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description Monograph

Medication Errors

Target Audience: Pharmacy Tech

star star star star star_outline 3.9/5 based on 1079 ratings
schedule 2.00 Contact Hours (0.20 CEUs)
category Patient Safety
local_activity Knowledge

Course Overview

Medication errors can occur at any stage of the prescription, administration, or monitoring of a drug. These preventable events can harm a patient. The identification and prevention of medication errors require an understanding of the root causes of medication errors. Once root causes are identified, a pharmacist can implement procedures and protocols to reduce and prevent medication errors, thereby promoting patient safety. If a medication error occurs, clinicians must know whether the error must be reported and when it should be reported. This course does not provide legal advice. Pharmacy staff should consult with their employer, a legal advisor, supervisor, online resources, or licensing boards to determine the laws regarding medication errors, incident report requirements, and reporting to governmental entities or patients. Pharmacists and pharmacy technicians can work collaboratively with health care teams to reduce and prevent future medication errors.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Define medication errors
  • Discuss the root causes of medication errors
  • Describe how to reduce and prevent medication errors
  • Explain how to respond to a medication error
  • Discuss the importance of implementing policies, procedures, or systemic changes that create a safer health care system for patients

Faculty

Authors & Activity Planners
Pamela Sardo, Pharm.D., B.S.
View Bio +
Pamela Sardo, Pharm.D., B.S. is a licensed pharmacist and Freelance Medical Writer at Sardo Solutions in Texas.
Steve Malen, PharmD, MBA
View Bio +
Dr. Steve Malen graduated with a dual degree: Doctor of Pharmacy (PharmD) and Master of Business Administration (MBA) from the University of Rhode Island. Over his career, he has worked as a clinical pharmacist in the retail, specialty, and compounding sectors. He specialized and taught on topics from vaccines to veterinary compounding. Dr. Malen has also written a science fiction novel and taught and cofounded the concept of Patient Empowered Blockchain (P.E.B.). Currently, Dr. Malen continues to write, teach, and consult various companies in the healthcare sector.

I. Introduction

II. Medication Errors: Definition and Scope

III. Types of Medication Errors

A. Prescribing Errors
B. Transcription Errors
C. Preparation and Administration Errors
D. Dispensing and Monitoring Errors

IV. High-Alert Medications

V. Root Causes of Medication Errors

A. Lack of Training or Education
B. Unavailability of Guidelines for Medication Administration
C. Interruptions
D. Fragmentation of Medication Information and Poor Communication
E. Failure to Follow the Rights of Medication Administration
F. Time Constraints

VI. Medication Error Reduction Strategies

A. Standardized Medication Use Protocols
B. Computerized Systems
C. Education to Fill Knowledge Gaps
D. Pharmacy Workflow Strategies
E. Pharmacist-led Educational Interventions
F. Pharmacist-led Medication Reconciliation Programs
G. “Rights” of Medication Administration
H. High-Alert Medications in Acute Care Settings
I. Awareness of Error-Prone Abbreviations
J. Medication Errors Reporting Program (MERP)
K. Patient Education
L. Pharmacist Involvement with Over-the-counter (OTC) Medications

VII. Risk Management and Reporting Medication Errors

VIII. Disclosing Medication Errors to the Patient

IX. Quality Assurance vs Quality Control Roles

X. Summary

From September 9, 2025 through September 9, 2028, participants must:

  1. Read the "learning objectives" and "author and planning team disclosures"
  2. Study the section entitled "educational activity"
  3. Complete the Course Test and Evaluation form. The Course Test will be graded automatically. Following successful completion of the Course Test with a score of 70% or higher, a statement of participation will be made available immediately. (No partial credit will be given.)

Credit for this course will be automatically uploaded to CPE Monitor®.

Faculty Planner Disclosure

The following individuals were involved in developing this activity: Steven Malen, PharmD, MBA, and Pamela Sardo, PharmD, BS. None of the individuals involved in developing this activity has a conflict of interest or financial relationships regarding the subject matter. There are no financial relationships or commercial or financial support relevant to this activity to report or disclose by RxCe.com or any of the individuals involved in the development of this activity.

Unlabeled Use Disclosure

The information provided in this course is general in nature and it is solely designed to provide participants with continuing education credit(s). This course and materials are not meant to substitute for the independent, professional judgment of any participant regarding that participant’s professional practice, including but not limited to patient assessment, diagnosis, treatment and/or health management. Medical and pharmacy practices, rules, and laws vary from state to state, and this course does not cover the laws of each state; therefore, participants must consult the laws of their state as they relate to their professional practice. Healthcare professionals, including pharmacists and pharmacy technicians, must consult with their employer, healthcare facility, hospital, or other organization, for guidelines, protocols, and procedures they are to follow. The information provided in this course does not replace those guidelines, protocols, and procedures but is for academic purposes only, and this course’s limited purpose is for the completion of continuing education credits. Participants are advised and acknowledge that information related to medications, their administration, dosing, contraindications, adverse reactions, interactions, warnings, precautions, or accepted uses are constantly changing, and any person taking this course understands that such person must make an independent review of medication information prior to any patient assessment, diagnosis, treatment and/or health management. Any discussion of off-label use of any medication, device, or procedure is informational only and such uses are not endorsed hereby. Nothing contained in this course represents the opinions, views, judgments, or conclusions of RxCe.com LLC. RxCe.com LLC is not liable or responsible to any person for any inaccuracy, error, or omission with respect to this course, or course material.

Please ensure the device you plan to use meets these requirements:

  • Operating System: Windows 7, 8, 10, or 11 / Mac OS X 10.9 or later / iOS / Android
  • Supported Browsers: Microsoft Edge, Firefox, Google Chrome, Safari, Opera
  • A connection to the internet

Accreditation

In support of improving patient care, RxCE.com is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

PTCB Recognition

RxCe.com, LLC, offers pharmacy technician continuing education courses for PTCB recertification. Pharmacy technician courses are indicated both in the Target Audience description and the ACPE UAN which will end with a "T".