Benchmarking As A Medication Error Reduction Tool
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is the definition of a medication error? What are the “ten key elements” of the medication-use system? Won’t medication errors be
Benchmark Medication Error Rate
prevented if nurses just follow the “Five Rights?” What are medication error reduction plan "high-alert" medications? What abbreviations are dangerous? Are these evidence based? What drug names are frequently confused? How
Medication Error Reduction Strategies
should tall man lettering be applied to differentiate look-alike/sound-alike drug names? What is confirmation bias? How do I do an independent double check? How can I rate of medication errors in hospitals measure culture? Should a healthcare practitioner be disciplined for being involved in an error? How can I assess risk? What is the difference between high-leverage and low-leverage safety strategies? What is an FMEA, and how can I use it? How do I join ISMP? What ISMP resources are available for consumers? Why are standard medication error prevention for healthcare providers concentrations safer than using the Rule of 6 for pediatric drips? What tools does ISMP have to satisfy regulatory or insurance network inclusion requirements for community pharmacies to demonstrate participation and knowledge in medication safe practices? Is there a way to get involved with ISMP as a student? Does ISMP have a nationally registered student-organization? 1. What is the national medication error rate? What standards are available for benchmarking? A national or other regional medication error rate does not exist. It is not possible to establish a national medication error rate or set a benchmark for medication error rates. Each hospital or organization is different. The rates that are tracked are a measure of the number of reports at a given institution not the actual number of events or the quality of the care given. Most systems for measuring medication errors rely on voluntary reporting of errors and near-miss events. Studies have shown that even in good systems, voluntary reportin
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Medication Error Prevention For Nurses
SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListBr medication error tracker tool J Clin Pharmacolv.67(6); 2009 JunPMC2723204 Br J Clin Pharmacol. 2009 Jun; 67(6): 651–655.
Ways To Prevent Medication Errors
doi: 10.1111/j.1365-2125.2009.03422.xPMCID: PMC2723204Prevention of medication errors: detection and auditGermana Montesi and Alessandro LechiInternal Medicine, University Hospital, Verona, ItalyCorrespondence Dott.ssa Germana Montesi, Medicina Interna http://www.ismp.org/faq.asp C, Policlinico G.B Rossi – P.le L.A. Scuro, 10, 37134 Verona, Italy. Tel: +39-045-8124414 Fax: +39-045-8027465 E-mail: ti.rvinu@isetnom.serolodanamregAuthor information ► Article notes ► Copyright and License information ►Received 2009 Feb 18; Accepted 2009 Mar 18.Copyright Journal compilation © 2009 The British Pharmacological SocietyThis article has http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723204/ been cited by other articles in PMC.AbstractMedication errors have important implications for patient safety, and their identification is a main target in improving clinical practice errors, in order to prevent adverse events.Error detection is the first crucial step. Approaches to this are likely to be different in research and routine care, and the most suitable must be chosen according to the setting.The major methods for detecting medication errors and associated adverse drug-related events are chart review, computerized monitoring, administrative databases, and claims data, using direct observation, incident reporting, and patient monitoring. All of these methods have both advantages and limitations.Reporting discloses medication errors, can trigger warnings, and encourages the diffusion of a culture of safe practice. Combining and comparing data from various and encourages the diffusion of a culture of safe practice sources
both hospitals and in the community. Risk managers are taking a more proactive https://www.ismp-canada.org/Riskmgm.htm approach to preventing medication incidents in hospitals. This has been exemplified during my recent contacts with hospitals in the metropolitan Toronto area. There is evidently support for a change in culture in organizations, from a suppressive and closed error reporting culture to a more open and non-punitive culture. Most importantly, there is medication error commitment to implementing quality improvement initiatives to ensure safer medication use systems in our hospitals. Although medication error reduction and prevention efforts need to be made by all health care disciplines, at all levels of the hospital, risk managers have a unique and important role to play: Facilitate the creation of an open medication error reduction and non-punitive culture in the organization to encourage error reporting, to ensure learning from error occurs, and ensure improvement needs are identified. Encourage reporting of "near-misses" to identify areas for improvement before an incident occurs. Coordinate educational sessions for staff to discuss errors and their prevention strategies. Focus efforts on specific high alert drugs and error-prone situations. References are available which identify these areas.1,2 Perform an objective self-assessment of the hospital's risk for medication errors. Be involved in the review and "root-cause" analysis of medication errors. Participate and provide input into the development of quality improvement initiatives. Share error reduction and prevention strategies and other patient safety information with the other facilities In this article I would like to highlight two very important strategies for health care administration, risk managers and practitioners. Firstly, DISCOURAGE BENCHMARKING OF MEDICATION ERROR RATES. It is unfortunate that many healthcare facilities still believe that their "error rate" is a