What Is a Medication Misadventure?
What Is a Sentinel Event?
Emily’s Story
Section 3: Preventing Medication Errors
Types of Medication Errors
NCCMERP Categories and Definitions
Risk Factors for Medication Errors
Reporting Responsibility
Preventing Medication Errors at the Level of the Pharmacy
Systems-Based Approaches to Medication Safety
Error Prevention: Strategies for Improving Patient Safety
Root Cause Analysis (RCA)
Failure Modes and Effects Analysis (FMEA)
High-Risk Entities in Medication Errors
Section 4: Clinical Vignette
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Robert graduated from The University of Texas College of Pharmacy in 2014 and has worked with both pediatric and adult populations in outpatient and inpatient settings. He currently works as a clinical support pharmacist at a federally qualified health care center in Houston Texas focusing on chronic disease state management and HIV and Hepatitis C care. Disclosure: Robert Smith, PharmD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments. Disclosure: Kimberly Workman, MA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee Relevant Non-Financial Relationship with No Entities Exists as a Contributor
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