Medication Error Reporting Program (MERP) Update. April 2010 *********************************************
|
|
- Giles Malone
- 5 years ago
- Views:
Transcription
1 Medication Error Reporting Program (MERP) Update April 2010 *********************************************
2 Overview and presentation of our readiness Opening PowerPoint completed and under review by Quality Management Pharmacy has complied data and highlight success story of Hospital-wide medication error reduction efforts Vulnerabilities identified Pharmacy Performance Improvement Plan
3 Opening PowerPoint presentation Part 1 Hospital demographics, affiliations, services, goals (18 slides) Part 2 MUSS (SFGH MERP Committee), reporting structure, MUSS activities related to MERP (5 slides) Part 3 Technology implemented that impacted medication safety (1 slide) Part 4 Success stories related to the technology (4 slides) Part 5 INLP impact on medication safety (3 slides)
4 San Francisco General Hospital and Trauma Center ) 4
5 A California Public Hospital SFGH is one of 19 public hospitals in CA Today, just 6% of hospitals that Provide nearly half of the hospital care to the state s uninsured Operate almost 60% of CA s trauma centers Operate almost 45% of the burn centers Serve 2.5 million patients per year During the economic crisis, the need for services is growing
6 SFGH is for everyone Only Trauma Center in San Francisco Care for 100,000 patients per year Provides 20% of all inpatient care in SF Only Psychiatric Emergency & Rehabilitation Services Referral Center for Healthy San Francisco, the health access program for the uninsured
7 University of California, San Francisco (UCSF) SFGH has partnered with UCSF for over 130 years through our teaching and research affiliation. Over 160 UCSF Principal Investigators conduct research at SFGH with an annual budget of $143M Over 1,300 UCSF employees on campus.
8 Clinical training at SFGH University of California, San Francisco Schools of Nursing, Pharmacy, Dentistry, and Medicine 350 3rd or 4th Year Medical Students, 800 Residents, 60 Clinical Fellows 32% of intern/resident training in 17 academic departments 35% medical student clinical training California State University System, Community colleges, private universities and colleges place approximately 200 clinical nursing students for rotations at SFGH.
9 SFGH PATIENT DIVERSITY FY Age N=98,698 Sex Over 64 9% Under 18 13% % % Female 49% Male 51% % Asian/PI 21% Oth/Unk 5% White 24% Race Nat Amer 0% Hispanic 32% Afric-Amer 18%
10 Dedicated interpreter staff at SFGH provide services in over 20 languages: Spanish Cantonese Mandarin Russian Vietnamese Tagalog Cambodian Thai Arabic Amharic (Ethiopia) Portuguese Polish Burmese and more
11 Top 10 Discharge Diagnoses FY Schizophrenia 2. Normal Delivery 3. Pneumonia Organism 4. Congestive Heart Failure 5. Chest Pain 6. Alcohol Withdrawal 7. Leg Cellulitis 8. Shortness of Breath 9. HIV Disease 10. Obstructive Chronic Bronchitis with Exacerbation
12 SFGH Services FY Outpatient: 529,098 visits Inpatient: 15,405 admissions 103,313 patient days Skilled Nursing: average census 30 LOS 34 days
13 Acute Care for the Elderly (ACE) Special dedicated unit for post-op, medical, surgical and rehab patients Trained inter-disciplinary team emphasizes socialization, exercise, discharge planning, reducing pharmaceutical dependence Only ACE unit in California Currently 35 beds on two units
14 San Francisco Behavioral Health Center FY Mental Health Skilled Nursing Facility Average daily census of 57 Mental Health Rehabilitation Center Average daily census of 45 Adult Residential Care Facility Average daily census is 41
15 Surgical Services Ten operating rooms 6,872 procedures performed - of which 48% were emergency 1,118,100 surgical minutes
16 Baby Friendly Hospital FY SFGH named by World Health Organization as Baby Friendly in May 2007 Only Baby Friendly hospital in San Francisco 1 of 63 hospitals in U.S. 1,334 babies were born at SFGH 1,966 women received prenatal care, 25% high-risk
17 Trauma and Emergency FY Over 53,000 Emergency Room visits 15% are admitted Over 7,200 Psychiatric Emergency encounters 26% are admitted SFGH receives 29% of all ambulance traffic in San Francisco 3,559 adults and children are treated for injuries requiring the trauma activation.
