Objectives MEDICATION SAFETY & TECHNOLOGY. Disclosure. How has technology improved the way we dispense and compound medications AdminRx AcuDose Rx
|
|
- Bennett James
- 5 years ago
- Views:
Transcription
1 MEDICATION SAFETY & TECHNOLOGY Objectives Identify technology that can improve medication safety and decrease medication errors Identify ways that technology can cause medication errors if used inappropriately Does the use of advanced technology improve medication safety? Kathleen Darragh, CPHT Self Regional Healthcare March 15, Identify who is responsible for medication safety Identify ways to make medication distribution and compounding of medication safer 2 Disclosure The information disclosed in this presentation has not been sponsored or supported by any pharmaceutical or software company. TPN Dose of Calcium Gluconate 0.6 meq/kg 22.7 kg 0.6 X 22.7 = meq Concentration = meq/ml 13.62/0.465 = 29.3 ml of drug 3 4 TPN Dose Compounded As: 6.6 meq/kg 22.7kg 6.6 X 22.7 = meq /0.465 = ml 5 How has technology improved the way we dispense and compound medications AdminRx AcuDose Rx Computerized Physician Order Entry DoseEdge Auto Med Fast Pak Logix TPN Software Solution Automix Compounder 6 1
2 Admin Rx Pros Improves medication safety, patient safety and helps prevent medication errors by providing real time alerts and warnings for new, changed, or canceled orders Ensures the 5 rights (right patient, right drug, right dose, right route, right time) Admin Rx Pros (cont.) Compiles information in an accurate and legible medication record (MAR) for all caregivers Interfaces with pharmacy, physician, and nursing Scanning a three way barcoded match of the care giver s ID badge, patient s ID and the medication barcode. 7 Improves documentation required by regulatory agencies 8 Admin Rx Cons User must scan medication and patient barcode or the system does not work Pharmacy needs to make sure all inventory has readable barcodes Work Arounds nurses can override Alert fatigue getting too many alerts! 9 10 AcuDose Rx Pros AcuDose Rx Pros (cont.) Improves inventory management and strengthens compliance Assign medications from the cabinet or the pharmacy Reduces stock outs bulletins print to specific printer Clinical safety features include multiple locked and lidded pocket options Bar code scanning, allergy alert indicators Medication availability for patients
3 Acudose Rx Cons Work Arounds Nurses can override which is always a potential for error Look Alike/Sound Alike drugs stocked kdin wrong cabinets Creates a potential for diversion 13 Computerized Physician Order Entry Pros Averts problems with handwriting, similar drug names, drug interactions, and specification errors Integrates with electronic medical records Ensures standardized, legible, and complete orders Potentially reduces errors at the ordering and transcribing stages 14 Physician adoption CPOE Cons DoseEdge Pros Integrated drug verification eliminates the primary cause of wrong drug medication errors Automatic dose and dilution calculations ensure right dose, right concentration Step by step workflow ensures IV preparation best practices
4 DoseEdge Pros (cont.) Pharmacy Check Station facilitates complete dose inspection and approval, anywhere on your health system s intranet Digital images are captured at Prep Stations for dose verification i Barcode tracking prevents drug waste due to lost and missing doses On line data storage of prepared doses. Can access information on line for up to 6 months Clarity of pictures DoseEdge Cons Work Arounds Can trick computer Single dose vs multi dose Auto Med Fastpak Pros Canister dispensing increases patient safety with every dose being clearly labeled with drug name, strength and description Patient s name and time of administration can be applied Flexible barcode labeling meets standards for compliance packaging Auto Med Fastpak Cons All the packages look alike LOGIX TPN Software Solution Pros Order Entry templates for neonates and adults Create problems in AcuDose Empty packs Double pills 23 Compatibility calcium and phosphate p solubility Label Clarity Process Controls 24 4
