107 notecards = 27 pages (4 cards per page)
What is quality?
How is Quality Measured?
What are the Human Factors principles?
Describe Quality Assurance (QA)
A check is performed to ensure a certain quality standard has been met
Describe Quality Control (QC)
Improves design to improve level of quality
Describe Continuous quality improvement (CQI)
- A total systems perspective
- Demands that quality improvement process is continuous
There are six domains of the medication use process. Which domain has the lowest rate of error interception in the medication use process?
Regarding HIT, the functions of CPOE and CDS include ___________ (2)
1. Real-time patient information at point of care
2. Legibility improvement
From the list below, which is the most important element in time management?
4. Setting and scheduling priorities first
What are symptoms of poor time management?
What are the two mistakes that people new to management often make?
The pharmacist spot checks the unit dose medication carts after the technician fills them. Which of the following best describes this situation?
The pharmacist develops a standard procedure for error prevention for technicians to use when filling medication carts. Which of the following best describes this situation?
Which type(s) of patient identifiable health information is(are) covered by HIPAA requirements?
The federal law that established requirements for both safety and proof of efficacy of drug products is:
The 1962 Kefauver-Harris Amendments to hte Food, Drug, and Cosmetic ACT of 1938
A pharmacy manager's strategy for reducing the likelihood of an error that harms a patient and results in a lawsuit is most likely to be successful if:
Performance Improvement policies and procedures are in place
Which of the following are key drivers for automation and technology in pharmacy practice?
Which of the following are the goals of best practices in Health Information Technology?
What is the primary goal of a Closed-Loop Medication Management system?
It reduces the number of steps in a complex process, reducing the number of opportunities for errors to occur.
Please select the essential element(s) that a pharmacist should review when working with a vendor in the selection of a health information technology system.
There are six domains of the medication use process. Which domain has the highest rate of error interception in the medication use process?
What is the definition of time management?
The predictable control an individual can exercise over a series of events
What is the purpose of time management?
To improve productivity and effectiveness, thus reducing stress and reactive management of tasks
In the time matrix, what is both important and urgent?
Firefighting (Crises, pressing problems, deadline-driven projects)
In the time matrix, what is both important and NOT urgent?
Quality Time (Prevention, capability improvement, relationship building, recognizing new opportunities, planning, recreation)
In the time matrix, what is both NOT important and NOT urgent?
Time wasting (Trivia, busy work, some mail, some phone calls, time wasters, pleasant activities)
In the time matrix, what is both NOT important and urgent?
Distractions (Interruptions, some callers, some mail, some reports, some meetings, proximate pressing matters, popular activities)
T/F: It is rare to apply different principles at how we manage time in different settings
T/F: The ability to multi-task is not an absolute necessity
Is delegation avoidance an example of an internal or external time waster?
Is haste an example of an internal or external time waster?
Is incompetent or non-participating colleagues an example of an internal or external time waster?
Are interruptions (Phone and drop-ins) an example of an internal or external time waster?
Is the inability to say no an example of an internal or external time waster?
Is Lack of feedback/information an example of an internal or external time waster?
Is Indecisiveness an example of an internal or external time waster?
Is Open door policy an example of an internal or external time waster?
Is Poorly planned or unnecessary meetings an example of an internal or external time waster?
Is Poor filing system an example of an internal or external time waster?
Is Poor planning an example of an internal or external time waster?
Are Superfluous emails an example of an internal or external time waster?
Is Procrastination an example of an internal or external time waster?
Is Management by crisis an example of an internal or external time waster?
Are Unimportant tasks an example of an internal or external time waster?
While you cannot control some of the external time wasters, what can you develop to mitigate them?
Strategies and feedback
For internal time wasters, identify and remediate your areas of ______________
This author has a series of books on time management and organization
This author is on "The 5 choices of Extraordinary Productivity"
Examples of basic time management smartphone apps
Clear, 2Do, aTimeLogger
Examples of comprehensive time management smartphone apps
Remember the Milk, Got 2 Do, OmniFocus
What are the common themes of all time management systems?
What is the first step in developing your time management skills?
Perform a time inventory
What are the 5 choices of extraordinary productivity?