18 SFGH Goals FY Promote patient safety Enhance clinical care Promote staff retention & recruitment Maintain hospital infrastructure Comply with all regulatory standards & attain specialty certifications Maintain services during hospital rebuild
19 VIEW FROM 23RD STREET
20 Performance Improvement and Patient Safety Reporting Pathway
21 Committees Involved in Medication Management Pharmacy and Therapeutics Committee Medication Use and Safety (MUSS) Formulary Review Subcommittee (FRS) Pain Management Subcommittee Nutrition Subcommittee Antibiotic Review Subcommittee Procedural Sedation Committee Clinical Laboratory/Therapeutics Committee Performance Improvement Patient Safety Committee (PIPS) Nursing Quality Improvement Coordinating Council (NQICC) CALNOC Integrated Nursing Leadership Program (INLP) Joint Nursing Pharmacy Committee
22 Medication Use and Safety Subcommittee (MUSS) Membership comprised of: Medical Staff, Nursing, Pharmacy, Respiratory Care Services, Radiology, Quality Management, Risk Management Duties/Responsibilities: Oversees the Hospital s MERP Review adverse drug events and medication unusual occurrences Develops and maintains medication management policies Discusses medication management safety processes including opportunities for improvement. Develops safety strategies including staff education Review pre-printed physician order forms that contain medication orders.
23 MUSS Committee activities ADR summary REPORTED ADR BY QUARTER QUARTER # OF ADR
24 MUSS Committee activities Med Error Review summary Total # of Med Error UO's by quarter ( total = 1816) 250 # of UOs Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr
25 MUSS Committee activities Med Error Review summary (con t) Total Ordering Errors (Total UOs Reported = 161) Total Preparation Errors (Total UO's Reported = 428) # of errors Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr # of errors Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr Total Administration Errors (Total UO's Reported = 1452) Total Communication Errors (Total UO's Reported = 788) # of errors Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr # of errors Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr
26 Technology implemented at SFGH that impacted Medication Errors 1. Invision/Lifetime Clinical Record (LCR) Medication Reconciliation Laboratory values & reports Allergies & Clinical Alerts 2. Siemens Rx system Patient profiles in Omnicell ADMs 3. Medication Administration Check & Communication (MAK) 4. Omnicell-Automated Dispensing Machines (ADMs)
27 Invision/LCR - Medication Reconciliation Electronic System
28 Medication Administration Check & Communicate (MAK) Electronic Medication Record Integrated in the Siemens Pharmacy system to facilitate electronic medication administration process using wireless technologies. Project Aim: Increase patient safety Decrease medication errors by 50% utilizing the electronic medication administration (MAK) program Computerized documentation achieves the following: Elimination of all transcription Pharmacy-entered orders are visible in real time Electronic communication between Nursing & Pharmacy in MAK, reduces phone calls Drug information library Lab data High alert medications require 2 nurse logons Specific drugs require data entry: pain score, pulse, BP, glucose Reminders for pain reassessments Injection site charting 28
29 MAK Outcomes Study on 5C Medication Administration Accuracy Errors were reduced on Unit 5C after introduction of MAK in September 2008 Error rate was 57% lower than the average error rate on comparison non-mak units at SFGH Overall Error Rate: Before and After MAK Implementation % Errors Before % Errors After D 5A 5D 6A % 5C % 2007 Q Q Q Q4
30 MAK Outcomes Study on 5C Number Observed Doses before MAK Number Observed Doses after MAK % Wrong Dose Before % Wrong Dose After 0 4D 5A 5D 6A 5C D 5A 5D 6A % 5C % D 5A 5D 6A % 5C % 0 % Extra Dose Before % Extra Dose After D 5A 5D 6A % 5C % 0.3 % Omission Before % Omission After
31 CALNOC Collaborative Alliance for Nursing Outcomes Voluntary quality outcomes monitoring benchmarked anonymously to other like-sized California hospitals. Indicators: Medication Administration Accuracy Study (Med Pass) Study: Observe 100 medication passes for the following: -Patient Identification -Allergies -Patient Teaching -Distraction during Med Pass -Compares to MD Order, Med Admin Record (MAR) & Omnicell -Hand Hygiene -Charting All nursing areas of SFGH conduct Medication Administration Accuracy Studies
32 Administration Omitted Administrations Reasons for Omitted Medication Administrations (N=35 patients) NPO 15% Patient nauseated 14% Patient Refused 15% IV Site Used No reason charted 11% 3% Pt Off Unit 9% Not indicated per clinical parameters 11% Dose Administered 11% Held per MD Order 11%
33 Integrated Nurse Leadership Program (INLP) in Med-Surg The Integrated Nurse Leadership Program (INLP) is funded by the Gordon and Betty Moore Foundation and is directed and administered by the Center for the Health Professions at the University of California, San Francisco. INLP aim is to transform the hospital work environment and improve nurse-related patient outcomes through developing nurses professionalism, while enhancing their capacity to create and lead sustainable systems change. SFGH the INLP focus has been on Medication Safety including this unit projects: 4B - Decrease high alert medication errors that could be prevented by 2 RN checks by 50% in D - Reduce medication errors related to antibiotics to 80% by Jan A - Increase and sustain number of medication administration without interruptions to 90% by June 30, C - Maintain 95% compliance of No Interruptions during Preparation and Administration of Medications Using the New MAK System by February D - Decrease medication error related to heparin SQ and IV administration by 100% and decrease interruptions during medication administration by 90% in six months. 6A - To conduct 100% allergy screening with every medication administration by June 30, 2009.
