Serious Reportable Events (SREs)

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. 

1 post / 0 new
Log in or register to post comments
Fri, 09/21/2018 - 11:26
#1
Jennifer Marie ...
Jennifer Marie Soto Meyer's picture
Offline
Last seen: 1 month 2 days ago
Joined: 01/11/2018 - 11:49
Serious Reportable Events (SREs)

We are standardizing our RCA process across our health system. Initially we are requiring all sites complete an RCA for SREs (at a minimum). Eventually I'd love to expand this of course.

As you are probably aware the SRE definition for medication-related events is pretty generic. It is difficult to define "serious injury". Also, I would like to include events where a lack of monitoring led to serious injury, even though it is not technically covered by the examples given.

I am wondering if anyone has done any similar work with defining when an RCA should be done for medication-related events. Interested to hear others thoughts.

TIA!

Attach files :
PDF icon nqf_sres_2011_report.pdf
Top