CFPN Medication Error Investigation and Patient Safety 2

Question 1

When conducting a forensic review of a medication error, which medical record component provides the clearest timeline of medication administration?

Accepted Answer

Medication Administration Record (MAR)

Answer

Physician progress notes

Answer

Nursing narrative notes

Answer

Pharmacy dispensing records alone

Question 2

A patient receives 10 times the ordered dose of insulin due to a decimal point error. This is an example of which type of medication error?

Accepted Answer

Wrong dose error

Answer

Wrong drug error

Answer

Wrong patient error

Answer

Wrong route error

Question 3

Which agency requires hospitals to report sentinel events including serious medication errors?

Accepted Answer

The Joint Commission (TJC)

Answer

The Department of Labor

Answer

The Drug Enforcement Administration

Answer

The Federal Trade Commission

Question 4

In a forensic medication error investigation, what does 'failure mode and effects analysis' (FMEA) proactively identify?

Accepted Answer

Potential failure points in a medication process before errors occur

Answer

The cause of a specific error that already happened

Answer

Individual staff members responsible for an error

Answer

Documentation gaps in the medical record

Question 5

A forensic pharmacy nurse discovers that a nurse administered a medication to the wrong patient because two patients had similar last names and were in adjacent rooms. Which system error contributed most?

Accepted Answer

Failure to use two-patient identifiers before medication administration

Answer

Understaffing on the unit

Answer

The pharmacy dispenser did not label clearly

Answer

The medication was stored incorrectly

Question 6

Which term describes the cognitive bias where a clinician anchors on an initial incorrect diagnosis or medication order, leading to subsequent errors?

Accepted Answer

Anchoring bias

Answer

Confirmation bias

Answer

Availability heuristic

Answer

Framing effect