Good Evening-

Our organization is working through the Sentinel Event Alert surrounding direct oral anticoagulants. I am curious to see what process improvement metrics other organizations are using to improve the safety of DOACs.

Hello,
I have been asked to research what other institutions use for sedation for cardioversion? Do you use a hypnotic agent? Do you have anesthesia involved?
Thanks

Marilyn Hargett MSN, RN
Medication Safety Officer

We are interested in how other organizations handle the CMS/TJC/CIHQ requirement that "processes and mechanisms should e established to monitor patient responses to a newly added medication before the medication is made available for dispensing or administration within the hospital."

Do you have a blanket statement in policy that is applicable to every new drug, or do you define individual parameters for each new drug? If you would be willing to share policies that would be very helpful.

To prevent wrong dose or wrong route administration errors when administering EPINEPHrine for anaphylaxis, has your organization employed either of the following safeguards:

1.)EPINEPHrine autoinjectors (e.g. EpiPen, EpiPen Jr, Auvi-Q)
a.) If yes, are there specific care areas where these items
are maintained as floorstock? (e.g. oncology, radiology)

To prevent wrong dose or wrong route administration errors when administering EPINEPHrine for anaphylaxis, has your organization employed either of the following safeguards:

1.)EPINEPHrine autoinjectors (e.g. EpiPen, EpiPen Jr, Auvi-Q)
a.) If yes, are there specific care areas where these items
are maintained as floorstock? (e.g. oncology, radiology)

Hello,
We are a pediatric institution and are looking for strategies on using texium tubing for doses <1.3 mL. With the 1.3 mL priming volume required (vs. 0.7 mL's for standard tubing) it is too long for these small doses. Any suggestions? Has anyone reported this concern to BD?

Hello
Does anyone have a defined time to waste for partially administered CDS's ? Thanks!
Tom

Hello colleagues,
I'd like to learn about your practice of splitting tablets for doses lower than commercially available tablet size.

I’m interested in know if/how hospitals are securing their controlled substances being administered as a continuous infusion (e.g. fentanyl, midazolam).

Do you secure the controlled substance infusion bag/syringe when they are hanging on a patient?

If so, do you place the infusion bag/syringe in a locked box?
If so, do use a key lock or combination lock?

Do you use a lockable PCA pump to administer continuous controlled substance infusions?

I’m interested in know if/how hospitals are securing their controlled substances being administered as a continuous infusion (e.g. fentanyl, midazolam).

Do you secure the controlled substance infusion bag/syringe when they are hanging on a patient?

If so, do you place the infusion bag/syringe in a locked box?
If so, do use a key lock or combination lock?

Do you use a lockable PCA pump to administer continuous controlled substance infusions?