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HYDROmorphone Safety Self-Assessment Key Definitions

  1. Automated Dispensing Cabinet (ADC): A drug storage device or cabinet that electronically dispenses medications in a controlled fashion and tracks medication use. An automated dispensing cabinet is equivalent to a unit-based cabinet (UBC), automated dispensing device (ADD), automated distribution cabinet, or automated dispensing machine (ADM).
    From: ISMP 2009 Medication Safety Self Assessment for Automated Dispensing Cabinets. [Internet] Cited 2013Oct18; available from: http://www.ismp.org/selfassessments/ADC/Survey.pdf
  2. High-Alert Medications: High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error.
    From: ISMP's List of High-Alert Medications. [Internet] Cited 2013Oct18; available from: www.ismp.org/Tools/highalertmedications.pdf.
  3. Independent Double Check: A procedure in which two individuals, preferably two licensed practitioners, separately check each component of the work process. An example would be one person calculating a medication dose for a specific patient and a second individual independently performing the same calculation (not just verifying the calculation) and matching results.
    From: 2012 ISMP International Medication Safety Self Assessment for Oncology [Internet] Cited 2013Oct18; available from: https://mssa.ismp-canada.org/oncology/page/11
  4. Medication Incident: A mistake with medication, or a problem that could cause a mistake with medication. (Similar term: medication error)
    ISMP Canada, 2010
  5. Medication Safety: Freedom from preventable harm with medication use.
    ISMP Canada, 2007
  6. Opioids: Opioid medications are used to treat pain and are also known as narcotics. Examples of opioids include: codeine, fentanyl, HYDROmorphone, morphine, oxycodone, tramadol.
  7. Order Set: An ordering template, either pre-printed or electronic, that contains predefined information that is derived from evidence-based best practice guidelines.
    From: 2012 ISMP International Medication Safety Self Assessment for Oncology [Internet] Cited 2013Oct18; available from: https://mssa.ismp-canada.org/oncology/page/11
  8. Safety: Freedom from accidental injuries.
    From Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: Building a safer health system. Washington, DC, National Academy Press, 1999
  9. System: A set of interdependent elements (people, processes, equipment) that interact to achieve a common aim.
    From World Alliance for Patient Safety. WHO draft guidelines for adverse event reporting and learning systems. Geneva (Switzerland): World Health Organization; 2005