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Exam Number : A00-260
Exam Name : SAS Data Integration Development
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SASInstitute Data test syllabus

Evaluating the Accuracy of Technicians and Pharmacists in Checking Unit Dose treatment Cassettes | A00-260 cheat sheet and Practice Questions

methods

This look at became conducted concurrently at both CSMC and LBMMC and consisted of here three phases, which have been modeled from old experiences[7,8,9,10,11,12,13]:

  • phase I: Assessing the baseline accuracy rate of pharmacists checking unit dose medication cassettes,

  • phase II: establishing a technician practicing software for checking unit dose cassettes and certifying technicians who efficaciously achieved the working towards application, and

  • phase III: Evaluating the accuracy of licensed technicians checking unit dose remedy cassettes by way of conducting high-quality assurance audits.

  • section I all started in June 1998 with the aim of auditing at the very least 12,500 doses at each and every establishment. staff pharmacists checked all unit dose cassettes stuffed by means of technicians as turned into the pharmacists' normal events during the day shift. They had been aware that audits were being performed. look at individuals were chosen on the basis of their commonplace work schedules, and no effort turned into made to alter assignments. besides any spontaneous errors made via technicians filling the cassettes, artificial error were randomly introduced via pharmacist "auditors" assigned to supervise the look at technique. synthetic error had been delivered at a expense of at least one error per 500 doses (0.2%) to coincide with a ninety nine.eight% minimum accuracy expense.[7] The pharmacist checkers documented and corrected any mistakes they detected. as a result, the pharmacist auditor would audit and verify the accuracy of the pharmacist checker in detecting and correcting synthetic and spontaneous filling blunders for all doses distributed throughout the audit length. Spontaneous and artificial blunders left out through the pharmacist checkers were documented on an audit kind and corrected via the pharmacist auditors before the medicine cassettes had been allotted to the nursing stations. there were a complete of three pharmacists at CSMC and 5 at LBMMC who have been answerable for introducing artificial error and auditing the pharmacists. In all three phases of the analyze, an error changed into described as a incorrect drug, dose, quantity, or dosage form; expired treatment; inaccurate attention; incorrect affected person's treatment cassette; or missing drug.

    all through part II of the application, the pharmacy services departments at CSMC and LBMMC collaborated on a working towards syllabus, qualifying examination, and statistics assortment forms. Technicians and pharmacy interns (employed and functioning as technicians) have been eligible to be covered within the analyze in the event that they had been registered with the California State Board of Pharmacy and had at the least six months of journey filling unit dose treatment cassettes. They were then given didactic and useful training, according to the strategy used via the Minnesota Society of hospital Pharmacists in a pilot challenge in which technicians were proficient to investigate unit dose cassettes crammed through different technicians.[7] The didactic component consisted of lectures on the unit dose technique, appropriate packaging and repackaging options, medicine defense, and simple pharmaceutical calculations. The didactic training concluded with an examination. Technicians were required to achieve a minimal passing ranking of eighty% on the examination. The purposeful practicing blanketed gazing a pharmacist checking unit dose cassettes and precise palms-on journey. After a hit completion of the didactic and practical training, the technicians were audited for accuracy in checking unit dose cassettes for at the least 3500 consecutive doses. synthetic blunders, as described for phase I of the application, had been also brought during this manner. The audits have been carried out with the aid of the identical pharmacist auditors as in section I. To turn into a licensed technician checker during this software, an normal accuracy expense of at the least 99.8% changed into required. This phase of the look at began in June 1998 and was endured as new technicians have been educated and covered in the program.

    part III started in April 1999. in this section, certified technician checkers were liable for checking unit dose medicine cassettes as a regular exercise while below the supervision of a pharmacist. monthly excellent assurance audits of at least 500 doses were carried out for every licensed technician checker, using the equal process of introducing random synthetic errors as in the past described. Accuracy was to be maintained at ninety nine.eight% or larger. If an authorized technician checker failed a month-to-month audit, the audit changed into to be repeated within 30 days. If the technician failed the 2nd audit, the technician can be faraway from the checking position except he or she changed into retrained and recertified. If a certified technician checker didn't operate this characteristic for greater than three months, an audit can be conducted when the technician restarted checking remedy cassettes. If a technician had now not checked cassettes for more than six months, recertification was required.

    In January 2000, the board permitted right here requested change to the program: "In part III of the look at, a month-to-month audit could be carried out for three months, and if the accuracy rate meets or exceeds the minimum target of ninety nine.8% for three consecutive audits, future audits could be conducted quarterly thereafter for that technician. Technicians failing a quarterly audit will should pass three consecutive monthly audits earlier than resuming quarterly audits." The amendment had been requested via CSMC and LBMMC, since no licensed technician had failed a month-to-month audit.

    Error costs were calculated as the number of blunders discovered with the aid of the auditors divided by the full variety of unit doses audited. The accuracy cost become defined as one minus the error cost, which was then converted to a percent. The 95% confidence intervals for these quotes and p values for evaluating the pharmacist and technician checkers have been computed using SAS, version 6.12 (SAS Institute, Cary, NC). An extra evaluation become carried out to make certain that broad adaptation in accuracy rates amongst particular person technicians did not exist, due to the fact that this may influence in a good suggest accuracy fee and masks the performance of one or extra technicians who carried out under the established goal of 99.eight%. combined-results logistic regression fashions with a random-checker effect were used to ascertain the effects.




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