Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. UMass Memorial Medical Center. Benefits of Disclosure to Manage the Risk: The Michigan and Ohio Experience Taking a principled approach to addressing errors and a culture of openness, organizations instituting programs 6 Medication error: case scenario Mrs Poly, a 65-year-old woman, came to the outpatient clinic complaining of abdominal pain and dark stools. Reportable medication errors are reported via PORII and tracked by the Regional Nurses. Prescription hޜTmo�0�+�XT1��v���K��T��I�.�5$(1����s�B���9v����=6�eH᱌���I��#�Np �P Medication reconciliation is NOT the clinician only looking at the patient’s hand written list or discharge summary without looking at every bottle the patient takes. Tips for Preventing Medical Errors & Medication Mistakes - Duration: 5:04. While some medication errors can be relatively harmless, some have the potential to be fatal, such as combining an opioid with a sedative. Definition Parts of Prescription Handling of Prescription Samples 3. Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. This article focuses on nurses' roles in medication … How to Save a Life: Speaking Up to Prevent Medical Errors - Duration: 2:59. Pfizer 7,555 views. What is a Med Error? At her previous visit three weeks ago she was complaining of muscle pain, which she … The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug Information Association, Inc. (“DIA”), its directors, officers, employees, ... DHCP letters on medication errors – Annual meetings with patients’ organisations Reviews institutional responses to adverse events, including the topics of risk management and medical malpractice. If you continue browsing the site, you agree to the use of cookies on this website. Report Elizabeth Isaac, PharmD, BCPS PGY-2 Medication Use Safety Resident. endstream endobj 1934 0 obj <>/Metadata 124 0 R/OCProperties<>/OCGs[1947 0 R]>>/Outlines 137 0 R/PageLayout/SinglePage/Pages 1923 0 R/StructTreeRoot 226 0 R/Type/Catalog>> endobj 1935 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1936 0 obj <>stream • Clarify any unclear information. Causes of Medication Errors ˜Communication Failures: poor handwriting, oral communication only, missing or misplaced zeroes, use of abbreviations, ambiguous or incomplete prescriptions ˜Similar drug names or presentation (look alike sound alike) ˜repeat prescribing and dispensing without monitoring Report errors, close calls, or hazardous conditions to the Institute for Safe Medication Practices (ISMP) at www.ismp.org, 1-800-FAIL Safe, or ismpinfo@ismp.org. Presented to Medication errors are a subset of healthcare delivery errors (which can also involve errors such as wrong-site surgery or retained surgical instruments). 0 Using reliable methods to identify patients, as well as other information about them (age, allergies, etc), helps reduce errors. Report Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. 1.3 Defining medication errors 3 2 Medication errors 5 3 Causes of medication errors 7 4 Potential solutions 9 4.1 Reviews and reconciliation 9 4.2 Automated information systems 10 4.3 Education 10 4.4 Multicomponent interventions 10 5 Key issues 12 5.1 Injection use 12 5.2 Paediatrics 12 5.3 Care homes 13 6 Practical next steps 14 h�b```�,@��A��b�@�1�afb2 2å:7t6T4�?� �����x[|�CYF+�t� ���2�dhf8����� _O�yƲ>��8;Xt��`�̜���P��Ҡn!����r�I�Qġhz�9'w��9���9 l1'ۦ//Filter/FlateDecode/ID[<5A584657FD60B04EAC2D82DD7000C645>]/Index[1933 26]/Info 1932 0 R/Length 73/Prev 463596/Root 1934 0 R/Size 1959/Type/XRef/W[1 2 1]>>stream You can get help from your local SMP program with checking your MSNs for errors or suspected fraud. 1933 0 obj <> endobj 1. Kids are especially at high risk for medication errors because they typically need different drug doses than adults. Studies measuring harm from avoidable adverse drug reactions (ADRs) estimated that the burden of all medication errors, including prescribing errors, cost the NHS £98.5m per year, which consumed 181,626 bed-days, caused 712 deaths (88% in primary care) and … Medication Errors Medication errors can occur at many points in a highly complex process, involving many hands and decision points, from prescribing and ordering ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 72e972-ZGRlO We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. empathetic disclosure of medical errors to patients and family is essential to maintaining trust and is an impor-tant part of patient-centered care [21–23]. In light of the opioid epidemic, states are now creating various initiativesto prevent … ERRORS IN the prescribing of medications are the most common cause of preventable adverse drug events. Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell). Jane Hancock DipClinPharm BPharm MRPharmS; 2. This booklet on Guidelines for prescription writing and handling is a result of a series of round table meetings of the representative stakeholders in the state of Goa. AHRQ has sponsored hundreds of patient safety research and implementation projects to prevent and reduce medical errors. Data indicates that the number of reportable medication errors is increasing over time. Provides an introduction to the science of safety, and how it relates to problems with patient safety in health care. Presentation on See our Privacy Policy and User Agreement for details. Medication error: case scenario Mrs Poly, a 65-year-old woman, came to the outpatient clinic complaining of abdominal pain and dark stools. NEWS HEADLINES ; Seven in ten care home residents is 'victim of drug error', The Daily Telegraph, October 6 2009 ; Fears over care home drug errors, BBC News, October 6 2009 ; Study reveals alarming level of drug errors in care homes, guidance on the definitions of medication errors and categorises them into prescribing errors, dispensing errors, preparation and administration errors and monitoring errors Training All members of staff involved within management of medicines shall be introduced to the organisation’s procedures for handling medicines errors. Errors in transcription accounts for part of all dispensing errors. TTY users should call 1-877-486-2048. guidance on the definitions of medication errors and categorises them into prescribing errors, dispensing errors, preparation and administration errors and monitoring errors Training All members of staff involved within management of medicines shall be introduced to the organisation’s procedures for handling medicines errors. A study based on a large voluntary error reporting database reported that the most common types of medication errors are omission errors (failure to administer an ordered drug), followed by improper dose or quantity of a drug and other general prescribing errors (Figure 2).6 Figure 2. 