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international patient safety goals 3-4

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Jamilah AlQahtani
Jamilah AlQahtani

At the end of this lecture participants will be review the following: Improving safety of high alert medications at AFHSR IPSG3 Storage, handling of concentrated electrolytes & Error prevention strategies at AFHSR IPSG 3.1 AFHSR Look Alike_Sound Alike medication management IPSG3.1.1 Correct-site, Correct-procedure, Correct-patient Surgery IPSG-004

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PPG’S REVIEW Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist
Objectives At the end of this lecture participants will be review the following: 1. Improving safety of high alert medications at AFHSR IPSG3 2. Storage, handling of concentrated electrolytes & Error prevention strategies at AFHSR IPSG 3.1 3. AFHSR Look Alike_Sound Alike medication management IPSG3.1.1 4. Correct-site, Correct-procedure, Correct- patient Surgery IPSG-004 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Improving Safety Of High Alert Medication At AFHSR IPSG3
High Alert Medications Policies • High Alert Medications (HAM) are drugs that involveand labeling or clinicaluse, look alike ar sound alike are prone to medication errors. • Independentdouble checking A procedure in which two healthcareprofessionals separately verify (alone and apart from each other the compare results ) a medication thatis about to be dispensed / administrated to patient Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
High Alert Medications polices AFHSR pharmacy department develop Lists of high alert medications includes the following: 1. Narcotic& controlled medications (AFHSR-MMU-PH-P01-5TH Edition) 2. Neuromuscular blockers (AFHSR-MMU-PH-P01-5TH Edition) 3. Antineoplastic medications (AFHSR-MMU-PH-P07-1st Edition) 4. Concentrated electrolytes(AFHSR-MMU-PH-P02-3TH Edition) 5. Antithrombotic medications (AFHSR-MMU-PH-P01-5TH Edition) 6. Look Alike drugs (AFHSR-MMU-PH-P01-5th Edition) 7. Sound Alike Drugs (AFHSR-MMU-PH-P03-6th Edition) 8. Radio-contrast agent -(AFHSR-MMU-PH-P09-3rdEdition) 9. Insulins (AFHSR-MMU-PH-P01-5TH Edition) 10. Anesthetic medication (AFHSR-MMU-PH-P01-5TH Edition) 11. Total parenteral nutrition (AFHSR-MMU-PH-P01-5TH Edition) 12. Other medications as identified by AFHSR (AFHSR-MMU-PH-P01-5TH Edition) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
High Alert Medications Policies (cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR Examples are…….
High Alert Medications Policies (cont.) For All HAM : Stored in a lock and key cabinet. Prescribed and administered with care. Ensure to double check during calculations and administration. Designated place to store under the supervision of senior /Incharge staff of the department. Name tags of HAM in Pharmacies should clearly state (High Alert Medication: Double check) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR
High Alert Medications Policies  Concentrated electrolytes solutions shall be stored in critical care areas labels with blue color stickered for proper identification.
High Alert Medications Policies (cont.) • All staff working with medication responsible to be oriented to avoid errors • If nursing staff have any doubt in calculations or compatibilities ( refer to IV guide lines AFHSR-MMU-PH-F10,F86,F88-3RD Edition) or they must contact treating physician, IV pharmacist bleep00261 • Verbal & telephone orders is allowed in emergency cases at critical care areas and later must be documented within 24hrs Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
High Alert Medications Policies (cont.) • Standing orders are allowed at critical care areas as per the PPG- AFHSR-MMU-27 • In case of emergency situation where electrolyte correction is required at non critical words it can be barrowed from the nearest critical care ward only allowed when patient condition cannot be compromised Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
AFHSR Look Alike- Sound Alike Medication Management IPSG3.1.1 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications • LA medication are visually similar in appearance/packaging • SA medication are spelling similarity or similar phonetics • Tall Man lettering is the practice of writing part of a medicines name in upper case letters to help distinguish sound A like medications from one another and a void errors ( e.g HydrOXYzine and hydrALAZINE ) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications(cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications (cont.) • All medications included in LA, SA lists must have yellow labels stating look Alike/sound Alike • In event of unavailability of yellow labels yellow color adhesive tape stickers, labels, or bins can be used for proper identification • LASA medications must not be accepted by nursing staff if there is no label affixed by the pharmacy Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Look Alike/ Sound Alike Medications polices Hospital takes actions to prevent errors involving LASA medications including the following as applicable: 1. Providing education to healthcare professionals at orientation and as part of continuing education 2. Writing the diagnosis/ indication on prescription 3. Changing the appearance of look alike medications 4. Using TALL man lettering for sound Alike medications 5. Reading carefully the label before each time prior to administration 6. Minimizing the use of verbal and telephone orders 7. Checking the indication of medication on prescription prior to dispensing & administrating 8. Placing LASA medications in locations separate from each other in non alphabetical order Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Correct-site, correct-procedure, correct-patient Surgery IPSG4 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Correct-site, correct-procedure, correct- patient Surgery IPSG4 Definitions of: • Time out • Pre-op/ pre procedure verification Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
Correct-site, correct-procedure, correct- patient Surgery IPSG4 Policy Surgical site marking Surgical safety checklist Timeout Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
international patient safety goals 3-4
international patient safety goals 3-4
international patient safety goals 3-4

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international patient safety goals 3-4

