ISMP BP#16C monitoring ADC overrides

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 jgold@ismp.org

6 posts / 0 new
Last post
Sloane Hoefer
Sloane Hoefer's picture
Offline
Last seen: 6 days 18 hours ago
Joined: 01/17/2022 - 10:58
ISMP BP#16C monitoring ADC overrides

Good afternoon,
Wanting to pick the brain of this group for how you are all achieving ISMP Best Practice #16 part C "Monitor ADC overrides and verify appropriateness, transcription of orders, and documentation of administration."

We perform an annual review of our override list and keep it targeted towards only medications needed in an emergent situation. We also have really honed in on reducing the numbers of unlinked override pulls and saw great improvement in those numbers.

We are wondering if other institutions have found a proactive way to assess the appropriateness of the override pulls in real time? What documentation do you use to support that you have fully implemented this best practice?

Appreciate your insight!

Sloane Hoefer
Medication Safety Pharmacist
Nebraska Medicine