34 Potential vulnerabilities Policy and Procedures Revision to be completed by April 23, Timely review of UO Aim is 100% reviewed and addressed by April 23, 2010 Collation of all medication errors Have ME, ADR data but need more order entry errors Omitted dose Clinical pharmacists start reviewing charts for omitted dose on April 19, 2010
35 2010 Pharmacy Performance Improvement Plan % of medication orders are entered in the correct patient s profile by April Reduce interruption by 50% during order entry by encouraging the use of RN-Pharmacy Communication form by Oct % of orders will have a 30 minutes turn around time by July Implement pop-up alert window in Omnicell to assist nurses prior to administration for all highalert meds by July 2010
36 2010 Pharmacy Performance Improvement Plan (con t) % of units with clinical pharmacist assignment Verify pharmacy profile, MAR and MD orders for discrepancies starting May Implement medication alerts for 100% of MAK units for high alert meds by Sept Implement Omnicell biometrics feature sign-on in 50% of inpatient nursing units by Dec Implement TallMan lettering in Omnicell for 100% of ISMP medication list by April Increase order entry error data reporting by 50% by June 2010
1. PROMOTE PATIENT SAFETY.
SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER GOALS & ACCOMPLISHMENTS FISCAL YEAR 2006-2007 1. PROMOTE PATIENT SAFETY. Implemented medication reconciliation processes and procedures for admitted patients.
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationFacility Assessment Laguna Honda Hospital and Rehabilitation Center
Facility Assessment Laguna Honda Hospital and Rehabilitation Center January 9, 2018 Joint Conference Committee Regina Gomez, Director of Quality Quoc Nguyen, Assistant Hospital Administrator CMS Phase
More informationSAN FRANCISCO GENERAL HOSPITAL and TRAUMA CENTER
SAN FRANCISCO GENERAL HOSPITAL and TRAUMA CENTER 1 WHY IS SAN FRANCISCO GENERAL HOSPITAL IMPORTANT? and Trauma Center (SFGH) is a licensed general acute care hospital which is owned and operated by the
More informationCalifornia Hospital Association Medication Safety Committee
California Hospital Association Medication Safety Committee An interagency, interdisciplinary committee for safe medication use. Jeannette Hanni, R.Ph., M.P.A., FCSHP Co-Chair, CHA Medication Safety Committee
More informationUCSF at SFGH. Sue Carlisle, PhD, MD. Sue Currin, MSN, RN. Vice Dean, SFGH CEO, SFGH. March 17, 2015
UCSF at SFGH March 17, 2015 Sue Carlisle, PhD, MD Vice Dean, SFGH Sue Currin, MSN, RN CEO, SFGH Agenda UCSF at SFGH UCSF Clinical Operations at SFGH Current Affiliation Agreement (AA) UCSF Clinical Practice
More informationCRAIG HOSPITAL POLICY/PROCEDURE
CRAIG HOSPITAL POLICY/PROCEDURE Approved: P&T, MEC, NPC, P&P 03/09 Effective Date: 02/95 P&T, MEC, P&P 08/09; P&P 08/10; P&T, MEC 10/10, P&T, P&P 12/10 ; MEC 01/11; P&T, MEC 02/11, 04/11 ; P&T, P&P 12/11
More informationPERFORMANCE MEASURE DATE / RESULTS / ANALYSIS FOLLOW-UP / ACTION PLAN
Resident-to-Resident Assaults AIM: To decrease incidents of Resident to Residents assaults by 5% in the Fiscal Year (FY) 2011-2012. MONITORING: Data is collected from all instances in which State of California
More informationPGY-1 Pharmacy Practice
Lutheran Health Network PGY-1 Pharmacy Practice Residency Program LHN Pharmacy Residency Program Mission Statement The mission of the LHN Pharmacy Residency Program is to empower pharmacy residents to
More informationSHRI GURU RAM RAI INSTITUTE OF TECHNOLOGY AND SCIENCE MEDICATION ERRORS
MEDICATION ERRORS Patients depend on health systems and health professionals to help them stay healthy. As a result, frequently patients receive drug therapy with the belief that these medications will
More informationHow can we provide the same world class care to patients with psychiatric disorders? 11/27/2016. Dec 2016 Orlando, FL
The presenters have nothing to disclose Transforming Emergency Psychiatry Karen Murrell, MD, MBA, FACEP Physician Lead-Emergency Medicine, Kaiser Northern California Assistant Physician in Chief- Hospital
More informationHealth Information Technology and Interdisciplinary Teamwork in the VA
Health Information Technology and Interdisciplinary Teamwork in the VA Joanne Spetz, Ph.D. University of California, San Francisco Ciaran Phibbs, Ph.D. VA Health Economics Resource Center October 2008
