Good morning,

Our hospital is in the process of developing an architectural plan for a new patient tower, and we have been incorporated into a Safety Risk Assessment as recommended by the Center for Health Design and TJC. This includes a medication safety risk assessment, with the goal of improving medication safety by identifying medication safety zones and developing design features to mitigate risk. Has anyone else been involved in something similar? We would love any insight or guidance you may have.

hello, has your institution considered or do they practice administering certain medications in the ED waiting room?

IF so, would you be able to share your experience.
Is there a policy that governs this? What are the inclusion criteria?
What medications are ok to administer in the ED waiting room (antipyretics)
What monitoring parameters are in place?

Thank you!

Hello,

Do you allow non-controlled returns to the automated dispensing cabinet (ADC) to occur at the machine, or do the medications need to be returned to the pharmacy for processing?

If the return occurs at the machine, does each unit need to be scanned upon return, or is only one item of a batch required to be scanned, for example if multiple pills, vials, or ampules are returned?

If the return occurs at the machine, is it done by the nurse, pharmacy tech, or pharmacy intern?

Thank you,

Lynda

Hi all,

We have noticed a trend in reported errors related to dosing unit mix ups within our children's hospital. an example of a potential mix up would be something like ordering mg/kg/day when it really should be mg/kg/dose and so on. For background, we have set up the system for order sets to default to the appropriate dose and dosing unit but this may not be the case when medications are ordered "a la carte" (i.e. from the medication preference list).

Does anyone have a sotalol order set or panel they're willing to share with me?

Thanks in advance!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Hi Med Safety colleagues.

I am curious to know if any of your organizations have guidelines or policies that address a process by which physicians are "required" to review and/or reconcile "provider held" medications against the patient's active med list to ensure that the holds remain clinically appropriate. If so, would you be willing to share?

Also, do you allow "provider held" medications without defined durations or eliminated it after the fact? If so, how did you get physicians to buy into this change?

In our hospital, we featured a "Best Practices Hieroglyphics" challenge in our monthly newsletter to raise awareness on ISMP's best practice #3.

You are welcome to use it in your organization as educational material if you think it would be helpful to your staff.

Hospitals that use an EHR other than Epic will need to edit it with some creativity. There is also a reference to a Baltimore sports team that may be more difficult, depending on where you're located.