Managing High-Alert Medications

Managing HighManaging high -- alert alert Medications Medications Brought to you by the Brought to you by the Washington Patient Safety CoalitionWashington Patient Safety CoalitionJune 10, 2009 June 10, 2009 Goals of high alert medication Goals of high alert medication Policies and ProcessesPolicies and Processes To eliminate harm to the patient from the use of high alert Medications To develop standardized medication handling processes for high alert Medications To monitor and continually improve the standardized delivery process for high alert medicationsHigh alert MedicationsHigh alert MedicationsBased on 3,184 reports submitted to the US Pharmacopeia MedMarxdatabase involving parenteral routes during 2000 2004. Narcotics/opioids, insulin and heparin combined for of the errors in this review.

Narcotics - HFMEA Review of incident reports and analysis of events to determine scope of problem. Review of literature as well as other hospitals to determine benchmark rate. – Literature referenced over sedation rate between 0.1 and 1 % – Literature supported our observation of increased

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