Basic Medication Safety (BMS) Course Update 2013
Saudi Medication Safety Center (SMSC)Annual Meeting of International Medication Safety Network (IMSN)
Paris, FRANCE; 11 – 12 October, 2013
Basic Medication Safety (BMS) Course
January 2008:Proposal made to ISMP for establishment of a“Basic Medication Safety” course for Nurses.
June 29th 2008:
1st Basic Medication Safety (BMS) Certification Coursefor Nurses.
June 30th 2008:
1st Saudi International Medication Safety Conference.
Previous BMS Course OutlineTIME ACTIVITY
0755H - 0800H Introduction
0800H - 0810H Video from ISMP: Beyond Blame
0810H - 0840H The KAMC-NGHA-CR MSP Experience
0840H - 0920H Overview of Medication Errors
0920H - 0940H BREAK
0940H - 1025H High Alert, Look-alike & Sounds-alike Medications
1025H - 1040H Video from NGHA - CR: Medication Administration Errors
1040H - 1110H Error Prone Abbreviations & Legibility
1110H - 1120H BREAK
1120H - 1150H Safeguards to Prevent Medication Errors and Reporting Medication Errors
1150H - 1200H Take Home Messages & Questions and Answers
1200H - 1230H Written Exam
Guidelines of BMS Course
Certification is valid for two (2) years.
Certification is mandatory for all Health Care Providers.
At the present, the Certification Course is paid for by the organization.
Goals of BMS Course
Enhance the knowledge of the health care providers about medication safety.
Promote Safe Medication Practices.
Promote a Just Culture for reporting and managing medication errors.
Title Duration (min) Responsible Region
1. Introduction 10 SMSC
2. Video Beyond Blame 10 ‐
3. Overview 35 CR(include Just Culture Algorithm, etc)
4. LASA & Error Prone Abbreviations 20 ER
5. High Alert & Concentrated Electrolytes 30 ER
6. Safeguards 30 CR(include, One Stop Resource, Medication Reconciliation, CPOE, Smart Pumps, Technology, etc)
7. Allergy 30 WR
8. Local Data 30 WR(include OVA / SRS)
9. Clinical Pearls & Take Home Message 30 SMSC
10. Examination 30
TOTAL 255
BMS Course Revision Plan
Updated BMS Course OutlineTIME ACTIVITY
08:00 – 08:10 Introduction
08:10 – 08:20 Video from ISMP: Beyond Blame
08:20 – 09:05 Overview of Medication Errors
09:05 – 09:20 LASA & Error Prone Abbreviations
09:20 – 09:40 BREAK
09:40 – 10:10 High Alert Medications & Concentrated Electrolytes
10:10 – 10:40 Safeguards to Prevent Medication Errors
10:40 – 10:45 BREAK
10:45 – 11:15 Medication Allergy & Hypersensitivity
11:15 - 11:45 Medication Error & Near Miss Reporting
11:45 – 12:15 Clinical Pearls & Take Home Messages
12:15 – 12:45 Written Exam
Overview of Medication Errors: Learning Objectives
Identify Human Factors associated with medication errors
Explain the concept of a Just Culture
Review definitions related to medication safety
Discuss the impact of latent failures on medication safety
Human Factors – Confront Two Myths
The punishment myth:If we punish people when they make
patient safety incidents they will make fewer of them.
The perfection myth:If people try hard enough they will not commit patient safety incidents.
LASA & Error‐Prone Abbreviations: Learning Objectives
Define Look‐Alike Sound‐Alike Drugs
Improve Awareness of Look‐Alike Sound‐Alike Drugs
Share our experiences
Identify Error‐prone abbreviations
Strategies to minimize risks
Identify strategies to improve
Look‐Alike Packaging
High Alert Medications & Concentrated Electrolytes: Learning Objectives
Define and Identify High Alert Medications
Share our experiences / reporting
Outline strategies to minimize risks
Identify strategies to improve
Re‐enforce Policy & Procedures
Safeguards to Prevent Medication Errors:Learning Objectives
Review the best error prevention tools (Hierarchy of Effectiveness)
Explain the role of different types of medication safety technologies
Emphasize the advantages of Smart Pump Technology
Explain different methodologies used to minimize the consequences of errors
Review the medication reconciliation process
Discuss the importance and impact of patient education
Hierarchy of Effectiveness1. Forcing functions & constraints
2. Automation / computerization
3. Simplification / standardization
4. Reminders, redundancies, checklists and double checks
5. Rules and policies
6. Education & access information
7. Be careful…Be vigilant
Highest
Lowest
Used with permission © ISMP
How to Select the Best Error Prevention Tool
Medication Allergy & Hypersensitivity:Learning Objectives
Identify the true drug allergic reactions
Define the different types and classifications of ADR
Identify the clinical presentation of drug allergy
Recognize the main lab investigations and treatment of drug hypersensitivity reactions
Differentiate anaphylaxis from other allergic reaction presentations and its treatment
17
Medication Error & Near Miss Reporting: Learning Objectives
Explain the reasons for reporting medication safety incidents
State the types of reportable medication safety incidents
Submit relevant information when reporting medication safety incidents
Recall the local medication errors / near misses data
Explain the mistake lesson learning cycle
Conclusion & Future of BMS Course…
Endorsement & Adoption of the BMS course at a Regional & IMSN levels.
Promote the BMS Course to the Saudi Commission for Health Specialties & other International Health Care Licensure Bodies to make it mandatory for all HCP licenses.
The initial certification is Live and re‐certification is done by e‐Learning.
Update the course content every two years to match with ISMP / IMSNs recommendations.
Thank You
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