You are leading a root cause analysis into a possible prescribing error. A pharmacy dispensed isoniazid instead of indomethacin. The Spanish-speaking patient interpreted the label 'take once a day' as meaning 'take eleven per day'.
The patient presented with refractory status epilepticus during your last clinical shift, was intubated and was admitted to ICU.
State the antidote or specific treatment for isoniazid toxicity.
(Marked out of 1.0)
/ 1
List four (4) sources of information for the root cause analysis.
(Marked out of 4.0)
/ 4
Give three (3) factors that increase the chance of error in the ED and provide an example for each.
(Marked out of 6.0)
/ 6
The root cause analysis concludes there was a prescribing error. State two (2) recommendations to improve future safe prescribing.
(Marked out of 2.0)
/ 2
Total Score: 0 / 13
Percentage: 0%
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