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationLow Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by:
2012-2013 Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects Submitted by: Florida Health Sciences Center, Inc. d/b/a Tampa General Hospital July 31, 2012 1 1. Applicant:
More informationUsing MEDMARX for Reporting and Benchmarking. Anne Skinner, RHIA Katherine Jones, PhD, PT
Using MEDMARX for Reporting and Benchmarking Anne Skinner, RHIA Katherine Jones, PhD, PT Purpose of the Grant: Assist small rural hospitals to Voluntarily report and analyze medication errors Identify
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationFrequently Asked Questions (FAQ) CALNOC 2013 Codebook
Frequently Asked Questions (FAQ) CALNOC 2013 Codebook Maternal/Child and ED Service Lines QUESTION: Are the ED and Maternal/Child measures mandatory? What are the ramifications if we choose not to add
More informationCOMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) Ahmed Albarrak 301 Medical Informatics albarrak@ksu.edu.sa 1 Outline Definition and context Why CPOE? Advantages of CPOE Disadvantages of CPOE Outcome measures
More informationMedication Reconciliation - Inpatient
Page 1 of 8 Home Previous Page Print Medication Reconciliation - Inpatient Administrative Policies & Procedures Document Number: MHC-ADMIN-02-1280 v6 Document Owner: Donna Ciufo, DNP, RN Date Last Updated:
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE MEDICATION ORDERS SCOPE Provincial APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Provincial Medication Management Committee PARENT DOCUMENT TITLE, TYPE AND NUMBER Not applicable
More informationLong Term Care Pharmacy
Long Term Care Pharmacy Medication Reconciliation in The Electronic Age Courtney Doherty Oland R.Ph, MBA President The LTC setting is currently under enormous transformation silver tsunami - greater demand/
More informationMedication Reconciliation in the Era of Telepharmacy: An Innovator s Tale
Medication Reconciliation in the Era of Telepharmacy: An Innovator s Tale Christopher A. Keeys, Pharm.D., BCPS, R.Ph. President, Clinical Pharmacy Associates, Inc. CEO, MedNovations, Inc. 5/20/2018 CPA/MedNovations
More information2016/17 Quality Improvement Plan "Improvement Targets and Initiatives"
2016/17 Quality Improvement Plan "Improvement Targets and Initiatives" Queensway-Carleton Hospital 3045 Baseline Road AIM Measure Quality dimension Objective Measure/Indicator Unit / Population Source
More informationLicensed Pharmacy Technicians Scope of Practice
Licensed s Scope of Practice Adapted from: Request for Regulation of s Approved by Council April 24, 2015 DEFINITIONS In this policy: Act means The Pharmacy and Pharmacy Disciplines Act means an unregulated
More informationPGY-1 Pediatric Pharmacy Residency Program PhORCAS Program Code
PGY-1 Pediatric Pharmacy Residency Program PhORCAS Program Code 190313 Valley Children s Hospital, located in Madera, California, is a not-for-profit, state-of-the-art children s hospital on a 50-acre
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationAcute Crisis Units. Shelly Rhodes, Provider Relations Manager
Acute Crisis Units Shelly Rhodes, Provider Relations Manager Shelly.Rhodes@beaconhealthoptions.com Training Agenda Agenda: Transition and Certification Coverage of Services Service Code Definition Documentation
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationRe-Engineering Medication Processes to Capitalize on Technology. Jane Englebright, PhD, RN Vice President, Quality HCA
Re-Engineering Medication Processes to Capitalize on Technology Jane Englebright, PhD, RN Vice President, Quality HCA Who is HCA? % % % % U.K. % % % Switzerland % %% % % % % % %% % % % % % % % %% % % %
More informationMitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers
Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers HIMSS Stage 7: What it Means Heart of America HIMSS and the Missouri Health Information Management Association
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More informationLearning Experiences Descriptions
Anticoagulation Management Clinic Learning Experiences Descriptions The Anticoagulation Management rotation is an elective learning experience that focuses on the outpatient management of anticoagulation.
More informationMEDICATION USE EFFECTIVE DATE: 06/2003 REVISED: 2/2005, 04/2008, 06/2014
TITLE / DESCRIPTION: SAFETY PROCEDURES FOR MEDICATION USE DEPARTMENT: Pharmacy PERSONNEL: All Pharmacy Personnel EFFECTIVE DATE: 06/2003 REVISED: 2/2005, 04/2008, 06/2014 Leadership and Culture A culture
More informationIntroduction of EPMA in paediatric practice in UK:
Introduction of EPMA in paediatric practice in UK: REALISING THE CLINICAL BENEFITS AND ENGAGING CLINICAL STAFF Stephen Marks Consultant Paediatric Nephrologist and EPMA lead Great Ormond Street Hospital
More informationBest Practices in Managing Patients with Heart Failure Collaborative
Best Practices in Managing Patients with Heart Failure Collaborative Improving Care for HF Patients in a Primary Care Setting University of Utah Community Physicians Group September 1, 2016 Re-cap of Original
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI Objectives Pharmacist 1. Describe transition of care opportunities 2. Explain ways to use pharmacist extenders
More informationMedicines Reconciliation: Standard Operating Procedure
Clinical Medicines Reconciliation: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation
More informationMedicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME
Medicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME The Process What is medicine reconciliation? Medicine reconciliation is an evidence-based process, which has been
More informationInnovative and Outcome-Driven Practices and Systems Meaningful Prevention and Early Intervention Wellness, Recovery, & Resilience Focus
Our Mission: To provide a culturally competent system of care that promotes holistic recovery, optimum health, and resiliency. Our Vision: We envision a community where persons from diverse backgrounds
More informationStandardized Protocol for Assessment and Management of Acute and Chronic Patients: Anesthesia Pre-Op Clinic
Standardized Protocol for Assessment and Management of Acute and Chronic Patients: Anesthesia Pre-Op Clinic Protocol for the Management of Acute and Chronic Illness and Injuries prior to the administration
More informationParagon Clinician Hub for Physicians (PCH) Reference
Paragon Clinician Hub for Physicians (PCH) Reference Logging in to the Clinician Hub Paragon Clinician Hub (PCH) is available on any Carroll Hospital Network. VMWare View must be utilized to open the application.