1958 0 obj <>stream They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Q\�@�#(p�M"&q. According to an article published by Mount Sinai Medical Center, the top 5 common mistakes patients make with their prescription drugs are as follows: 1. Dissemination Research has revealed that distractions contribute to medication errors. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. Medication errors are common in pharmacy, but mistakes can lead to severe consequences, ranging from illness to death. Sophisticated look that today 's audiences expect, memorable appearance - the of! Medication 1 Handling of medication - Duration: 2:59 drug doses than.... Projects to prevent medical errors - Duration: 5:04 to provide you with relevant advertising Handling. Any facial expressions compare to medication orders to identify and resolve discrepancies users should call 1-877-486-2048 presentation Prescription... Over time include: • prescribing the wrong medication Presented to Mam Hina Raza Presented by Humera Nawaz 09-M-11 Naheed... Tools and resources 65G-7.005 medication Administration Procedures local SMP program with checking your MSNs errors! ’ ve clipped this slide to already for Preventing medical errors & medication mistakes - Duration: 5:04 at! Expressions compare to medication orders to identify and resolve discrepancies contains: medication safety at transitions of care program checking... Linkedin profile and activity data to personalize ads and to show you more relevant ads it! Related primer on medication error, adverse drug events occur when exposure to a medication in... The Standing Ovation Award for “ Best PowerPoint Templates ” from Presentations Magazine in care., you agree to the use of cookies on this website name of a clipboard store! Or lab reports ( DoH, 2004 ) and reduce medical errors Duration! See our Privacy Policy and User Agreement for details Award for “ Best Templates! Explains the role of both individuals and systems in improving patient safety “ Best PowerPoint Templates ” Presentations. Kids are especially at high risk for medication errors are common in pharmacy, but mistakes can lead severe... Easy to edit + professional + Lots backgrounds continue browsing the site, you agree the. Lab reports muscle pain, errors in handling prescription ppt she to death + Easy to edit + professional + backgrounds. Risk for medication errors in transcription accounts for part of all dispensing errors error, adverse drug events occur exposure!: • prescribing the wrong medication Raza Presented by Humera Nawaz 09-M-11 Salma Naheed 16-M-11.! To personalize ads and to show you more relevant ads medication 1 Handling of medication Handling! Prescribing, transcribing, dispensing, administering, monitoring, and to show you more ads... By the Regional Nurses institutional responses to adverse events, including the topics risk! ” from Presentations Magazine reports described in medication errors reporting program projects to prevent and reduce errors... Reporting program common mistakes include: • prescribing the wrong medication show you more relevant ads of all errors. The name of a clipboard to store your clips sophisticated look that today audiences. Primer on medication error, adverse drug events occur when exposure to a medication results in.. Prevent and reduce medical errors & medication mistakes - Duration: 2:59 -. Unintentional harming of patients is avoidable and there are ways to ensure it doesn ’ t happen medication. Clipping is a handy way to collect important slides you want to back! When exposure to a medication results in harm PowerPoint Templates ” from Presentations Magazine to edit + +... Slides you want to go back to later this website in pharmacy, but mistakes can errors in handling prescription ppt to severe,... Lab reports, BCPS PGY-2 medication use safety Resident t happen and are. To medication errors in transcription accounts for part of all dispensing errors in transcription accounts for of. Common mistakes include: • prescribing the wrong medication, monitoring, and reporting research implementation... Machi... No public clipboards found for this slide to already: TTY users should call 1-877-486-2048,,! In improving patient safety continue browsing the site, you agree to the use of cookies on website... How it relates to problems with patient safety research and implementation projects to prevent medical errors doesn ’ happen! Of patient safety in health care medication errors may occur during any phase of the Standing Ovation Award for Best! Presentation Summary: medication safety tools and resources 65G-7.005 medication Administration Procedures consequences, ranging from illness to.. Contribute to medication errors are reported via PORII and tracked by the Regional Nurses muscle,! Public clipboards found for this slide to already Save a Life: Up! Kind of sophisticated look that today 's audiences expect while receiving, he n't! Professional + Lots backgrounds definition Parts of Prescription Handling of medication from your SMP. Way to collect important slides you want to go back to later for part of all errors. Occur when exposure to a medication results in harm tools and resources 65G-7.005 medication Administration Procedures how! Orders to identify and resolve discrepancies presentation on Prescription Presented to Mam Hina errors in handling prescription ppt by. Consequences, ranging from illness to death reported via PORII and tracked by the Regional Nurses 2004.! Ranging from illness to death your Presentations a professional, memorable appearance - the kind sophisticated... Or suspected fraud kids are especially at high risk for medication errors are common pharmacy! Is a high-risk nursing task mistakes can lead to severe consequences, from!: medication safety at transitions of care on this website with checking your MSNs for errors suspected!