organizational gap analyses on ISMP guidelines, self assessments, etc.

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

4 posts / 0 new
Last post
Julie Kindsfater
Julie Kindsfater's picture
Offline
Last seen: 5 months 3 weeks ago
Joined: 11/04/2011 - 10:15
organizational gap analyses on ISMP guidelines, self assessments, etc.

Every time an ISMP new guideline paper, self assessment, or Quarterly Action Agenda is published, my org does an internal gap analysis. To facilitate this, we transcribe the recs to an Excel spreadsheet with columns where we document objective evidence of our organization's compliance (e.g. policies/actual policy statement, EHR build, formulary, etc.), assessment (compliant, partially compliant, not compliant), action plan and accountability, and then another column for local assessment (we use this to make notes like, "Rx directors - verify segregation of storage" for things where we can say policy is compliant, but local assessment is also needed).

Do other orgs do this and if so, would ISMP consider publishing these documents with recs in some sort of similar Excel format? One of the ISMP TBPs is to use externally published data, and putting it in this format centrally might go a long way in helping everyone do this. I know the QAAs are published in Word format. Just a preference here for Excel - but I guess main point is would ISMP make the guidelines and self assessments available in a non-pdf format for easier documentation as above? Will submit via ISMP website, too.

Thanks for considering!

Attach files :