Study Set Content:
electronic medication administration record (e-MAR)
Drug administration
pharmacokinetic dosing tools
Drug monitoring
bar code medication administration (BCMA)
Drug administration
computer-based infusion devices (smart pumps)
Drug administration
electronic documentation of clinical interventions
Drug monitoring
Beyond proper use, numerous other aspects of computer applications are necessary: () and () the applications
maintaining, monitoring
addressing
standard software settings
assessing employee education and
competence
addressing employee access and
login security
backing up and archiving
data
developing planned and unanticipated
downtime procedures
– ADRs are estimated to account for about () of all hospital admissions and lead to an increase in morbidity and mortality.
3 to 15%
Almost () of nursing home patients are hospitalized annually due to ADRs
16%
About () of the ambulatory population receiving medications experiences ADRs
20%
“any noxious or unintended response to a drug that occurs at doses usually used for prophylaxis, diagnosis, or therapy of disease or for the modification of psychological function.”
The WHO defines an ADR
is any adverse event associated with the use of a drug in humans, whether or not considered drug related
The FDA definition of an ADR
require hospitals to have a mechanism in place to monitor ADRs
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
▪ The FDA was required to have a
Spontaneous Reporting System (SRS)
Inexpensive monitoring system of ADRs for all drugs
Spontaneous Reporting System (SRS)
▪ Because only 57% of the population is aware of the voluntary system of reporting, the FDA switched to a new program called
MedWatch:
