international patient safety goals 3-4

At the end of this lecture participants will be review the following:
Improving safety of high alert medications at AFHSR IPSG3
Storage, handling of concentrated electrolytes & Error prevention strategies at AFHSR IPSG 3.1
AFHSR Look Alike_Sound Alike medication management IPSG3.1.1
Correct-site, Correct-procedure, Correct-patient Surgery IPSG-004

1. PPG’S REVIEW Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist

2. Objectives At the end of this lecture participants will be review the following: Improving safety of high alert medications at AFHSR IPSG3 Storage, handling of concentrated electrolytes & Error prevention strategies at AFHSR IPSG 3.1 AFHSR Look Alike_Sound Alike medication management IPSG3.1.1 Correct-site, Correct-procedure, Correct-patient Surgery IPSG-004 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

3. Improving Safety Of High Alert Medication At AFHSR IPSG3

4. High Alert Medications Policies High Alert Medications (HAM) are drugs that involveand labeling or clinical use, look alike ar sound alike are prone to medication errors. Independent double checking A procedure in which two healthcare professionals separately verify (alone and apart from each other the compare results ) a medication that is about to be dispensed / administrated to patient Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

5. High Alert Medications polices AFHSR pharmacy department develop Lists of high alert medications includes the following: Narcotic& controlled medications (AFHSR-MMU-PH-P01-5 TH Edition) Neuromuscular blockers (AFHSR-MMU-PH-P01-5 TH Edition) Antineoplastic medications (AFHSR-MMU-PH-P07-1 st Edition) Concentrated electrolytes(AFHSR-MMU-PH-P02-3 TH Edition) Antithrombotic medications (AFHSR-MMU-PH-P01-5 TH Edition) Look Alike drugs (AFHSR-MMU-PH-P01-5 th Edition) Sound Alike Drugs (AFHSR-MMU-PH-P03-6 th Edition) Radio-contrast agent -(AFHSR-MMU-PH-P09-3 rd Edition) Insulins (AFHSR-MMU-PH-P01-5 TH Edition) Anesthetic medication (AFHSR-MMU-PH-P01-5 TH Edition) Total parenteral nutrition (AFHSR-MMU-PH-P01-5 TH Edition) Other medications as identified by AFHSR (AFHSR-MMU-PH-P01-5 TH Edition) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

6. High Alert Medications Policies (cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR Examples are…….

7. High Alert Medications Policies (cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

8. High Alert Medications Policies Concentrated electrolytes solutions shall be stored in critical care areas labels with blue color stickered for proper identification.

9. High Alert Medications Policies (cont.) All staff working with medication responsible to be oriented to avoid errors If nursing staff have any doubt in calculations or compatibilities ( refer to IV guide lines AFHSR-MMU-PH-F10,F86,F88-3 RD Edition) or they must contact treating physician, IV pharmacist bleep00261 Verbal & telephone orders is allowed in emergency cases at critical care areas and later must be documented within 24hrs Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

10. High Alert Medications Policies (cont.) Standing orders are allowed at critical care areas as per the PPG- AFHSR-MMU-27 In case of emergency situation where electrolyte correction is required at non critical words it can be barrowed from the nearest critical care ward only allowed when patient condition cannot be compromised Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

11. AFHSR Look Alike- Sound Alike Medication Management IPSG3.1.1 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

12. Look Alike/ Sound Alike Medications LA medication are visually similar in appearance/packaging SA medication are spelling similarity or similar phonetics Tall Man lettering is the practice of writing part of a medicines name in upper case letters to help distinguish sound A like medications from one another and a void errors ( e.g Hydr OXY zine and hydr ALAZINE ) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

13. Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

14. Look Alike/ Sound Alike Medications (cont.) Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

15. Look Alike/ Sound Alike Medications Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

16. Look Alike/ Sound Alike Medications (cont.) All medications included in LA, SA lists must have yellow labels stating look Alike/sound Alike In event of unavailability of yellow labels yellow color adhesive tape stickers, labels, or bins can be used for proper identification LASA medications must not be accepted by nursing staff if there is no label affixed by the pharmacy Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

17. Look Alike/ Sound Alike Medications polices Hospital takes actions to prevent errors involving LASA medications including the following as applicable: Providing education to healthcare professionals at orientation and as part of continuing education Writing the diagnosis/ indication on prescription Changing the appearance of look alike medications Using TALL man lettering for sound Alike medications Reading carefully the label before each time prior to administration Minimizing the use of verbal and telephone orders Checking the indication of medication on prescription prior to dispensing & administrating Placing LASA medications in locations separate from each other in non alphabetical order Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

18. Correct-site, correct-procedure, correct-patient Surgery IPSG4 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

19. Correct-site, correct-procedure, correct-patient Surgery IPSG4 Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR

20. Correct-site, correct-procedure, correct-patient Surgery IPSG4 Policy Surgical site marking Surgical safety checklist Timeout Jamilah saad Alqahtani CNS,MSN,NS,RGN,BSN, OR Specialist 07.05.2018 OR AFHSR