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Medication Safety Program
Samir Sawli, PhD
ssawli@yahoo.com
Hexpert.sharepoint.com
Patient Safety is a concern from
• Wrong treatemnt
• Wrong surgery
• Nosocomial infection
• Patient fall
• Infant abduction
• Medications…..
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
• 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
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
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
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
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
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
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
• Hexpert.sharepoint.com
• ssawli@yahoo.com

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Medication Safety Program

  • 1. Medication Safety Program Samir Sawli, PhD ssawli@yahoo.com Hexpert.sharepoint.com
  • 2. Patient Safety is a concern from • Wrong treatemnt • Wrong surgery • Nosocomial infection • Patient fall • Infant abduction • Medications…..
  • 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. • 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. 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. 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. 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. 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. 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. 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 • Hexpert.sharepoint.com • ssawli@yahoo.com