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Quantum Units Education®

Promoting Best Practice and Safety Through Preprinted Physician Orders

1. In addition to being available for immediate use for commonly performed interventions, which of the following is another advantage of well designed, preprinted orders?

A. Continued, coordinated, and integrated care by communicating “best practice” through multiple disciplines, levels of care, and services.

B. Reduced variation and unintentional oversight through standardized formatting and consistent style in a legible and clear presentation.

C. Reduced potential for medication errors through integrated safety alerts and reminders.

D. All of the above.


2. In order to provide and implement timely instructions to physicians, staff, and patients regarding “best practice” and general patient safety, preprinted physician orders might involve which of the following?

A. Attaching pertinent printed patient education material to the orders for easy and timely distribution by the nurse to the patient.

B. Printing appropriate reference information on the reverse side of the paper orders.

C. Listing applicable formulary medications and dosages, indications of appropriate antibiotic use, evidence-based algorithms to guide care and decision-making, and a list of reportable core measures for a particular diagnosis.

D. All of the above.


3. Without some control of the mechanics of and access to order changing, the potential increases for miscommunication, unacceptable variations, and error.

A. True

B. False


4. Use of all of the following should be avoided, except for:

A. Greater than and less than symbols

B. Tall-man lettering

C. Slashes

D. The letter “O”


5. Orders written on the reverse side of sheets are often overlooked and the reverse sides of orders are best used only for references, additional information, etc.

A. True

B. False


6. The risk of dosing errors can be reduced by using leading zeros before a decimal point and trailing zeros after a decimal point.

A. True

B. False


7. Which of the following is never allowed with medication orders?

A. Continue previous medications.

B. Saline flush every 8 hours and as needed to maintain patency.

C. Tall-man lettering.

D. None of the above are allowed with medication orders.


8. Just as patients are identified in two ways, so should medications.  The trade name should be listed first followed by the generic name in parentheses.

A. True

B. False


9. Studies have concluded that electronic alerts favorably influence physician practice and patient outcomes.

A. True

B. False


10. It is recommended that ALL CAPS be used when writing out which medications, as there have been several publicized errors involving accidental switching?

A. KETOROLAC and TORADOL

B. HEPARIN and LOVENOX

C. HEPARIN and INSULIN

D. GLARGINE and INSULIN


11. Placing blank physician orders on copying machines should be prohibited.

A. True

B. False


12. All of the following have proven a major barrier to immediate and widespread CPOE adoption throughout the health care industry, except for:

A. Quality

B. Implementation cost

C. Operational disruption

D. Return on investment


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