Adverse Drug event, med error reporting, and ethical issues Flashcards
What ADEs should be reported
Serious ADEs defined by the FDA as type A or B reactions where the outcome is: death, life threatening event, hospitalization, diability, congenital anomaly, medical or surgical intervention to prevent permanent damage, ADEs related to newly released agents
how are ADEs reported
online: accessdata.fda.gov
mail postage paid MedWatch reporting form
call
fax
medication error definition
any preventable event that may cause or lead to inappropriate med use or pt harm while the med is in control of the health care professional, pt, or consumer
prescribing, order communication, product labeling, compounding, dispensing, distribution, admin, education, monitoring, use
types of medical errors
dgx
treatment
preventive
other (failure to comm, equipment failure, other system failure)
where do errors occur
ordering
administration
transcription
dispensing
high hazard medications
benzos calcium chemotherapeutics heparin insulin lidocaine magnesium sulfate opiate narcotics potassium chloride
2 approaches to looking at errors
person approac: focus on errors of the individual
systems approach: concentrates on working conditions and tries to build defenses to avoid future errors
