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SAFE MEDICATION PRACTICES: FACTORS CONTRIBUTING TO MEDICATION ERRORS IN THE FORT ST. JOHN HOSPITAL IPU. Breakout session D6 – Naomi Smith

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Page 1: An Investigation into Factors that Contribute to Medication Administration Errors

SAFE MEDICATION PRACTICES: FACTORS CONTRIBUTING TO MEDICATION ERRORS IN THE

FORT ST. JOHN HOSPITAL IPU.

Breakout session D6 – Naomi Smith

Page 2: An Investigation into Factors that Contribute to Medication Administration Errors

DISCLOSURE

Funding from BCPSQC

No conflict of interest

Page 3: An Investigation into Factors that Contribute to Medication Administration Errors

PROJECT

Pyxis insufficient

Investigation:

Interviews, questionnaires, past errors

Page 4: An Investigation into Factors that Contribute to Medication Administration Errors

SPECIAL FOCUS

Culture

At-risk behaviours

Issues to be resolved

Page 5: An Investigation into Factors that Contribute to Medication Administration Errors

ASSUMPTIONS

Greater discourse

Lack of feedback

- Support, accountability, & education

Page 6: An Investigation into Factors that Contribute to Medication Administration Errors

RECOMMENDATIONS

Culture of rush/busyness

Accountability

Feedback, education/orientation

Time management

Page 7: An Investigation into Factors that Contribute to Medication Administration Errors

ACHIEVEMENTS

Proposal of solutions

Decreased occurrence

Increased conversation & awareness

Page 8: An Investigation into Factors that Contribute to Medication Administration Errors

SOLUTIONS IMPLEMENTED

Transcription process

Time saving strategies

Acuity Based Care (ABC) Model

Page 9: An Investigation into Factors that Contribute to Medication Administration Errors

SOLUTIONS IMPLEMENTED

Transcription process:

Prince Rupert

More difficult to ignore

Location, appearance, stamps

Page 10: An Investigation into Factors that Contribute to Medication Administration Errors

SOLUTIONS IMPLEMENTED

Time-saving strategies:

Independent double check

Change policy

Page 11: An Investigation into Factors that Contribute to Medication Administration Errors

SOLUTIONS IMPLEMENTED

Acuity based care model:

Kamloops

Severity

Care level required

Page 12: An Investigation into Factors that Contribute to Medication Administration Errors

MOVING FORWARD

Evaluation

Cooperation and coordination

with unit staff

Page 13: An Investigation into Factors that Contribute to Medication Administration Errors

WHO NEEDS TO BE INVOLVED?

Local team

Hospital administration

Nursing staff

Regional team

Page 14: An Investigation into Factors that Contribute to Medication Administration Errors

RESULTS

No further transcription errors

Workload more manageable

PhD work

Continued evaluation

Page 15: An Investigation into Factors that Contribute to Medication Administration Errors

CONTACT

Naomi Smith

[email protected]

Page 16: An Investigation into Factors that Contribute to Medication Administration Errors

AUDIENCE QUESTIONS


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