1 Medication Error Reduction Plan Program - Patientsafetycouncil.org

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MERP Survey Summary January 2009 – December 2011 • 374 – Hospitals to be surveyed • 368 – Exited surveys (98 %) • 346 – Survey data received (94 %) • 323 – Noted deficiencies (93 %) • 23 – In compliance ( 7 %) Data as of 01/23/2012 Common Deficiencies • 68 % - Develop and implement P&Ps for safe and effective use of medications [CCR 70263(c)(1)] • 63 % - Conduct an annual review to assess effectiveness of the implementation of MERP [HSC 1339.63 (e)(2)] • 46 % - Identify weakness or deficiencies that could contribute to errors [HSC 1339.63 (e)(1)] • 45 % - Include a multidisciplinary process to regularly analyze all errors [HSC 1339.63 (e)(6)] Issues: • Fentanyl patches • Droperidol • Insulin • IV infusion devices • Smart pumps; PCAs 2
Issues: • Automated Dispensing Cabinets • Discrepancies, overrides, profiling (e.g., Radiology, PACU, ED) • Emergency medications (MH, carts, boxes) • Sealed, list of meds, exp. date • Refrigerators (storage); warmers in OR Issues: • Lack of policies and procedures • Policies and procedures not followed • Recent medication deaths: heparin, morphine, warfarin, fentanyl Issues: • Drawing up emergency medications correctly • Preprinted orders – include parameters for dose • Preprinted orders – include parameters for dose changes (e.g., norepinephrine, nitroprusside) 3
Page 1: Medication Error Reduction Plan Pro
Page 5 and 6: Department of Health and Human Serv
Page 7 and 8: Med SET • Objectives/Goals: • C
Page 9: Med SET: Next Steps • Seek input

1 Medication Error Reduction Plan Program - Patientsafetycouncil.org

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