5 Logix TPN Software Solution Pros (cont.) Proof of Individual Ingredients Clinical Warnings Osmolality li (central vs. peripheral) Electrolyte limits Volume limits Requires Input to Override Logix TPN Software Solution Cons When drugs are ordered by different units of measure there is potential for error the units are not preprogrammed must be manually entered Meq/kg vs. Meq/bag Two different concentrations of potassium phosphate Neonates mmol/kg Adults meq/bag Automix Compounder Pros Overfill warnings when an order cannot be prepared in the volume specified Ability to add and set minimums and maximums for ingredients 27 Positive identification of hanging solutions using the built in refractometer Reads the refractive index of each solution and will shut down if incorrect 28 Automix Compounder Pros (cont.) Positive identification of patient orders Automix Compounder Cons A minimum of three patient types: adult, pediatric and neonate Refractometer sensitivity Premasol 6% vs. Heptamine 8% possibility of not reading the difference A minimum of three level user security access levels: administrator, pharmacist, technician Measures as little as 5 ml accurately
6 31 32 Who is responsible for medication safety Doctors Nurses Pharmacists Pharmacy Technicians Manufacturers clear labeling, adequate supplies 33 How to make it safer Proper training and certification for technicians As a technician remember you may be the patient s first line of defense. Don t assume the order or label you receive is correct. Technology and computers are not perfect information may be incorrect Do your math Don t assume the person you are working with is right 34 How to make it safer cont. Trust your instincts don t be afraid to question your pharmacist Pharmacists allow your techs to question you without penalization Don t become complacent Eliminate distractions Take more time upfront when planning on implementing a system Implementation is key policies and procedures assure we are all on the same page 35 Take Home Message With heightened concerns about medication errors, many organizations are looking to technology as a means to enhance patient safety. Technology is a start, but will not solve all problems related to medication errors. As pharmacists and pharmacy technicians, we must be diligent in making patient safety first and foremost. 36 6
Medication Safety & Electrolyte Administration. Objectives. High Alert Medications. *Med Safety Electrolyte Administration
Medication Safety & Electrolyte Administration Jennifer Doughty, PharmD PGY2 Pharmacy Resident Emergency Medicine Stormont Vail Health, Topeka, KS Objectives Define and identify high alert medications
More informationMedication Safety Technology The Good, the Bad and the Unintended Consequences
Medication Safety Technology The Good, the Bad and the Unintended Consequences Michelle Mandrack RN, MSN Director of Consulting Services Matthew Fricker, RPh, MS Program Director 1 Objectives Consider
More informationDrug Distribution Services for Long Term Care Facilities. Susan L. Lakey, PharmD 1/11/06
Drug Distribution Services for Long Term Care Facilities Susan L. Lakey, PharmD 1/11/06 Drug distribution The process: Receipt / transcription of order Interpretation / evaluation of order Filling and
More informationINQUEST INTO THE DEATH OF: MARIE TANNER
INQUEST INTO THE DEATH OF: MARIE TANNER Details Name of Deceased: Marie Tanner Date of Death: January 21, 2002 Place of Death: Peterborough Regional Health Centre Cause of Death: Cardiac Arrest Caused
More informationIn-Patient Medication Order Entry System - contribution of pharmacy informatics
In-Patient Medication Order Entry System - contribution of pharmacy informatics Ms S C Chiang BPharm, MRPS, MHA, FACHSE, FHKCHSE, FCPP Senior Pharmacist Chief Pharmacist s Office In-Patient Medication
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 informationPractice Spotlight. Children's Hospital Central California Madera, California
Practice Spotlight Children's Hospital Central California Madera, California http://www.childrenscentralcal.org Richard I. Sakai, Pharm.D., FASHP, FCSHP Director of Pharmacy Services IN YOUR VIEW, HOW
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 informationCASE STUDY: PENINSULA REGIONAL MEDICAL CENTER
CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER Incorporating IV room efficiencies while striving toward improving patient care 111852 2K 01/13 Page 1 of 5 OVERVIEW Peninsula Regional Medical Center (PRMC),
More informationThe Impact of CPOE and CDS on the Medication Use Process and Pharmacist Workflow
The Impact of CPOE and CDS on the Medication Use Process and Pharmacist Workflow Conflict of Interest Disclosure The speaker has no real or apparent conflicts of interest to report. Anne M. Bobb, R.Ph.,
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 informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Poon EG, Keohane CA, Yoon CS, et al. Effect of bar-code technology
More informationPharmacy Operations. General Prescription Duties. Pharmacy Technician Training Systems Passassured, LLC
Pharmacy Operations General Prescription Duties Pharmacy Technician Training Systems Passassured, LLC Pharmacy Operations, General Prescription Duties PassAssured's Pharmacy Technician Training Program
More informationINSITE : Medication Management for Long-Term Care
INSITE : Medication Management for Long-Term Care InSite in-facility medication packaging and delivery technology by Talyst enables secure, automated medication dispensing on location at long-term care
More informationHow Pharmacy Informatics and Technology are Evolving to Improve Patient Care
How Pharmacy Informatics and Technology are Evolving to Improve Patient Care HealthcareIS.com 2 Table of Contents 3 Impact of Emerging Technologies 3 CPOE 5 Automated Dispensing Machines 6 Barcode Medication
More informationCHAPTER 31 DRUG DISTRIBUTION SYSTEMS
CHAPTER 31 DRUG DISTRIBUTION SYSTEMS 31.1 NURSING ACTIVITIES RELATED TO MEDICATION IN A TYPICAL 120 BED FACILITY NURSING TASK AVERAGE HOURS TO ACCOMPLISH TASK Preparation of medical records for new admissions
More informationAPPENDIX 8-2 CHECKLISTS TO ASSIST IN PREVENTING MEDICATION ERRORS
APPENDIX 8-2 CHECKLISTS TO ASSIST IN PREVENTING MEDICATION ERRORS Use the following checklists in the appropriate areas of your office, facility or practice to assist in preventing medications errors:
More informationWHAT are medication errors?
Healthcare Case Study: Errors Cause Mapping Problem Solving Incident Investigation Root Cause Analysis Errors Angela Griffith, P.E. webinars@thinkreliability.com www.thinkreliability.com Office 281-412-7766
More informationGo! Guide: Medication Administration
Go! Guide: Medication Administration Introduction Medication administration is one of the most important aspects of safe patient care. The EHR assists health care professionals with safety by providing
More informationSession Objectives. Medication Errors in Adults and Children. Dennis Quaid American Society of Health- System Pharmacists (ASHP) Meeting December 2009
Medication Errors in Adults and Children Carly C. Feldott, PharmD Medication Safety Program Director, VUMC Amy L. Potts, PharmD, BCPS Assistant Director, Monroe Carell, Jr. Children s Hospital at Vanderbilt
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 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 informationN.C.P.M emar-12 Page 1 of 10 BRIGHAM AND WOMEN S HOSPITAL DEPARTMENT OF NURSING ELECTRONIC MEDICATION ADMINISTRATION RECORD (EMAR) DOWNTIME POLICY
Page 1 of 10 BRIGHAM AND WOMEN S HOSPITAL DEPARTMENT OF NURSING ELECTRONIC MEDICATION ADMINISTRATION RECORD (EMAR) DOWNTIME POLICY APPROVED FOR: RN LPN PCA GENERAL ICU OTHER PURPOSE: To insure a process
More informationHow CHRISTUS Spohn Health System uses automation to improve standardization and re-deploy pharmacists to clinical functions
A culture of medication safety: How CHRISTUS Spohn Health System uses automation to improve standardization and re-deploy pharmacists to clinical functions Authored and produced by CareFusion, August 2013
More informationA shortage of everything except ERRORS
Disclosure Succinylcholine Propofol Vitamin K Lorazepam Diltiazem Drug Shortages Current Status & State Survey Results Bill Stevenson Director of Pharmacy Oconee Medical Center I do not have a vested interest
More informationQTP4P0X July 2018 PHARMACY TECHNICIAN. Outpatient Dispensing. OPR: SMSgt Jens W. Rueckert
QTP4P0X1-4 26 July 2018 PHARMACY TECHNICIAN Outpatient Dispensing OPR: SMSgt Jens W. Rueckert 1 TABLE OF CONTENTS MODULE OBJECTIVE PAGES 1. Dispense Prescriptions 3-12 2 INTRODUCTION 1. This Qualification
More informationImplementation of Remote Management of Compounded Sterile Products through the use of a Telepharmacy System
Implementation of Remote Management of Compounded Sterile Products through the use of a Telepharmacy System Jerry Siegel Pharm.D., FASHP Howard Cohen M.S.,RPh FASHP Marianne Ivey Pharm.D., FASHP Safe Medication
More informationOverview. Diane Cousins, R.Ph U.S. Pharmacopeia. 1 Pharmacy Labeling with Color
As more medications are approved and become available to Americans, the opportunity for potentially dangerous or even deadly errors due to drug mix-ups from look alike or sound alike names becomes increasingly
More informationTo prevent harm to patients from adverse medication events involving high-alert medications.
TITLE MANAGEMENT OF HIGH-ALERT MEDICATIONS DOCUMENT # PS-46-01 PARENT DOCUMENT LEVEL LEVEL 1 PARENT DOCUMENT TITLE Management of High-alert Medications Policy APPROVAL LEVEL Alberta Health Services Executive
More informationConsiderations for Sterile Compounding of Parenteral Products for Pediatric Use: Part 2 PharMEDium Lunch and Learn Series LUNCH AND LEARN
LUNCH AND LEARN Considerations for Sterile Compounding of Parenteral Products for Pediatric Use: Part 2 November 10, 2017 Featured Speaker: Kirsten H. Ohler, PharmD, BCPS, BCPPS Neonatal / Pediatric Clinical
More informationAchieving safety in medication management through barcoding technology
Achieving safety in medication management through barcoding technology Kara Marx, RN, FACHE, FHIMSS Vice President of Information Services Sharp Healthcare. SESSION OBJECTIVES Describe the primary activities
More informationThe Joint Commission Medication Management Update for 2010
Learning Objectives The Joint Commission Medication Management Update for 2010 U.S. Army Medical Command Fort Sam Houston, TX Describe most recent changes in The Joint Commission (TJC) Accreditation Program
More informationExample of a Health Care Failure Mode and Effects Analysis for IV Patient Controlled Analgesia (PCA) Failure Modes (what might happen)
Prescribing Assess patient Choose analgesic/mode of delivery Prescribe analgesic Institute for Safe Medication Practices Example of a Health Care and Effects Analysis for IV Patient Controlled Analgesia
More informationPOLICY. Clinician is any health care professional accepting responsibility for care of patients and their medications.
POLICY Number: 7311-60-020 Title: HIGH ALERT MEDICATIONS IDENTIFICATION, DOUBLE CHECK AND LABELING Authorization [ ] President and CEO [X ] Vice President, Finance and Corporate Services Source: Chair,
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 informationOHTAC Recommendation. Implementation and Use of Smart Medication Delivery Systems
OHTAC Recommendation Implementation and Use of Smart Medication Delivery Systems July 2009 Background The Ontario Health Technology Advisory Committee (OHTAC) engaged the University Health Network s (UHN)
More informationSFHPHARM11 - SQA Unit Code FA2X 04 Prepare extemporaneous medicines for individual use
Prepare extemporaneous medicines for individual use Overview This standard covers your role in preparing extemporaneous medicines for individual use. This involves accurately calculating the quantities
More informationAged residential care (ARC) Medication Chart implementation and training guide (version 1.1)
Aged residential care (ARC) Medication Chart implementation and training guide (version 1.1) May 2018 Prepared by and the Health Quality & Safety Commission Version 1, March 2018; version 1.1, May 2018
More informationMEDCOM Medication Management Discussion
MEDCOM Medication Management Discussion 2009 MEDCOM-TJC Conference Manager, Army Patient Safety Program Quality Management Office HQ, US Army Medical Command Fort Sam Houston, TX 19 Nov 2009 BRIEFING OUTLINE
More informationOne or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration
One or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration Presented by: Marla Husch Northwestern Memorial Hospital Northwestern Memorial Hospital Chicago, Illinois
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 informationSafe Medication Practices
Safe Medication Practices Patient Safety: Preventing Adverse Events OHA Conference Renaissance Toronto Hotel at SkyDome Toronto June 14, 2004 David U President & CEO, ISMP Canada Agenda ISMP Canada Patient
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 informationMedication Storage and Security: The #1 Non- Complaint Medication Management Standard
Learning Objectives and Security: The #1 Non- Complaint Medication Management Standard d Manager, Army Patient Safety Program U.S. Army Medical Command Fort Sam Houston, TX Describe the importance of maintaining
More informationIntroduction of Closed Loop Medication Management System for Inpatient Services in Singapore
Introduction of Closed Loop Medication Management System for Inpatient Services in Singapore Wu Tuck Seng Deputy Director & Head, Pharmacy Department National University Hospital (NUH), Singapore Medication
More informationObjectives. Demographics: Type and Services 1/22/2014. ICAHN Aggregate Results. ISMP Medication Safety Self Assessment for Hospitals
ICAHN Aggregate Results ISMP Medication Safety Self Assessment for Hospitals Matthew Fricker, RPH, MS, FASHP Rebecca Lamis, PharmD, FISMP January 23, 2014 1 Objectives Report the demographic characteristics
More informationRunning head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing
Running head: MEDICATION ERRORS 1 Medications Errors and Their Impact on Nurses Kristi R. Rittenhouse Kent State University College of Nursing MEDICATION ERRORS 2 Abstract One in five medication dosages
More informationDefinitions: In this chapter, unless the context or subject matter otherwise requires:
CHAPTER 61-02-01 Final Copy PHARMACY PERMITS Section 61-02-01-01 Permit Required 61-02-01-02 Application for Permit 61-02-01-03 Pharmaceutical Compounding Standards 61-02-01-04 Permit Not Transferable
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 informationPharmacy Technician Reference Guide. Written by Emily Moore
Pharmacy Technician Reference Guide Written by Emily Moore Table of Contents iii Table of Contents Introduction... vii Chapter 1: Using Intercom Plus... 3 Understanding the Work Queue... 3 Using Quick-Keys...
More informationImproving the Patient Experience Through Pharmacy
Rick Burnett Chief Operating Officer Kenneth Maxik Director, Patient Safety & Pharmacy Compliance Improving the Patient Experience Through Pharmacy August 19, 2015 Speakers Rick Burnett, PharmD, FACHE
More informationa remote pharmacy is not necessarily intended to provide permanent??? how do we make it so that it may be only for limited duration.
Board of Pharmacy Administrative Rules Version 12 January 18, 2013 Part 19 Remote Pharmacies 19.1 General Purpose: (a) This Part is enacted pursuant to 26 V.S.A. 2032 which initially authorized the Board
More informationEuropean Association of Hospital Pharmacists (EAHP)
European Association of Hospital Pharmacists (EAHP) Consultation Response Delegated Act on the detailed rules for a unique identifier for medicinal products for human use, and its verification. April 2012
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 informationD DRUG DISTRIBUTION SYSTEMS
D DRUG DISTRIBUTION SYSTEMS JANET HARDING ORAL MEDICATION SYSTEMS Drug distribution systems in the hospital setting should ideally prevent medication errors from occurring. When errors do occur, the system
More informationBar Code Medication Administration and MAR Resource Manual
Bar Code Medication Administration and MAR Resource Manual Creating Orders Creating an Order in CareMobile (Ad Hoc Order Entry)...2 Creating an Order for med that is already ordered with a different dose/frequency....4
More informationReducing the risk of serious medication errors in community pharmacy practice
Reducing the risk of serious medication errors in community pharmacy practice Eastern Medicaid Pharmacy Administrators Association (EMPAA) November 1, 2017 Newport, Rhode Island Michael R. Cohen, RPh,
More informationAnatomy of a Fatal Medication Error
Anatomy of a Fatal Medication Error Pamela A. Brown, RN, CCRN, PhD Nurse Manager Pediatric Intensive Care Unit Doernbecher Children s Hospital Objectives Discuss the components of a root cause analysis
More informationWomen And Pharmacy Leadership. Sara J. White, MS, FASHP (Ret.) Director of Pharmacy Stanford Hospital and Clinics
Women And Pharmacy Leadership Sara J. White, MS, FASHP (Ret.) Director of Pharmacy Stanford Hospital and Clinics Women And Leadership Women Perfecting Skills Leadership Science (Rx) Versus Art (Leadership)
More informationPharmaceutical Services Requirements: formerly 10D and 10C.7
Pharmaceutical Services Requirements: formerly 10D.28-29 and 10C.7 Frank S. Emanuel, Pharm.D., FASHP Associate Professor/Division Director Florida A and M University College of Pharmacy Jacksonville Disclosure
More information9/29/2014. Disclosure: I, Amber Sanders have no financial relationship to disclose. Objectives. Medication Safety in Pediatric Populations
Medication Safety in Pediatric Populations By: Amber Sanders Disclosure: I, Amber Sanders have no financial relationship to disclose Objectives Identify Pediatric Medication Safety Guidelines Institute
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 informationKroll Version 10 Service Pack 14. Release notes
Kroll Version 10 Service Pack 14 Release notes June 2018 Table of Contents Kroll Version 10 Service Pack 14 Release Notes...3 User Interface...3 [45822] Create New Rx from To Do screen enhancement...3
More informationPharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT)
Pharmacy Technicians: Improving pharmacy workflow through Technician Check Technician (TCT) Michelle Potter, CPhT October 9, 2015 Disclosure I, Michelle Potter, have no financial relationship(s) to disclose
More informationCareFusion Overview Scott Bostick SVP/GM Pyxis Dispensing Technologies
CareFusion Overview Scott Bostick SVP/GM Pyxis Dispensing Technologies New... But not novice Global revenue: $4 billion 6 th largest global company focused on med-tech More than 15,000 employees worldwide
More informationPatient Safety (PS) 1) A collaborative process is used to develop policies and/or procedures that address the accuracy of patient identification.
Patient Safety (PS) Standard PS.1 [Patient identification] The organization has established procedures for accurately identifying patients. Intent of PS.1 Wrong-patient errors occur in virtually all aspects
More informationMedication Safety Way Beyond the 5 Rights
Safety Way Beyond the 5 Rights JoAnne Phillips, MSN, RN, CCRN, CCNS, CPPS The University of Pennsylvania Health System Philadelphia, PA Current State. Of Chaos Prescriptions 12 per /person / year 4 BILLION
More informationBPOC/eMAR Spotlight on Performance Improvement
BPOC/eMAR Spotlight on Improvement Noel C. Hodges, R.Ph., MBA Division Director of Pharmacy Capital & Richmond Divisions Hospital Corporation of America HCA operates in 23 states and two foreign countries;
More informationInstitutional Pharmacy Practice (PHRA 1349) Credit: 3 semester credit hours (2 hours lecture, 2 hours lab)
Institutional Pharmacy Practice (PHRA 1349) Credit: 3 semester credit hours (2 hours lecture, 2 hours lab) Prerequisite: Complete the TSI Assessment Tests Course Description Exploration of the unique role
More informationCONSULTANT PHARMACIST INSPECTION LAW REVIEW
CONSULTANT PHARMACIST LAW REVIEW Florida Consultant Pharmacist s are required in: a. Class I Institutional Pharmacies b. Class II Institutional Pharmacies c. Modified Class II Institutional Pharm. d. Assisted
More informationSafetyFirst Alert. Improving Prescription/Order Writing. Illegible handwriting
SafetyFirst Alert Massachusetts Coalition for the Prevention of Medical Errors January 2000 This issue of Safety First Alert is a publication of the Massachusetts Coalition for the Prevention of Medical
More informationMedication Errors in Chemotherapy PORSCHA L. JOHNSON, PHARM.D. CLINICAL PHARMACIST II MEDSTAR WASHINGTON HOSPITAL CENTER SATURDAY, SEPTEMBER 17, 2016
Medication Errors in Chemotherapy PORSCHA L. JOHNSON, PHARM.D. CLINICAL PHARMACIST II MEDSTAR WASHINGTON HOSPITAL CENTER SATURDAY, SEPTEMBER 17, 2016 DISCLOSURE STATEMENT I have nothing to disclose regarding
More informationPatient Safety. Road Map to Controlled Substance Diversion Prevention
Patient Safety Road Map to Controlled Substance Diversion Prevention Road Map to Diversion Prevention safe S Safety Teams/ Organizational Structure A Access to information/ Accurate Reporting/ Monitoring/
More informationPatient Safety and Quality Measures for CRRT: The UAB Experience. Ashita Tolwani, M.D. University of Alabama at Birmingham CRRT 2012
Patient Safety and Quality Measures for CRRT: The UAB Experience Ashita Tolwani, M.D. University of Alabama at Birmingham CRRT 2012 Quality Healthcare Quality is the extent to which health services for
More informationTechnologies in Pharmacology
Technologies in Pharmacology OBJECTIVES/RATIONALE Modern health care is increasingly dependent upon technology. Health care workers must be able to select appropriate equipment and instruments and use
