ISMP Safe Medication Principles 2

Question 1

Which ISMP error-reduction strategy involves removing concentrated electrolytes from nursing unit stock?

Accepted Answer

Forcing functions

Answer

Forcing functions physically prevent an error from occurring, such as removing concentrated KCl from units so it cannot be inadvertently given undiluted.

Question 2

A nurse receives a verbal order during a code. What is the ISMP-recommended first step after the emergency?

Accepted Answer

Repeat the order back before administering, then get written confirmation

Answer

ISMP recommends read-back verification of verbal orders during the event, followed by prompt written confirmation from the prescriber.

Question 3

Which practice does ISMP identify as a primary cause of look-alike/sound-alike (LASA) drug errors?

Accepted Answer

Storing LASA drugs in alphabetical sequence on shelves

Answer

Storing LASA drugs alphabetically places similar-looking names adjacent to each other, increasing the risk of selection errors.

Question 4

What does the ISMP term 'signal-to-noise ratio' refer to in medication safety?

Accepted Answer

The proportion of meaningful safety alerts versus irrelevant alerts that clinicians receive

Answer

A low signal-to-noise ratio means clinicians receive so many irrelevant alerts that they begin ignoring meaningful warnings, a phenomenon called alert fatigue.

Question 5

Per ISMP guidance, which action best prevents wrong-patient medication errors during administration?

Accepted Answer

Using two independent patient identifiers before administration

Answer

ISMP and The Joint Commission require two independent identifiers (e.g., name + date of birth) to be confirmed directly at the bedside before administration.

ISMP - Institute for Safe Medication Practices Practice Test

ISMP - Institute for Safe Medication Practices Practice Test

ISMP Safe Medication Principles 2