Medication Error Reduction Plans
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Medication Error Reduction Plan 2016
ConditionsJob OpportunitiesLanguage Access Complaint ProcessLocal Health ServicesNewsroomPublic Availability of DocumentsRelated LinksCalifornia Health and Human Services AgencyDepartment 11 merp elements of Health Care Services (includes Medi-Cal)State Agencies Directory Home > Programs > Licensing and Certification > Medication Error Reduction Plan Program Medication Error Reduction Plan cdph medication error reduction plan (MERP) Program Program’s Mission The MERP Program endeavors to promote safe and effective medication use in General Acute Care Hospitals (GACH) through reduction of preventable medication-related errors and adverse events. The program's objectives will be achieved through:The Department's survey activities whereby each hospital's MERP will be assessed for implementation and compliance in accordance
Merp Survey Facility Questionnaire
with Health and Safety Code Section 1339.63, including California Code of Regulations, Title 22; and, ongoing collaborative efforts with stakeholders to advance medication safety strategies statewide to decrease identified system vulnerabilities. MERP E-mail In our ongoing efforts to provide transparency and collaboration with providers and the public, CDPH, has email address for individuals to submit MERP related questions or comments. The email address will provide a central point of contact where facilities and other interested parties can send emails in regards to MERP surveys and/or the MERP survey process. The email address is: MERP@cdph.ca.gov. Each email received will be acknowledged and the appropriate response subsequently sent by return email. Email responses from the MERP mailbox will be sent under the name “CDPH L&C MERP” unless the incoming email is forwarded for further research and specific individual response. MERP Survey Documents MERP Entrance Conference Documents Request (Attachment A)rev.6/14 MERP Survey Facility Questionnaire (Attachme
advocate for learning from the experiences of others—to take certain aspects of another’s experience strategies to reduce medication errors and incorporate them into your own work and life for merp pharmacy the purpose of improvement. It is in this spirit of learning that we share with
Merp Categories
readers our support of a state-wide initiative in California (CA) to reduce medication-related errors that can be used as an example for all US https://www.cdph.ca.gov/PROGRAMS/LNC/Pages/MERP.aspx hospitals to voluntarily adopt a similar initiative. As a condition of licensure, every general acute care hospital in CA was required to adopt a Medication Error Reduction Plan (MERP; not to be confused with the ISMP MERP [Medication Errors Reporting Program]) to substantially reduce medication–related errors (http://law.justia.com/california/codes/hsc/1339.63.html) by January 1, https://www.ismp.org/newsletters/acutecare/articles/20100325.asp 2002. The plans were required to include the implementation of technology proven to reduce errors. The submitted plans were approved by the California Department of Public Health (CDPH), and each hospital was required to implement its plan before January 1, 2005. Each hospital must review and approve the plan annually. MERP Components Table 1 Details regarding the required components in the hospital’s MERP are provided in Table 1. In brief, each hospital must adopt a methodology to assess, improve, and evaluate medication safety, with particular attention paid to prescribing, prescription order communication, product labeling, product packaging and nomenclature, compounding, dispensing, distribution, administration, education, monitoring, and use. This methodology must include a system or process to proactively identify actual or potential medication-related errors as well as concurrent and retrospective review of clinical care. The regulation defines a “medication-related error” as any preventable medication-related event that adversely affects
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Resources for You Information for Consumers (Drugs) Strategies http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm to Reduce Medication Errors: Working to Improve Medication Safety Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print When Jacquelyn Ley shattered her elbow on the soccer field, her parents set out to find her the best care in Minneapolis. "We drove past five other hospitals to get to the one we wanted," says Carol Ley, M.D., an occupational health physician. Her husband, an orthopedic medication error surgeon, made sure Jacquelyn got the right surgeon. After a successful three-hour surgery to repair the broken bones, Jacquelyn, who was 9 at the time, received the pain medicine morphine through a pump and was hooked up to a heart monitor, breathing monitor, and blood oxygen monitor. Her recovery was going so well that doctors decided to turn off the morphine pump and to forgo regular checks of her vital medication error reduction signs.Carol Ley slept in her daughter's hospital room that night. When she woke up in the middle of the night and checked on her, Jacquelyn was barely breathing. "I called her name, but she wouldn't respond," she says. "I shook her and called for help." The morphine pump hadn't been shut down, but had accidentally been turned up high. The narcotic flooded Jacquelyn's body. She survived the overdose, but it was a close call. "If three more hours had gone by, I don't think Jacquelyn would have survived," Ley says. "Fortunately, I woke up."Ley was pleased with the way the hospital handled the error. "They came right out and said the morphine pump was incorrectly programmed, they told me the steps they were going to take to make sure Jacquelyn was OK, and they also told me what they were going to do to make sure this kind of mistake won't happen again. And that's very important to me." The hospital began using pumps that are easier to use and revamped nurses' training. Ley believes there were many contributors to the error, including the fact that it was Labor Day weekend and there were staff shortages. "It goes to show that this can happen to anyone, anywhere,"
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