Medication Safety 101: Learning Bursts
This collection of topics on medication safety are excerpts from presentations at recent ASHP meetings. They have been gathered here to provide opportunities for bite-sized learning that can easily be incorporated into your day.
Topics
Medication Safety Terminology and Categorization
This presentation provides foundational terminology in the medication safety field, including medication errors, adverse drug reactions, and near misses. It also explains how medication errors are classified based on the NCC MERP categorization tool.
Speaker: Carley Warren, PharmD, BCPS, CPPS
Safety Principles in Medication Procurement, Ordering, and Dispensing
Medication safety is important across the continuum of the medication use process. This presentation goes through key safety considerations throughout medication procurement, ordering, and dispensing. This includes formulary management and safe handling of look-alike sound-alike drugs.
Speaker: Carley Warren, PharmD, BCPS, CPPS
Safe Medication Administration and Monitoring Considerations
There are several safety measures in place to prevent medication errors during administration including barcode medication administration, automated dispensing cabinets, and smart pumps. Pharmacists also play an important role in monitoring patients for early indicators of adverse reactions and making adjustments to prevent a future safety event.
Speaker: Carley Warren, PharmD, BCPS, CPPS
Medication Error Event Investigation
Investigating medication safety events is a multidisciplinary process and requires careful consideration of each step in the medication use process. This video outlines this process in addition to the roles and responsibilities of a medication safety committee.
Speaker: Carley Warren, PharmD, BCPS, CPPS
Failure Modes and Effects Analysis
A Failure Modes and Effects Analysis (FMEA) is utilized to recognize steps within a workflow that can potentially lead to harm and allows us to proactively implement change, reducing the likelihood or severity of an error from occurring. This presentation goes through each step of the FMEA process using Tenecteplase as an example.
Speaker: Carley Warren, PharmD, BCPS, CPPS
Exploring Beyond the "Five Rights" to Achieve Medication Safety
The five rights - right patient, drug, dose, route, and time - are foundational goals in medication safety. It is important, however, to not rely on the five rights as a sole method for preventing errors. This video details why it is important to look beyond the five rights.
Speaker: Christina Michalek, BS, RPh, FASHP
Medication Errors from Inaccurate Medication Lists
Medication reconciliation is crucial to safely managing transitions of care and unaddressed discrepancies can cause medication errors and adverse drug events. This presentation outlines which transitions of care are at highest risk for medication reconciliation errors and how teams can improve this process.
Speaker: Christina Michalek, BS, RPh, FASHP
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