More informationPharmacy Services in the Emergency Department
Pharmacy Services in the Emergency Department Targeting the Highest Risk Patients Kunal Gohil Specialist Clinical Pharmacist Emergency Department Nottingham University Hospitals NHS Trust When all else
More informationHPSM Medi-Cal Benefits A Guide on How to Get Your Health Care
HPSM Medi-Cal Benefits A Guide on How to Get Your Health Care Health care and insurance benefits can be difficult to understand. This guide introduces you to your basic Medi-Cal benefits, to the Health
More informationAll Wales Multidisciplinary Medicines Reconciliation Policy
All Wales Multidisciplinary Medicines Reconciliation Policy June 2017 This document has been prepared by the Quality and Patient Safety Delivery Group of the All Wales Chief Pharmacists Group, with support
More informationHypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
More informationThe Structure of the Healthcare Sector and Healthcare Occupations in Massachusetts
The Structure of the Healthcare Sector and Healthcare Occupations in Massachusetts June 26 th, 2007 Jonathan Latner Research and Evaluation Analyst Commonwealth Corporation 617-727-8158 jlatner@commcorp.org
More informationMeaningful Use Modified Stage 2 Roadmap Eligible Hospitals
Evident is dedicated to making your transition to Meaningful Use as seamless as possible. In an effort to assist our customers with implementation of the software conducive to meeting Meaningful Use requirements,
More informationMedication Reconciliation. Peggy Choye, Pharm.D., BCPS
Medication Reconciliation Peggy Choye, Pharm.D., BCPS What is it? Medication reconciliation The process of identifying the most accurate list of all medications that a patient is taking including name,
More informationREVISED FIP BASEL STATEMENTS ON THE FUTURE OF HOSPITAL PHARMACY
REVISED FIP BASEL STATEMENTS ON THE FUTURE OF HOSPITAL PHARMACY Approved September 2014, Bangkok, Thailand, as revisions of the initial 2008 version. Overarching and Governance Statements 1. The overarching
More information2018 Hong Kong Pharmacy Conference. Strategic Planning for Pharmaceutical Services , Hospital Authority of Hong Kong
2018 Hong Kong Pharmacy Conference Strategic Planning for Pharmaceutical Services 2017-2022, Hospital Authority of Hong Kong Ms Anna LEE Chief Pharmacist Hospital Authority Hong Kong 10 March 2018 Hospital
More informationElectronic Medication Reconciliation and Depart Process Overview Nursing Deck
Electronic Medication Reconciliation and Depart Process Overview Nursing Deck Revised: 8/16/2011 1 Introduction To achieve the highest standard of care that our system aspires to, as well as to meet the
More informationPHARMACY PRACTICE. Residency Program
PHARMACY PRACTICE Residency Program PGY-1 Pharmacy Practice RESIDENCY OVERVIEW The Pharmacy Practice Residency Program is a comprehensive post-graduate training program that provides unique learning opportunities
More informationC.O.R.E. MISSION STATEMENT
C.O.R.E. MISSION STATEMENT Comprehensive Opiate Recovery Experience RECOVERY WITH RESPECT Improving the lives of individuals through comprehensive opiate replacement services C.O.R.E. MEDICAL CLINIC IS
More informationVHA Transformation to a Patient Centered Medical Home Model of Care
VHA Transformation to a Patient Centered Medical Home Model of Care Joanne M. Shear MS, FNP-BC VHA Primary Care Clinical Program Manager Office of Primary Care Operations & Policy Washington, DC Joanne.shear@va.gov
More informationSan Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative
San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative February 2, 2018 COIT Budget & Performance Subcommittee SF WHOLE PERSON CARE Background: What is it? Targeted Population in SF:
More informationReconciliation of Medicines on Admission to Hospital
Reconciliation of Medicines on Admission to Hospital Policy Title State previous title where relevant. State if Policy New or Revised Policy Strand Org, HR, Clinical, H&S, Infection Control, Finance For
More informationSAN FRANCISCO GENERAL HOSPITAL and TRAUMA CENTER. ANNUAL REPORT Fiscal Year
SAN FRANCISCO GENERAL HOSPITAL and TRAUMA CENTER ANNUAL REPORT Fiscal Year 2010-2011 1 Presentation Summary Community Wellness Program Nursing Progress Performance Improvement and Patient Safety UCSF-SFGH
More information3/9/2010. Objectives. Pharmacist Role in Medication Safety and Regulatory Compliance
Pharmacist Role in Medication Safety and Regulatory Compliance Janet Greiwe Vice President, Systems Management Cleveland County Health System Objectives By the end of this presentation, you should be able
More informationEMR Adoption: Benefits Realization
EMR Adoption: Benefits Realization John H. Daniels, CNM, FACHE, FHIMSS, CPHIMS Global Vice President, HIMSS Analytics Pressurring / Overload Automate to optimize clinical decision making Medical Knowledge
More informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
More informationConstant Pursuit of Medication Safety. Geraldine Koh Chief Pharmacist
Constant Pursuit of Medication Safety Geraldine Koh Chief Pharmacist 1 Alexandra Hospital 400 beds Multi discipline except Paeds & ObGyn Restructured in Oct 2000 Transformation Creating A Safety Culture