More informationTo describe the process for the management of an infusion pump involved in an adverse event or close call.
TITLE INFUSION PUMPS FOR MEDICATION & PARENTERAL FLUID ADMINISTRATION SCOPE Provincial, Clinical DOCUMENT # PS-70-01 APPROVAL LEVEL Executive Leadership Team SPONSOR Provincial Medication Management Committee
More informationDrug Events. Adverse R EDUCING MEDICATION ERRORS. Survey Adapted from Information Developed by HealthInsight, 2000.
Survey Adapted from Information Developed by HealthInsight, 2000. Adverse Drug Events R EDUCING MEDICATION ERRORS The Adverse Drug Events Survey will assist healthcare organizations evaluate the number
More informationDisclosure statement
Seminar T5 Novel ways of dispensing drugs Standardization & Centralization: The Right Way Forward András Vermes, PharmD, PhD EAHP 2016 Vienna, Austria Disclosure statement Conflict of interest: nothing
More informationMedication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L
Medication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L Principles of Medication Administration Talk with the patient and explain what you are doing
More information247 CMR: BOARD OF REGISTRATION IN PHARMACY
247 CMR 9.00: CODE OF PROFESSIONAL CONDUCT; PROFESSIONAL STANDARDS FOR REGISTERED PHARMACISTS, PHARMACIES AND PHARMACY DEPART- MENTS Section 9.01: Code of Professional Conduct for Registered Pharmacists,
More informationMEDICATION SAFETY SELF-ASSESSMENT FOR LONG-TERM CARE ONTARIO SUMMARY. April 2009 September 2012
MEDICATION SAFETY SELF-ASSESSMENT FOR LONG-TERM CARE ONTARIO SUMMARY April 2009 September 2012 Institute for Safe Medication Practices Canada Institut pour l utilisation sécuritaire des médicaments du
More informationA Breastmilk Management System Improves Patient Safety
A Breastmilk Management System Improves Patient Safety Session #68, February 21, 2017 (8:30-9:30 am) James Cappon, MD Caroline Steele, MS, RD, CSP, IBCLC 1 Speaker Introduction James Cappon, MD Chief Quality
More informationSafe Medication Management Practices 2017/2018
Safe Medication Management Practices 2017/2018 All medications being dispensed by students must first be reviewed and approved for administration by the on-site faculty or a Beaumont Health staff nurse
More informationC DRUG DISTRIBUTION SYSTEMS
C DRUG DISTRIBUTION SYSTEMS JANET HARDING ORAL MEDICATION SYSTEMS Hospital pharmacy departments are expected to operate drug distribution systems which are safe for the patient, efficient and economical,
More informationDisclosures. Exploration of Telepharmacy: History of Telepharmacy 8/14/2014. Pharmacist and Technician Objectives
Disclosures Exploration of Telepharmacy: Bridging the Gap Melissa Badowski, PharmD, BCPS, AAHIVP Clinical Assistant Professor Illinois Department of Corrections HIV Telemedicine University of Illinois
More informationSharp HealthCare Safety Training 2015 Module 3, Lesson 2 Always Events: Line and Tube Reconciliation and Guardrails Use
Sharp HealthCare Safety Training 2015 Module 3, Lesson 2 Always Events: Line and Tube Reconciliation and Guardrails Use Our vision is to create a culture where patients and those who care for them are
More informationPolicy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription.
