Upload File

purchasing and design for patient safety professor david cousins head of patient safety medicines...

  • Home
  • Documents
  • Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London
34
Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Upload: anastasia-norman

Post on 18-Jan-2016

225 views

Category:

Documents


1 download

Report

Tags:

TRANSCRIPT

Page 1: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Purchasing and Design For Patient Safety

Professor David CousinsHead of Patient Safety

Medicines and Medical DevicesNational Patient Safety Agency

London

Page 2: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London
Page 3: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London
Page 4: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Design For Patient Safety Series

Page 5: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Council of Europe Report 2007On Safe Medication Practice

• Current European medicines regulations concerning naming, packaging and labelling for pharmaceutical products provide inadequate safeguards for patients

• Medication errors frequently occur in Europe because of sound-alike or look-alike drug names, similarities in packaging and labelling appearance and unclear, ambiguous or incomplete label information

Page 6: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Council of Europe Report 2007On Safe Medication Practice

• There is little recognition of the importance of the human factor principles in selection and design of drug names, labels and packages in order to minimise the potential for error and enhance medication safety

• The current design for labelling and packaging prioritise industry concerns, such as “trade dress”, instead of considering the context where the pharmaceutical product has to be used.

• It is not patient-centred, but, rather, relies on an assumption of perfect performance by healthcare professionals and by patients

Page 7: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Patient Safety Incident Involving Vaccines

Page 8: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Minimising Risks To Patients

• Facilitate correct actions • Make it easier to discover

errors and take corrective action

• Education, training and work competencies

Page 9: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Purchasing For Safety• Procuring products that are

safer to use in practice• Meeting licensing standards is

the minimum – practice standards may be higher

• Not always awarding the contract to the cheapest

• Products should meet the quality and safety specification – then procure at minimum cost

• Provide feedback to manufacturers to obtain safer products

Page 10: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Use Colour And Design

Page 11: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Allocate Space for a Dispensing Label

Page 12: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Vial Design

Page 13: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Differentiating Injectable Products

Page 14: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Look-a-like Names

Page 15: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Ampoule Design

Page 16: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Name and Strength

Page 17: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Bar Codes

Page 18: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Labelling of Ampoules and Syringes

Page 19: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Technical Information

Page 20: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Infusion Product Differentiation

Page 21: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Screen Display

Page 22: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Use of Colour and Design

Page 23: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Keyboard Layout

Page 24: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Interface Design Consistency

Page 25: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Use of ISO Symbols

Page 26: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Infusion Device Alarms

Page 27: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Dose Error Reduction Software

Page 28: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Use Of Bar Codes By Infusion Devices

Page 29: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

The ‘Universal’ Connector

Page 30: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Safer Enteral DevicesSafer Enteral Devices

Page 31: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London
Page 32: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

Spinal (Intrathecal), Epidural And Regional Administration Of Medicines

Page 33: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London
Page 34: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

http://www.nrls.npsa.nhs.uk


PENNSYLVANIA PATIENT SAFETY ADVISORYpatientsafety.pa.gov/ADVISORIES/Documents/200812_home.pdf · Pennsylvania Patient Safety Advisory About the Pennsylvania Patient Safety Advisory

Recent Developments in Patient Safety and Scope of Patient Safety Special Interest Group Recent Developments in Patient Safety and Scope of Patient Safety

Patient Safety

Enhancing Patient Safety and Outcomes: The Safe Patient Handling … Patient Safety... · Enhancing Patient Safety and Outcomes: The Safe Patient Handling Connection Presented by

NHS | Presentation to [XXXX Company] | [Type Date]1 Medicines Shortages The Patient Safety View Dr David Cousins Associate Director Safe Medication Practice

DoD Patient Safety Program Patient Safety Improvement Guide

PATIENT SAFETY Justin MFIZI Patient Safety officer KFH

Airway Safety Webinar PresentationL - Patient Safety Movement · • 10 Minutes: Introduction to Patient Safety Movement Foundation and Actionable Patient Safety Solutions (APSS)

Patient Safety Evaluation System and Patient Safety Organization Fundamentals

Patient Safety:

PATIENT SAFETY Protecting Patient’s Right Protecting Patient’s Right General Patient Safety Measures General Patient Safety Measures Admission of the Patient

ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR … · ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR ... ELECTRICAL SAFETY ANALYZER WITH PATIENT SIMULATOR . 2 PATIENT ... status

Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

Reporting Patient Focused Products David Cousins

Patient Safety

PATIENT SAFETY CULTURE AND PATIENT SAFETY … · 2 Patient Safety Culture and Patient Safety Implementation in Stella Maris Hospital during National Health Insurance Era Fridawaty

Copyright 2007 Partners Radiology Patient Safety Training “Patient Safety in Radiology” Partners Radiology Patient Safety Team