More informationTehama County Health Services Agency Mental Health Division Quality Improvement Program
Tehama County Health Services Agency Mental Health Division Quality Improvement Program The Mental Health Plan (MHP) shall have a written Quality Improvement (QI) Program Description in which structure
More informationWelcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans The presentation will begin momentarily. Please dial in to hear audio: 1-888-670-3525
More informationMaimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology Healthcare Information and Management Systems Society Electronic Poster Session CPR System Planning The
More informationCommunity Health Network of San Francisco Committee on Interdisciplinary Practice
Community Health Network of San Francisco Committee on Interdisciplinary Practice Title: Pain Consultation Service - Clinical Pharmacist I. Policy Statement A. It is the policy of the Community Health
More informationPresentation Outline
Pharmacist Practice Expectations Weighing Value and Setting Priorities Nick Honcharik, Pharm. D. Presentation Outline Pharmacist Practice Expectations Background/rationale Development Selective examples
More informationMEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS
MEDS TO BEDS AND CARE MANAGEMENT MEDICATION ASSESSMENT TOOLKIT: FOR HOSPITAL TEAM AND PHARMACISTS Implementation Toolkit Last Updated: 02/2018 OneCity Health Services 199 Water Street, 31st Floor, New
More informationPresentation Summary
SAN FRANCISCO GENERAL HOSPITAL and TRAUMA CENTER ANNUAL REPORT Fiscal Year 2011-2012 1 Presentation Summary SFGH Strategic Plan Update Environment of Care Report Approval Requested Provision of Care Policy
More informationNevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015
Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 I. Executive Summary The vision of Nevada County Behavioral Health (NCBH)
More informationFrom Big Data to Big Knowledge Optimizing Medication Management
From Big Data to Big Knowledge Optimizing Medication Management Session 157, March 7, 2018 Dave Webster, RPh MSBA, Associate Director of Pharmacy Operations, URMC Strong Maria Schutt, EdD, Director Education
More informationIntroduction to Pharmacy Practice
Introduction to Pharmacy Practice Learning Outcomes Compare & contrast technician & pharmacist roles Understand licensing, certification, registration terms Describe advantages of formal training for technicians
More informationChapter 13. Documenting Clinical Activities
Chapter 13. Documenting Clinical Activities INTRODUCTION Documenting clinical activities is required for one or more of the following: clinical care of individual patients -sharing information with other
More informationSFGH Dept of Psychiatry August 14, 2012
SFGH Dept of Psychiatry August 14, 2012 James W. Dilley, MD Professor of Clinical Psychiatry Chief, SFGH Department of Psychiatry Vice Chair UCSF Dept of Psychiatry Executive Director UCSF Alliance Health
More information2019 Health Net Seniority Plus Amber I (HMO SNP) H0562: 055 Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco
2019 Health Net Seniority Plus Amber I (HMO SNP) H0562: 055 Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco and Tulare Counties, CA H0562_19_7837SB_055_M_Accepted
More informationBar Code Medication Administration and MAR Resource Manual
Bar Code Medication Administration and MAR Resource Manual Administering Medications Administering Meds using CareMobile (PDA)... 2 Viewing Allergies in CareMobile... 8 Determining Which Meds to Give When...
More informationSan Francisco General Hospital Medical Center 2004.
San Francisco General Hospital Medical Center 2004. SFGHMC Mission It is the Mission of San Francisco General Hospital to deliver humanistic, cost-effective, and culturally competent health services to
More informationPatient-Centered Connected Care 2015 Recognition Program Overview. All materials 2016, National Committee for Quality Assurance
Patient-Centered Connected Care 2015 Recognition Program Overview All materials 2016, National Committee for Quality Assurance Learning Objectives Introduction to Patient-Centered Connected Care and Eligibility
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2009 Sue Currin, RN, MS, Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2009 Sue Currin, RN, MS, Chief Nursing Officer 1. January 2009 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer 1. April 2010 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for
More informationH2H Mind Your Meds "Challenge. Webinar #3- Lessons Learned Wednesday, April 18, :00 pm 3:00 pm ET. Welcome
H2H Mind Your Meds "Challenge Webinar #3- Lessons Learned Wednesday, April 18, 2012 2:00 pm 3:00 pm ET 1 Welcome Take Home Messages Understand how to implement the Mind Your Meds strategies and tools in
More informationMedication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety
Medication Safety Action Bundle Adverse Drug Events (ADE) All High-Risk Medication Safety Background The Institute of medicine (IOM) estimates that 1.5 million preventable Adverse Drug Events (ADE) occur
