Medication Safety and Error Prevention The Role of Clinical Pharmacist in Healthcare Institutions Your Name | Department | Date
Introduction • Medication safety is a global patient safety priority. • WHO: Medication errors cause at least one death every day and injure 1.3 million people annually in the USA. • Aim: Improve patient outcomes by reducing preventable harm from medicines.
Definition of Medication Safety • Ensuring that medications are used effectively and safely. • Focus: correct drug, correct dose, correct patient, correct route, correct time (“5 Rights”).
Medication Errors (Definition) • Any preventable event that may cause or lead to inappropriate medication use or patient harm (NCC MERP). • Can occur at prescribing, transcribing, dispensing, administering, or monitoring stages.
Causes of Medication Errors • Similar drug names/packaging (LASA drugs). • Poor communication between healthcare providers. • Lack of electronic prescribing systems. • Heavy workload, fatigue, distractions.
Strategies for Error Prevention • Electronic prescribing (CPOE). • Barcode Medication Administration (BCMA). • Clinical Decision Support Systems (CDSS). • Continuous staff education & patient counseling.
Role of the Clinical Pharmacist (1) • Review and reconcile medication orders. • Ensure appropriate dosing (renal/hepatic adjustment). • Detect and prevent drug interactions.
Role of the Clinical Pharmacist (2) • Educate patients and healthcare staff. • Develop and implement medication safety protocols. • Monitor high-alert medications. • Participate in hospital safety committees.
Conclusion & References • Safe medication use reduces morbidity and mortality. • Clinical pharmacists play a key role in preventing errors. References: - WHO: Medication Without Harm - NCC MERP - ISMP - Clinical Pharmacy and Therapeutics (Walker & Whittlesea)