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Quiz About Medication Errors Medication Safety Thermometer Event Thursday 23 rd January 2014.

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Presentation on theme: "Quiz About Medication Errors Medication Safety Thermometer Event Thursday 23 rd January 2014."— Presentation transcript:

1 Quiz About Medication Errors Medication Safety Thermometer Event Thursday 23 rd January 2014

2 1. In their fourth report, how much did the NPSA estimate is spent on medication errors in the NHS yearly?  A) £75 million  B) £750 million  C) £1.2 billion  D) £80 million

3 2. Which four High Risk drug groups does the Medication Safety Thermometer monitor?  A) Injectable sedatives, Insulin, Opiates, Hypotensives  B) Injectable sedatives, Insulin, Opiates, Anticoagulants  C) Respiratory, Insulin, NSAIDs, Hypotensives  D) Diuretics, Insulin, Anaesthetics, Anticoagulants

4 3. What may a medication error lead to…  A) An Adverse Drug Event  B) Increased monitoring of a patient  C) Extended length of hospitalisation  D) All of the above

5 4. Name 4 stages in the medication use process where an error can occur.. E.g. Prescribing stage 1 point for each!

6 5. In the Pincer trial (2012)which of the following three options were the clinically important errors the research team sought to measure (Choose 3) A) NSAIDS (e.g. ibuprofen) prescribed without a PPI to patients with a history of peptic ulcers D) β blockers (e.g. bisoprolol) prescribed to those with a history of Respiratory Disease B) ACE inhibitors or loop diuretics given to 75+ patients without a U&E assessment in the preceding 15 months E) β blockers (e.g. bisoprolol) prescribed to those with a history of asthma C) ACE inhibitors or loop diuretics given to 70+ patients without a U&E assessment in the preceding 15months F) NSAIDS (e.g. ibuprofen) prescribed to those with a history of Asthma

7 End of quiz Answers to follow

8 Answers 1. B 2. B 3. D 4. Possible Answers: Prescribing, Transcribing, Dispensing, Administration, Monitoring or Checking 5. A,B,E

9 References Question…  1-National_Patient_Safety_Agency (2007). THE FOURTH REPORT FROM THE PATIENT SAFETY OBSERVATORY, Safety in doses: medication Safety incidents in the NHS. London, The National Patient Safety Agency  2 &3 -Cousins, D. W., Steve; Jani, Yogini; Power, Maxine; Warren, Abigail; Griffith; Michelle; Bramfitt, Kurt; Medications Safety Thermometer-A preliminary pilot guide. NHS.  4-Hughes RG, Blegen MA. Medication Administration Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 37. Available from:  5-Avery, A. J., et al. (2012). "A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost- effectiveness analysis." The Lancet 379 (9823):


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