In order to learn more about the problem and scope of texting orders in healthcare and more about the issues from those who are most affected by them, we encourage all MSOS members to participate in a 15-minute survey (www.ismp.org/sc?id=2942) before August 31, 2017. ISMP really needs your input to help guide their work on this topic, and they are sincerely interested in your opinions!
At the recently held MSOS Member Meeting during the ASHP Medication Safety Collaborative in Minneapolis on June 4, 2017, a member shared an occurrence that happened in their facility. The member believed that a defect in BD’s (Pyxis) MedStation ES software resulted in the misinterpretation of an order frequency intended to be every Monday, Wednesday and Friday as every day that was associated with a patient incident. David Swenson, Vice President, Clinical Strategy, Medical Affairs, Medication Management Systems at BD attended that meeting and publicly volunteered to investigate the report. David shared his investigation For the full message with an excerpt of his findings, please click on the title above.
For years, insulin has been shown to be associated with more medication error-related harm than any other drug. The new ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults are designed to help healthcare practitioners prevent errors and improve outcomes for patients with diabetes. The guidelines, based on a multidisciplinary consensus conference of experts, provide recommendations for avoiding at-risk behaviors involving subcutaneous insulin across the entire continuum of care, including prescribing, preparation and administration, monitoring, and patient education. The document also addresses evolving practices, devices, and technology that aim to enhance the safety of insulin use, such as with concentrated insulin and insulin pen devices. For a copy, visit: https://www.ismp.org/Tools/guidelines/default.asp
Mark your calendar for the next MSOS Member Briefings on June 15, 2017 from 1-2 pm EDT.
The first MSOS Member Briefings webinar on March 15th was a huge success based on the feedback we received from the over 140 members who participated. A handout of the slides can be found at: www.ismp.org/docs/MSOS-Briefings-Slides.pdf. Future MSOS Member Briefings webinars will allow participants to download a copy of the slides directly from the webinar software.
If you have a medication safety project at your organization that you would like to share with the group by giving a presentation on the MSOS Member Briefings, please contact Darryl Rich at email@example.com.
The ISMP Medication Safety Self Assessment® for Antithrombotic Therapy has been updated and now includes safety strategies for some of the newer oral anticoagulants. Healthcare organizations can use the assessment to evaluate their current systems related to the use of antithrombotic agents, proactively identify potential improvement areas, and track their efforts over time. To access the revised antithrombotic self assessment, go to: http://www.ismp.org/selfassessments/Antithrombotic/2017.