Web-based Education - Online Test

Web-based Education

Prescription for Safety: Medication Order Writing & the “Do Not Use” Abbreviations

  1. ISMP/MIPS and other safety organization recommend that all abbreviations be written out in full to ensure safety.

    2. a. True

    b. False

  2. You want to write an order for risperidone which of the following would be acceptable:

    3. a. Risperidone 1.0mg

    b. Risperidone .5mg

    c. Risp 1mg

    d. Risperidone 1mg

  3. The Institute of Medicine estimates that in the US medication error cause:
    4. a. 300 deaths per year

    b. 3000 deaths per year

    c. 300 deaths per month

    d. 300 death per day

  4. The order “Hum R 2.0 U for Blood Glucose>14” contains how many “DO NOT USE” Dangerous Abbreviations and Symbols?
    5. a. 1

    b. 2

    c. 3

    d. 4

    e. 5

  5. Changing order writing habits to avoid using dangerous abbreviations is:
    6. a. Difficult

    b. Required by Accreditation Canada

    c. A Professional Responsibility

    d. Expected by most Professional Regulatory Bodies

    e. Expected by policy in most RHAs

    f. All of the above

  6. The Baker/Norton study published in the Canadian Medical Association Journal in 2004 found that:
    7. a. Approximately 1/3 of adverse events were highly preventable

    b. 7.5% of hospital patients experience one or more adverse events

    c. 9,250 to 23,750 death from adverse events could have been prevented

    d. All of the above

  7. OD is:
    8. a. a dangerous abbreviation

    b. widely used and not likely to be a problem

    c. associated with 43% of all medication errors

    d. A and C

  8. How do you respond to the following order

    9. pict1.jpg

    a. You give 5mg of haloperidol

    b. You give 0.5mg of haloperidol

    c. You give 5mg of Haldol

    d. You give 0.5mg of Haldol

    e. None of the above

  9. ISMP Canada has reported that insulin is the medication most commonly associated with medication errors causing harm. Which of the follow is also true:
    10. a. The abbreviation for units is the one of top 5 abbreviations associated with errors causing harm

    b. It is recommended that “units” be written as “UTS” on all prescriptions

    c. Errors in the dose of insulin do not pose a significant threat to patient safety

    d. All of the above

  10. As part of your job as a physician, nurse, pharmacist, ward clerk or other healthcare professional you are required to interpret orders like the following.

    11. pict3.jpg

    All but one of the following represents part of the solution:

    a. Computer Physician Order Entry

    b. Contact prescriber and seek clarification

    c. Have peers and co-workers encourage the prescriber (and each other) to ensure orders are clear and free of dangerous abbreviations

    d. Do your best to interpret the order and maintain the status quo