  • 2. Objectives At the end of this lecture participants will be review the following: 1. Improving safety of high alert medications at AFHSR IPSG3 2. Storage, handling of concentrated electrolytes & Error prevention strategies at AFHSR IPSG 3.1 3. AFHSR Look Alike_Sound Alike medication management IPSG3.1.1 4. Correct-site, Correct-procedure, Correct- patient Surgery IPSG-004 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 3. Improving Safety Of High Alert Medication At AFHSR IPSG3
  • 4. High Alert Medications Policies • High Alert Medications (HAM) are drugs that involveand labeling or clinicaluse, look alike ar sound alike are prone to medication errors. • Independentdouble checking A procedure in which two healthcareprofessionals separately verify (alone and apart from each other the compare results ) a medication thatis about to be dispensed / administrated to patient Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 5. High Alert Medications polices AFHSR pharmacy department develop Lists of high alert medications includes the following: 1. Narcotic& controlled medications (AFHSR-MMU-PH-P01-5TH Edition) 2. Neuromuscular blockers (AFHSR-MMU-PH-P01-5TH Edition) 3. Antineoplastic medications (AFHSR-MMU-PH-P07-1st Edition) 4. Concentrated electrolytes(AFHSR-MMU-PH-P02-3TH Edition) 5. Antithrombotic medications (AFHSR-MMU-PH-P01-5TH Edition) 6. Look Alike drugs (AFHSR-MMU-PH-P01-5th Edition) 7. Sound Alike Drugs (AFHSR-MMU-PH-P03-6th Edition) 8. Radio-contrast agent -(AFHSR-MMU-PH-P09-3rdEdition) 9. Insulins (AFHSR-MMU-PH-P01-5TH Edition) 10. Anesthetic medication (AFHSR-MMU-PH-P01-5TH Edition) 11. Total parenteral nutrition (AFHSR-MMU-PH-P01-5TH Edition) 12. Other medications as identified by AFHSR (AFHSR-MMU-PH-P01-5TH Edition) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 6. High Alert Medications Policies (cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR Examples are…….
  • 7. High Alert Medications Policies (cont.) For All HAM : Stored in a lock and key cabinet. Prescribed and administered with care. Ensure to double check during calculations and administration. Designated place to store under the supervision of senior /Incharge staff of the department. Name tags of HAM in Pharmacies should clearly state (High Alert Medication: Double check) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR
  • 8. High Alert Medications Policies  Concentrated electrolytes solutions shall be stored in critical care areas labels with blue color stickered for proper identification.
  • 9. High Alert Medications Policies (cont.) • All staff working with medication responsible to be oriented to avoid errors • If nursing staff have any doubt in calculations or compatibilities ( refer to IV guide lines AFHSR-MMU-PH-F10,F86,F88-3RD Edition) or they must contact treating physician, IV pharmacist bleep00261 • Verbal & telephone orders is allowed in emergency cases at critical care areas and later must be documented within 24hrs Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 10. High Alert Medications Policies (cont.) • Standing orders are allowed at critical care areas as per the PPG- AFHSR-MMU-27 • In case of emergency situation where electrolyte correction is required at non critical words it can be barrowed from the nearest critical care ward only allowed when patient condition cannot be compromised Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 11. AFHSR Look Alike- Sound Alike Medication Management IPSG3.1.1 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 12. Look Alike/ Sound Alike Medications • LA medication are visually similar in appearance/packaging • SA medication are spelling similarity or similar phonetics • Tall Man lettering is the practice of writing part of a medicines name in upper case letters to help distinguish sound A like medications from one another and a void errors ( e.g HydrOXYzine and hydrALAZINE ) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 13. Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 14. Look Alike/ Sound Alike Medications(cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 15. Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 16. Look Alike/ Sound Alike Medications (cont.) • All medications included in LA, SA lists must have yellow labels stating look Alike/sound Alike • In event of unavailability of yellow labels yellow color adhesive tape stickers, labels, or bins can be used for proper identification • LASA medications must not be accepted by nursing staff if there is no label affixed by the pharmacy Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 17. Look Alike/ Sound Alike Medications polices Hospital takes actions to prevent errors involving LASA medications including the following as applicable: 1. Providing education to healthcare professionals at orientation and as part of continuing education 2. Writing the diagnosis/ indication on prescription 3. Changing the appearance of look alike medications 4. Using TALL man lettering for sound Alike medications 5. Reading carefully the label before each time prior to administration 6. Minimizing the use of verbal and telephone orders 7. Checking the indication of medication on prescription prior to dispensing & administrating 8. Placing LASA medications in locations separate from each other in non alphabetical order Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 18. Correct-site, correct-procedure, correct-patient Surgery IPSG4 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 19. Correct-site, correct-procedure, correct- patient Surgery IPSG4 Definitions of: • Time out • Pre-op/ pre procedure verification Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR
  • 20. Correct-site, correct-procedure, correct- patient Surgery IPSG4 Policy Surgical site marking Surgical safety checklist Timeout Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018OR AFHSR

Editor's Notes

  1. HydrALAZINE, also known by the brand name Apresoline, is used to treat high blood pressure. HydrOXYzine, also known by the brand names such as Vistaril and Atarax, is used to treat symptoms of an allergic reaction, such as itching or a rash, but it is also used to treat nausea and anxiety.
  2. 01‏/04‏/2006 - In a hospital pharmacy, unit-dose tablets of metronidazole 500 mg (ANTI MICROBIAL) and metformin ER 500 mg FOR TREAT DM PATIENT were accidentally mixed together in themetronidazole storage bin. This error resulted in dispensing metformin instead of metronidazole. Fortunately, a nurse recognized the error before giving a patient the wrong
  3. Packaging similarity