AHRQ 2019 TECHNOLOGY USED CONTINUED AHQRs plan to prevent adverse drug events

Ahrq 2019 technology used continued ahqrs plan to

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(AHRQ, 2019).
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TECHNOLOGY USED CONTINUED AHQR’s plan to prevent adverse drug events health care (AHRQ, 2019). Stage Safety Strategy Prescribing Use CPOE Do not over prescribe Make sure to do medication reconciliation (HCP) Transcribing The use of CPOE should eliminate errors (HCP) Dispensing Oversee process Use “tall man” strategies to avoid mixing up similar sounding g medication Use Automatic dispensing cabinets (Pharmacist) Administering Use the 5 Rights to Administration Use BCMA Avoid Interruptions/distractions when administering medication Use Smart Infusion Pump and Multicompartment medication devices Do not forget to use Patient education and medication labels
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CULTURE & SAFETY Culture and Safety play an important angle in the quality of patient safety and care. Just Culture is used to describes the broad issue where effects the way a professional does their job, usually because of human error. Just Culture Guides are used to investigate errors of patient safety. (NHS Improvement, 2018)
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CULTURE & SAFETY CONTINUED Questions in the Just Culture Guide 1) Deliberate harm- Intention of harm 2) Health Test- Substance Abuse, Physically or Mentally Ill 3) Foresight Test- Are protocols set up, are they workable, were they used 4) Substitution Test- Are there consistencies through peer group, was training for the peer group provided, was their lack of supervision 5) Mitigating Circumstances- what were the circumstances (NHS Improvement, 2018)
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IP TEAM MEMBERS Nurse Health Care Provider Pharmacist IT Team Member
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IP TEAM MEMBERS CONTINUED Health Care Provider Jobs: prescribe medication properly. Do not over prescribe. Be aware of drug interactions. Pharmacist Jobs: Create and Dispense medication properly. Make sure it is labeled. Nurse Jobs: Administer the medication correctly. Monitor the effects of the drug. Maintain Patient Safety. IT Team Member Jobs: Manage the technology used through medication process. Help education the rest of the team on how to use the technology. Fix any broken or malfunctioning technology.
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QUALITY & SAFETY OUTCOME The goal is to improve quality care Accomplished by prevention of medication errors Have medication administration performed properly with the Rights of Administration included
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  • Spring '14
  • BethA.Swan
  • AHRQ, Patient safety, Patient Safety and Quality Improvement Act, BCMA, Quality and Safety Outcomes

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