Of the 5 choices of extraordinary productivity, which 2 choices are involved with your decision management?
Of the 5 choices of extraordinary productivity, which 2 choices are involved with your attention management
Of the 5 choices of extraordinary productivity, what choice are involved with your energy management
Imbalance of management in the 5 areas (of extraordinary productivity) causes a shift from use of the __________ __________ to the ____________ __________ of the brain
Prefrontal cortex; limbic portion
A shift from use of the prefrontal cortex to the limbic portion of the brain shift your thinking from a controlled planning process to a more ___________ __________
A shift from use of the prefrontal cortex to the limbic portion of the brain leads to a more ______________/_________________ feelings about events in your life
What are the key drivers of adoption of technology in pharmacy?
The FDA report made it clear that to improve medication safety, pharmacies must 'implement proven safety practices' to:
Reduce reliance on memory, standardize terminology, minimize data handoffs, and utilize constraints and forcing functions, protocols and checklists
What were all allied health professionals tasked with
What must be met to be eligible for reimbursement as a driver?
Hospitals and physicians must demonstrate meaningful use of HIT, exchange of electronic health information, and report on key quality measures
What did the American Recovery and Reinvestment Act (AARA) of 2009 and the Health Information Technology for Economic and Clinical Health (HITECH) act provide?
Financial subsidies for those using HIT and required those participating in medicare to use it by a specific date or pay a penalty
What is the role of the pharmacist in HIT?
What are 4 ways the pharmacist can make change using HIT?
In HIT - related change management, _______________ and ______________ are crucial
In HIT - related change management, is change avoidable or unavoidable?
In HIT - related change management, _______________ should be expected
In HIT - related change management, _________________ impacts the way someone does their job
In HIT - related change management, _______ __________ should be involved
What are at the 6 domains of MUP (Medication Use Process)?
What technologies are used in the Prescribing step of MUP?
What technologies are used in the Transcribing step of MUP?
What technologies are used in the Administration step of MUP?
What technologies are used in the Preparation and Dispensing step of MUP?
What are the core MUP supporting technologies?
Describe CPOE systems
Describe CDS systems
What are the functions of CPOE and CDS?
What are the functions of PIMS?
What are the functions of preparation & dispensing systems?
What do our medication management systems accomplish?
What are the 5 rights
Define the closed-loop medication management system
A fully electronic, connected medication management system that feeds a one-step of medication use process sequentially from one step (such as order entry) to the next (such as validation)
A closed-loop medication management system feeds outcomes from the medication process back into the system to:
Enable deployment and development of improved practices to effectively monitor patient care
Through automation of all medication related processes, a closed loop can reduce the number of steps in a complex process, which , in turn can do what?
Significantly reduce the number of opportunities for errors to occur (PRIMARY GOAL)
What is the primary goal of a closed-loop medication management system?
To significantly reduce the number of opportunities for errors to occur
What are the objectives of closed-loop medication management?
Vendor selection for HIT requires what kind of team?
Multidisciplinary (IT experts, nurses, physicians and pharmacists)
T/F: Because of the pharmacist's expertise in best medication management processes, the pharmacist should participate in all vendor selections processes for all medication management related systems
T/F: The pharmacists is most qualified to assess the potential clinical, operational, and safety features available in a system which are essential components that align the system requirements to the institutional goals and ideal HIT
As the most qualified to assess the potential clinical, operational, and safety features available in a system, what should pharmacist do?
What is downtime?
A temporary outage of computing systems
What is data loss?
The permanent inability to access data
What are causes of downtime in HIT?
What are the two main types of backup procedures?
When is using 'offsite backup-stored internally' useful?
When the pharmacy system is nonfunctional. Data stored and backed up externally
When is using 'data stored and back up externally' advantageous?
The pharmacy bears little responsibility for computing hardware and software because it is maintained by the vendor
What 5 questions need to be asked on backup procedures?
In summary, what are best practices in HIT?
In summary, what are the goals of best practices in HIT?
In community pharmacy practice, suggested best practices for e-prescriptions would include workflow improvements for which areas?
What are some suggested sources for best practices in HIT
T/F: HIT already serves a number of roles in pharmacy and will only continue to grow
Briefly describe the future of pharmacy and HIT