More information2011 Measures 2013 Objectives Goal is to guide and support care processes and care coordination
Improve quality, safety, efficiency, and reduce health disparities Provide access to comprehensive patient health data for patient s health care team Use evidencebased order sets and CPOE Apply clinical
More informationREDUCING MEDICAL AND MEDICATION ERRORS THROUGH INFORMATION TECHNOLOGY AND PROCESS CHANGE. M. Patricia Maher Johns Hopkins Bayview Medical Center
REDUCING MEDICAL AND MEDICATION ERRORS THROUGH INFORMATION TECHNOLOGY AND PROCESS CHANGE M. Patricia Maher Johns Hopkins Bayview Medical Center Background Acute Care Hospital- 355 beds Trauma center NICU-
More informationIntroduction to the Parking Lot
Introduction to the Parking Lot In ARK Epic training sessions, The Parking Lot" is used to capture all questions for which your trainer may not have an immediate answer during session. Your ARK Epic Training
More informationBackground and Methodology
Study Sites and Investigators Emergency Department Pharmacists Improve Patient Safety: Results of a Multicenter Study Supported by the ASHP Foundation Jeffrey Rothschild, MD, MPH-Principal Investigator
More informationIntroduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
More informationSpecial Needs Plans (SNP) Model of Care (MOC) Initial and Annual Training
Special Needs Plans (SNP) Model of Care (MOC) Initial and Annual Training 2018 Learning Objectives Program participants will be able to: List the three overall goals of the SNP Model of Care Describe the
More informationColorado Board of Pharmacy Rules pertaining to Collaborative Practice Agreements
6.00.00 PHARMACEUTICAL CARE, DRUG THERAPY MANAGEMENT AND PRACTICE BY PROTOCOL. 6.00.10 Definitions. a. "Pharmaceutical care" means the provision of drug therapy and other pharmaceutical patient care services
More informationMedi-Cal Program. Benefit. Benefits Chart
Chart Please note that the table below is only a summary. More details about benefits can be found in the section of the Medi-Cal Evidence of Coverage booklet. All health care is arranged through your
More informationIntroduction. Singapore and its Quality and Patient Safety Position. Singapore 2004: Top 5 Key Risk Factors. High Body Mass
Introduction Singapore and its Quality and Patient Safety Position Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking (7.4%; 28,000)
More informationThanks to Anne C. Byrne, RN, Medical Monitor at Northwest Georgia Regional Hospital. This presentation was developed from one she designed for that
Thanks to Anne C. Byrne, RN, Medical Monitor at Northwest Georgia Regional Hospital. This presentation was developed from one she designed for that hospital. 1 2 3 Note that an actual variance occurs when
More informationBethesda Hospital PGY1 Residency Program Learning Experiences
Bethesda Hospital PGY1 Residency Program Learning Experiences Required rotations Orientation This rotation will orient the resident to hospital pharmacy and the responsibilities of a staff pharmacist.
More informationBar-Coding at the Bedside
Bar-Coding at the Bedside Presented by: Diane W. Allen, RN, MS, CNOR Chief Nursing Officer & VP of Operations Concord Hospital Concord, New Hampshire Our Results... Medication Errors per 100 Adjusted Admissions
More informationReducing Readmission Case Stories Discussion of Successes
Reducing Readmission Case Stories Discussion of Successes University of California, San Francisco Maureen Carroll RN, CHFN Transitional Care Manager Heart Failure Program Coordinator UnityPoint Cedar Rapids
More informationMedication Control and Distribution. Minor/technical revision of existing policy. ± Major revision of existing policy Reaffirmation of existing policy
Name of Policy: Policy Number: 3364-133-17 Department: Pharmacy Approvingofficer: Chief Executive Officer THE unrversity OF TOLEDO MEDICAL CERITER Responsible Agent: Scope: Director of Pharmacy University
More informationSAN MATEO MEDICAL CENTER
ADMINISTRATIVE AND QUALITY MANAGEMENT - Accounting/Payroll - Finance and Decision Support - Patient Financial Services - Revenue and Reimbursement - Compliance/HIPAA - Materials Management - Community
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationCountywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report
Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/11/2016 Contra Costa
More informationA Million Little Pieces: Developing a Controlled Substance Diversion Program. Tanya Y. Barnhart, PharmD, BCPS
A Million Little Pieces: Developing a Controlled Substance Diversion Program Tanya Y. Barnhart, PharmD, BCPS I have no conflicts of interest to disclose Objectives Explain the importance of building a
More informationHigh 5s Project: Action on Patient Safety. SOP Flow Charts. 20 th International Forum on Quality and Safety in Healthcare April 2015 London, UK
High 5s Project: Action on Patient Safety SOP Flow Charts 20 th International Forum on Quality and Safety in Healthcare 21-24 April 2015 London, UK Performance of Correct Procedure at Correct Body Site
More information