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Patient Safety Background:Traditional Medication ErrorsFive Rights ofMedicationAdministration•Right Medication•Right Patient•Right Dose•Right Route•Right Time16
Patient Safety Background:Types of Medication ErrorsMedication Errors also occur as a result of:Failure to administer when indicatedDisregard for allergies, drug-drug interactions,drug-disease interactions, drug-age interactionsFailure to monitor drugs that are givenappropriately17
Page 3 and 4: Participant Notification, cont.Cont
Page 5 and 6: Learning ObjectivesUpon completing
Page 7 and 8: KPSC Regional Outpatient Safety Net
Page 9 and 10: Kaiser Permanente Southern Californ
Page 11 and 12: Patient Safety Background:To Err is
Page 13 and 14: Patient Safety Background:Character
Page 15: Patient Safety Background:Outcomes
Page 19 and 20: KPSC “Complete Care” Approach t
Page 25 and 26: Necessary Follow Up Care: PSA Safet
Page 27 and 28: Necessary Follow Up Care:+FOBT (FIT
Page 29 and 30: Medication Monitoring:Digoxin 2009
Page 31 and 32: Medication Monitoring:ACEs, ARBs &
Page 33 and 34: Medication Monitoring:ACEs, ARBs &
Page 35 and 36: Percent of EligibleMedication Monit
Page 37 and 38: Medication Monitoring:Amiodarone Pr
Page 39 and 40: Potentially Harmful Interactions:Fa
Page 41 and 42: Necessary Follow Up Care:Post Splen
Page 43 and 44: Potentially Harmful Interactions:Ge
Page 45 and 46: Questions?DiagnosisDetectionMedicat
Page 47 and 48: Process from idea to implementation
Page 49 and 50: 49Example of FYI message encounter
Page 51 and 52: 51Example of letter to member
Page 53: Submit a Question53NPSF Professiona

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