SAFE MEDICATION PRACTICES: FACTORS CONTRIBUTING TO MEDICATION ERRORS IN THE

FORT ST. JOHN HOSPITAL IPU.

Breakout session D6 – Naomi Smith

DISCLOSURE

Funding from BCPSQC

No conflict of interest

PROJECT

Pyxis insufficient

Investigation:

Interviews, questionnaires, past errors

SPECIAL FOCUS

Culture

At-risk behaviours

Issues to be resolved

ASSUMPTIONS

Greater discourse

Lack of feedback

- Support, accountability, & education

RECOMMENDATIONS

Culture of rush/busyness

Accountability

Feedback, education/orientation

Time management

ACHIEVEMENTS

Proposal of solutions

Decreased occurrence

Increased conversation & awareness

SOLUTIONS IMPLEMENTED

Transcription process

Time saving strategies

Acuity Based Care (ABC) Model

SOLUTIONS IMPLEMENTED

Transcription process:

Prince Rupert

More difficult to ignore

Location, appearance, stamps

SOLUTIONS IMPLEMENTED

Time-saving strategies:

Independent double check

Change policy

SOLUTIONS IMPLEMENTED

Acuity based care model:

Kamloops

Severity

Care level required

MOVING FORWARD

Evaluation

Cooperation and coordination

with unit staff

WHO NEEDS TO BE INVOLVED?

Local team

Hospital administration

Nursing staff

Regional team

RESULTS

No further transcription errors

Workload more manageable

PhD work

Continued evaluation

CONTACT

Naomi Smith

naomi.jean.smith@gmail.com

AUDIENCE QUESTIONS