Reducing the Risk of Medication Errors
Guidelines/Recommendations
ASHP Guidelines on Preventing Medication Errors in Hospitals
Medication errors can occur at any point in the medication delivery system. These guidelines provide the pharmacist with practical recommendations and best practices for preventing and mitigating patient harm from medication errors.
Articles
The Joint Commission Sentinel Alert #52
The misuse of single and multi-dose vials has led to numerous adverse events related to the transmission of infections. This Sentinel Event Alert, published by The Joint Commission in 2014, spotlights the concerns related to the misuse of vials, outlining proper processes and procedures that can be implemented to reduce these risks.
Guidelines/Recommendations
Prevention of Medication Errors in the Pediatric Inpatient Setting
This policy statement, developed by the American Academy of Pediatrics, addresses medication errors in the pediatric population. The statement outlines safeguards that should be taken for pediatric patients, going above and beyond those for adults.
Articles
Medication Errors and Adverse Drug Events
It is imperative to review medication errors and adverse drug events as this can provide valuable information on the breakdown of processes. The article provides tips on reviewing and identifying key opportunities.
Articles
Drug Shortages Continue to Compromise Patient Care
This resource discusses how drug shortages can compromise patient care.
Safe Medication Practices
Guidelines/Recommendations
National Patient Safety Goal (NPSG) for Anticoagulant Therapy
National Patient Safety Goals represent best practices with various processes. This R3 Report from The Joint Commission gives detailed information on the NPSG for anticoagulant therapy that includes the requirement, the rationale for why the requirement was developed, and the reference.
Guidelines/Recommendations
ISMP Safe Practice Guidelines for Adult IV Push Medication
Although medication errors of any kind are dangerous, IV push medication administration can pose a significant risk to patients due to rapid bioavailability effects and a limited ability to reverse the medication’s impact. This is a comprehensive guide of safe practices compiled by the ISMP that can help reduce the risks to patients when administering medications via IV push.
Guidelines/Recommendations
ISMP Guidelines for Optimizing Safe Subcutaneous Use of Insulin in Adults
The goal of diabetes treatment is to manage hyperglycemia while preventing hypoglycemia. Subcutaneous administration of insulin is often used to manage patient glucose levels. However, insulin is a high-risk medication and care should be taken to prevent errors associated with its use. ISMP has developed these guidelines discussing the potential risks associated with insulin administration and safeguards that can be implemented to prevent errors.
Articles
Medication Use Safety Resources - American Society of Pharmacists
The ASHP provides patient safety resources for pharmacists.
Articles
High Alert Medication Safety
High alert medication administration is a very important process to ensure patient's receive the correct medication. IHI provides tips on improving the process.
Articles
List of Confused Drug Names - Institute for Safe Medication Practices
ISMP provides a list of look-alike and sound-alike medications.
Articles
Targeted Medication Safety Best Practices for Hospitals
ISMP provides best practices for medication safety processes in hospitals.
Medication Safety Assessment
Assessment tools
Medication Safety and Security Assessment
A risk assessment to help evaluate medication safety practices throughout the hospital.
Assessment tools
Medication Safety Rounding
A quick risk assessment tool perfect for unit-specific medication safety rounds. This tool enables the user to electronically send results to a unit manager where an action plan can be entered.
Medication Safety Education
Checklists
Medication Safety Pamphlet
The Medication Safety pamphlet is for you to provide to patients as a way to help them understand their medication plan. This allows the patient to stay involved and informed with their medical care. Included in each pamphlet is a Medication Tracker designed for easy access to their medication list and folds up for them to keep in their wallet at all times.
If you would like copies of this publication mailed to you, please contact Lori Ray at 225.368.3801 or loriray@lhatrustfunds.com.
Articles
Medication Safety - Center for Patient Safety
The Center for Patient Safety provides resources for patients to assist with talking to the doctor about their medications and keeping track of their current prescribed medications.
Articles
Medical Product Safety Information - FDA
The FDA provides resources on medication safety information.
Guidelines/Recommendations
Improving Medication Safety - WHO
The WHO provides tips on improving medication safety.
Articles
Medication Safety During Your Hospital Stay
While hospitalized, patients are provided a safe medication administration process. Patients can educate themselves on the medication administration process in hospitals.
Articles
Medication Safety Webinars - Institute For Safe Medication Practices (ISMP)
ISMP offers on-demand webinars focusing on safe medication practices.