Medication Safety Program


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Medication errors could kill.
Implementing a medication safety program could save thousands of lives.
This is a summary presentation on how to implement such system

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Medication Safety Program

  1. 1. Medication Safety Program Samir Sawli, PhD
  2. 2. Patient Safety is a concern from • Wrong treatemnt • Wrong surgery • Nosocomial infection • Patient fall • Infant abduction • Medications…..
  3. 3. The 6 rights are now 8 • Rights of Medication Administration • 1. Right patient • 2. Right medication • 3. Right dose • 4. Right route • 5. Right time • 6. Right documentation • 7. Right reason • 8. Right response
  4. 4. • PATIENT SAFETY: Most medication errors occur during drug administration • Medication Errors occur when the administration 5 or 8 rights are not followed • The 2006 Institute of Medicine (IOM)1 Report entitled • “Preventing Medication Errors” states that medication errors cause harm to 1.5 million people each year. Why Put The Effort
  5. 5. Where is the weakest link • There are many weak links which put the patient at risk • Telephone orders • Verbal orders • Transfer orders • Look alike medication • Poor handwriting • Loose double checking of medications • Peri-operative orders • Many other weak links
  6. 6. Implementing Medication Safety is Must • Medication error could kill.. • All Clinical Staff involved in medication ordering and subsequent steps must take annual medication safety training and test • JCIA and almost all accreditation bodies stress on patient safety including risk arising from medication errors • Beneficial for patient, organization and staff • Less expenses and law suits • Better image for the provider
  7. 7. How to implement • Establish a policy • Include in policy high alert, look alike, high risk, narcotics, electrolytes medications • Review transcription process • Review verification and double witness process • Review pharmacy actions • Encourage clarification at all levels • Communicate the policy Establish an annual certification program mandatory to all concerned staff
  8. 8. How IT System is Efficient • Establish a medication safety on-line course • Establish an on-line quiz • Make mandatory and prerequisite for re-contracting • Establish non punitive environment to encourage reporting system errors • Encourage Adverse Occurrence Reporting AOR electronically • Implement AOR system, paper or electronic
  9. 9. Outcome • Patient safety is increased • Staff are well prepared • Adverse Occurrence Reports AORS are being filled and analyzed, system errors identified • Quality reports are populated • Organization image is acceptable • Less cost on patient and organization • Improved work environment for staff with less error care
  10. 10. Need Help? • We have done this program before and we can help you set it up with acceptable cost compared to non acceptable loss • Contact us and we will be happy to put our hands together for better outcomes • •