POLICY POLICY PURPOSE: The purpose of this policy is to provide a foundation for safe communication of medication and nutritional orders in-scope, thereby reducing the potential for preventable medication
More informationPolicies and Procedures for LTC
Policies and Procedures for LTC Strictly confidential This document is strictly confidential and intended for your facility only. Page ii Table of Contents 1. Introduction... 1 1.1 Purpose of this Document...
More informationProfiles in CSP Insourcing: Tufts Medical Center
Profiles in CSP Insourcing: Tufts Medical Center Melissa A. Ortega, Pharm.D., M.S. Director, Pediatrics and Inpatient Pharmacy Operations Tufts Medical Center Hospital Profile Tufts Medical Center (TMC)
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 informationUnit dose requirements
Head of pharmacy GS1 HUG, Where are the errors? Avoidable adverse events in 6.5% of hospitalizations Bates DW, JAMA 1995;274:29 1 Human reliability Efficacy of human-performed controls Introduction of
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 informationClinical Skills Validation: Alaris Pump System
Clinical Skills Validation: Alaris Pump System These documents are intended for use by CW Nurse Clinical Leadership Team. The method used to implement the validation of the Alaris Pump System is unit specific.
More informationLegislating Patient Safety: The California Experience. October 2003
Legislating Patient Safety: The California Experience October 2003 The Problem: Preventable medical errors are a huge and largely invisible cause of death in California and nationwide. In CA, an estimated
More informationLittle People, Big Drugs: Pediatric Medication Safety in Adult Settings. Pediatric Hospital Medicine Conference July 23, 2017.
Little People, Big Drugs: Pediatric Medication Safety in Adult Settings Pediatric Hospital Medicine Conference July 23, 2017 Francisco Alvarez, MD, FAAP Lana Ismail, MD, FAAP Allison Markowsky, MD, FAAP
More informationFIRST PATIENT SAFETY ALERT FROM NATIONAL PATIENT SAFETY AGENCY (NPSA) Preventing accidental overdose of intravenous potassium
abcdefghijklm Health Department St Andrew s House Regent Road Edinburgh EH1 3DG MESSAGE TO: 1. Medical Directors of NHS Trusts 2. Directors of Public Health 3. Specialists in Pharmaceutical Public Health
More informationCPhT Program Recognition Attestation Form
About this Form Beginning in 2020, CPhT applicants must have completed a PTCB-recognized education/training program or have equivalent work experience in order to be eligible for certification. The purpose
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 information2018 Plan Year State Employees Prescription Drug Plan
2018 Plan Year State Employees Prescription Drug Plan Welcome to CVS Caremark We manage your prescription benefits like your health insurance company manages your medical benefits. That means helping you
More informationelectronic Medication Management (emm) Innovation and Systems Research
electronic Medication Management (emm) Innovation and Systems Research Presented by Stephen Kalyniuk Senior Project Manager 1 Australian Commission on Safety and Quality in Health Care (ACSQHC) Implementing
More information