Nursing Safety and Informatics: Documentation, Medication Systems, and Error Prevention

All flashcards

What are the six QSEN competencies?

Patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.

What distinguishes a latent error from an active error?

A latent error is associated with system design or failure; an active error is made by an individual clinician during care.

What is medication reconciliation?

Comparing a client’s medication list with new orders, identifying discrepancies, and working to resolve them.

What are the rules for leading and trailing zeros in medication doses?

Use a leading zero for doses below one; do not use a trailing zero after a whole-number dose.

How do hard-stop and soft-stop alerts differ?

A hard stop blocks progress until an action is taken; a soft stop allows the user to proceed after acknowledgment.

Quiz questions

1. In barcode-assisted medication administration, what should the nurse scan to check the client and medication against the eMAR?Answer: The client’s wristband and the medication barcode.
2. What is the eMAR’s role in an electronic health record?Answer: It is the official record of medications administered or withheld.
3. How should a medication instruction written as “Q.O.D.” be expressed?Answer: Every other day.
4. When documenting client teaching, which information helps the care team assess learning?Answer: The client’s response and how learning was evaluated.
5. How can electronic health record data support adverse drug event monitoring?Answer: By helping identify and analyze medication-related events that affect safety.