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1. Which of the following scenarios would NOT be considered a medication error?

A. The pharmacy dispensed hydralazine (a blood pressure medication) instead of hydroxyzine (an antihistamine), but the patient did not take the medication because she “didn't get around to it.” The error was caught at her next doctor visit. B. The physician ordered a beta blocker twice daily, but the pharmacist questioned the dose prior to dispensing the drug and called the physician's office, which verified the correct dose as once daily. C. A patient says “no” when asked if he has any medication allergies. He has an anaphylactic reaction to an antibiotic and seeks care in the emergency department. Upon review of the chart, no evidence of an allergy was previously noted. D. None of the scenarios above are medication errors because no harm came to any of the patients.

2. An example of a chain of events in the “Swiss cheese” model of accidents and errors would be:

A. A dosage error made by the prescriber, which the pharmacist questions before the patient receives an incorrect dose of a drug B. A glitch in the computerized prescribing system that is not caught by either the prescriber or the pharmacist, causing the patient to receive an incorrect dose C. A glitch in the computerized system that goes unnoticed for several months, until a pharmacy technician looks into the problem D. All of the above

3. MTM is an excellent way to identify and prevent medication errors because:

A. Steps can be built into MTM to detect potential errors B. The goals of MTM are directly compatible with the goals of medication error prevention C. Pharmacists are trained in patient communication and error prevention steps D. All of the above

4. Following MTM sessions with two different patients, the pharmacy technician accidentally mixed up some of the medication history information in the MTM paperwork (Drugs for patient A were recorded in Patient B's paperwork). What course of action is most conducive to an atmosphere of error prevention?

A. The technician corrects the information later, assuming that no one else has had access to the paperwork. B. The technician explains that he was trying to do too many things at once, and suggests that a bigger block of time be scheduled between each MTM sessions. C. The technician mentions the error to the pharmacist, who pulls the technician off MTM duties and makes a note in the employee record. D. The technician mentions the error to the pharmacist and pharmacy manager, who plan a meeting to determine if system changes should be made to avoid mix-ups

Evaluation Questions

5. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

6. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

7. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

8. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Will the information presented cause you to change your practice?

A. Yes B. No

16. Are you committed to making these changes?

A. Yes B. No

17. As a result of this activity, did you learn something new?

A. Yes B. No

18. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

19. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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