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-1 Access to Care and Continuity of Care

-2 Patient and Family Rights
-3 Assessment of Patient -
-4 Care of Patient
-5 Medication Management and Use
-6 Anesthesia and surgical Care
-7 Patient and Family Education

-1 Quality Improvement and Patient Safety

-2 Governance, Leadership, and Direction
-3 Facility Management and Safety
-4 Staff Qualification and Education
-5 Management of communication and information
-6 Prevention and Control of Infection

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12

 :
Abberviation Not to be Used

Abreviation/ Dose Expression

Intended Meaning

Misinterpretation

Correction

Apothecary symbols

Dram Minim

Misunderstood or misread (symbol for dram

misread for 3 and minim misread as mL.

AU

Aurio uterque (each ear)

Mistaken for OU

ARA`A

Vidarabine

Cytarabine ARA`C

AZT

Zidovudine (RET ROV IR)

Azathioprine

CPZ

Compazine (prochlorperaz ine)

Chlorpromazine

HCL

Hydrochloric acid

Potassium chloride (The H is misinterpreted as K.)

MgSO4

Magnesium suifate

Morphine sulfate

MS O4

Morphire sulfate

Magnisium sulfate

Zn SO4

Zinc sulfate

Morphine sulfate

Norflex

Norfloxacin

NORFLEX

Don`t use this expression.

ug

Microgram

Mistaken for mg when handwritten.

Use meg

TIW or tlw

Three times week.

Mistaken as three times a day.

Don`t use this abbreviation.

per os

Orally

The O S can be mistaken for left eye

Use po,by mouth, or orally

QD, qd, Q.D.,q.d.

Dailey

Mistaken for each other. The period after the Q can

be mistaken for an I and the O can be mistaken
for I

Daily, q24th, every 24 hrs

QOD, qod, Q,O,D., q.o.d.

Every other day

Mistaken for each other. The peiod after the Q

can be mistaken for an I and the O can be
mistaken for f.

Every other day, every 48 hours,

q48 hrs

Qn

Nightly at bedtime

Mininterpreted as qh (every hour).

Use nightly

Uor u

Unit(s)

Read as a zero (0) or a four (4),

causing a 10fold overdose or greater (4U seen as
40 or 4u seen as 44

Unit ins no acceptable

abbreviation. Use unit

IU

International unit

Misread as IV (intrasenous).

Use units

Dor d

Days

Mistaken for doses.

Use days

BT

bedtime

Mistaken as BID (twice daily).

Use hs or h.s.

Name letters and dose numbers run

together (e,g., Indera140 mg)

Inderal 40mg

Misread as Inderal 140 mg.

Always use space between drug name, dose and unit

of measure.

Zero after decimal point (1.0)

1 mg

Misread as 10 mg if the decimal point is not seen

misread as 5mg.

Do not use trailling zeros for doses expressed in whole

numbers.

No zero before decimal dose (.5mg)

0.5 mg

Misread as 5 mg

Always use zero before a decimal when the dose is less

than a whole unit.

Use the metric system

Don`t use this abbreviation.

13

 :
Incident Reports: any event or situation that is not consistent with the routine operation of
a facility and that adversely affects or threatens to affect the well_being of the employees,
Patients,Volunteers or visitors.

.Sentinel Events: an unexpected event related to a patient involving death or loss of functions

Type of sentinel events:

1.Suicide or attempted suicide of a patient in a setting where the patient receives around the clock
care.
2. Infant abduction or discharge th the wrong family.
3. Hemolytic transfusion reaction involving administration of blood products having major blood
group incompatibilities.
4. Surgery on the wrong patient or wrong body part.
5. Retained foreign body following surgery or invasive procedure.

:
. .1
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14

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:)Near_miss( : , . ( :)1 , , ( :)2 , . ( :)3 . - ( :)Sentinel Event( )4 .

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