Any preventable event that can cause or lead to inappropriate medication use or patient harm while the medication is in control of the health professional.
DAMP: mistakes are related to dispensing, administering, or monitoring , prescribing ,
5 errors / 100 residents
BEERS LIST: medication with high risk side effects that outweigh benefits of use; meds that are inappropriate at any dose; specific meds used at low with caution.
Immediate Jeopardy: scope
H I L K L
STANDARDS of PRACTICE:
The various practice regulations in each State, and commonly accepted health standards established by national organizations, boards and councils.
Failure to protect from undue adverse med consequences or failure to provide med as prescribed.
Administration of medication to an individual with a known history of allergic reaction to that medication.
Lack of monitoring and identification of potential serious drug interaction, side effects and adverse reactions.
Administration of contraindicated medications.
Pattern of repeated medication errors without intervention.
Lack of timely and appropriate monitoring required for drug titration .
MDSCarePlanBuilder.com From a citation perspective, what are the potential scope and severity of slide 10 failures and why? Degree of the Problem Isolated Pattern Wide-spread Immediate Jeopardy J K L Actual Harm G H I Potential for Harm D E F No harm likely A B C
Concomitant use of multiple drugs, done by simply drug counting.
Administration of more medications than is
34% of all drugs prescribed in the United States are considered unnecessary.
MDSCarePlanBuilder.com References: Stewarb RB. Polypharmacy in elderly: a fair accompli? DICP 1990; 24; 321-323. Montamat SC, Cusack B. Overcome the problems with polypharmacy and drug misuse. Clin Geriatr Med 1992; 8: 143-158. LeSage J. Polypharmacy in the geriatric patient. Nurs Clin North Am 1991; 26: 273-287 .