1 Medication Error Reduction Plan Program - Patientsafetycouncil.org
1 Medication Error Reduction Plan Program - Patientsafetycouncil.org
1 Medication Error Reduction Plan Program - Patientsafetycouncil.org
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Issues:<br />
• Automated Dispensing Cabinets<br />
• Discrepancies, overrides, profiling (e.g., Radiology,<br />
PACU, ED)<br />
• Emergency medications (MH, carts, boxes)<br />
• Sealed, list of meds, exp. date<br />
• Refrigerators (storage); warmers in OR<br />
Issues:<br />
• Lack of policies and procedures<br />
• Policies and procedures not followed<br />
• Recent medication deaths: heparin, morphine,<br />
warfarin, fentanyl<br />
Issues:<br />
• Drawing up emergency medications correctly<br />
• Preprinted orders – include parameters for dose<br />
• Preprinted orders – include parameters for dose<br />
changes<br />
(e.g., norepinephrine, nitroprusside)<br />
3
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