Drug safety

Innovations

Toolkit-Supported Safety Rounds With Staff and Patients Enhance Reporting of Medical Errors and Near Misses 02/20/08

The Dana-Farber Cancer Institute uses safety rounds with staff and patients, supported by a toolkit, to promote a culture of safety and reduce medical errors by proactively identifying and addressing potential safety problems.

Multidisciplinary Team-Generated Interventions Improve Medication Reconciliation and Patient Safety 02/11/08

Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.

Emergency Department–Based Clinical Pharmacist Improves Quality of Care 02/11/08

The University of Rochester Medical Center placed a clinical pharmacist in the emergency department to serve as an integral member of the health care team, leading to an increase in quality care.

Checklists With Medication Vest or Sash Reduce Distractions During Medication Administration 02/05/08

Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.

Automated Pharmacy Alerts Followed by Pharmacist-Physician Collaboration Reduce Inappropriate Prescriptions Among Elderly Outpatients 01/28/08

Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.

Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting 01/24/08

Aurora Health Care spearheaded a community-wide medication reconciliation initiative, involving health care consumers, providers, pharmacists, and community stakeholders, to improve the accuracy of elderly patients' medication lists.

Patient Education and Staff Training Significantly Improves Medication Reconciliation in Outpatient Clinics 01/23/08

Mayo Clinic researchers developed a medication reconciliation intervention program for outpatient primary care settings that improved the accuracy of medication lists in the practice's electronic medical records.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

Medication Reconciliation Process Results in Anecdotal Reports of Improved Safety in Inpatient Setting 12/28/07

A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.

In-Hospital, 24-Hour Pharmacy Services via Automated Medication Dispenser Add Convenience and Increase Medication Safety 12/28/07

St. Mary's Hospital Medical Center offers in-house, 24-hour pharmacy services via a fully automated dispenser that allows patients to have medication prescriptions filled at the point of care.

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