Purchasing and Design For Patient Safety

Professor David CousinsHead of Patient Safety

Medicines and Medical DevicesNational Patient Safety Agency

London

Design For Patient Safety Series

Council of Europe Report 2007On Safe Medication Practice

• Current European medicines regulations concerning naming, packaging and labelling for pharmaceutical products provide inadequate safeguards for patients

• Medication errors frequently occur in Europe because of sound-alike or look-alike drug names, similarities in packaging and labelling appearance and unclear, ambiguous or incomplete label information

Council of Europe Report 2007On Safe Medication Practice

• There is little recognition of the importance of the human factor principles in selection and design of drug names, labels and packages in order to minimise the potential for error and enhance medication safety

• The current design for labelling and packaging prioritise industry concerns, such as “trade dress”, instead of considering the context where the pharmaceutical product has to be used.

• It is not patient-centred, but, rather, relies on an assumption of perfect performance by healthcare professionals and by patients

Patient Safety Incident Involving Vaccines

Minimising Risks To Patients

• Facilitate correct actions • Make it easier to discover

errors and take corrective action

• Education, training and work competencies

Purchasing For Safety• Procuring products that are

safer to use in practice• Meeting licensing standards is

the minimum – practice standards may be higher

• Not always awarding the contract to the cheapest

• Products should meet the quality and safety specification – then procure at minimum cost

• Provide feedback to manufacturers to obtain safer products

Use Colour And Design

Allocate Space for a Dispensing Label

Vial Design

Differentiating Injectable Products

Look-a-like Names

Ampoule Design

Name and Strength

Bar Codes

Labelling of Ampoules and Syringes

Technical Information

Infusion Product Differentiation

Screen Display

Use of Colour and Design

Keyboard Layout

Interface Design Consistency

Use of ISO Symbols

Infusion Device Alarms

Dose Error Reduction Software

Use Of Bar Codes By Infusion Devices

The ‘Universal’ Connector

Safer Enteral DevicesSafer Enteral Devices

Spinal (Intrathecal), Epidural And Regional Administration Of Medicines

http://www.nrls.npsa.nhs.uk

Purchasing and Design For Patient Safety

Documents

Patients for Patient Safety M argaret Murphy, Patient Advocate External Lead Advisor Patients for Patient Safety WHO Patient Safety Beaumont Hospital Transplant

PENNSYLVANIA PATIENT SAFETY ADVISORYpatientsafety.pa.gov/ADVISORIES/Documents/200812_home.pdf · Pennsylvania Patient Safety Advisory About the Pennsylvania Patient Safety Advisory

Patient Safety – Together For Safety

PATIENT SAFETY Justin MFIZI Patient Safety officer KFH

Recent Developments in Patient Safety and Scope of Patient Safety Special Interest Group Recent Developments in Patient Safety and Scope of Patient Safety

CAROLINAS REHABILITATION PATIENT SAFETY … REHABILITATION PATIENT SAFETY ORGANIZATION PARTICIPATING FACILITY AGREEMENT This Agreement is between Carolinas Rehabilitation Patient Safety

PART 3â€”PATIENT SAFETY ORGANI- ZATIONS AND PATIENT SAFETY WORK

Patient Safety Module Facilitator's Guide 20150702medu.s3.amazonaws.com/dbc0ae1b/Patient Safety Module Facilitator'… · Patient Safety/Prescription Writing 20150702 Readiness Assurance

PATIENT SAFETY Protecting Patient’s Right Protecting Patient’s Right General Patient Safety Measures General Patient Safety Measures Admission of the Patient

Patient Safety Movement Foundation Presents · APSS #17 –Patient Safety Curriculum Patient Safety Curriculum for All Health Professionals May 8, 2019 Patient Safety Movement Foundation

THE ECONOMICS OF PATIENT SAFETY - … · • Etchells et al (2012), The Economics of Patient Safety in Acute Care. The Canadian Patient Safety Institute. The Canadian Patient Safety

Maryland Hospital Patient Safety Program Annual Report ... Patient... · Maryland Hospital Patient Safety Program FY13 Annual ... Maryland Hospital Patient Safety Program Annual Report

Safe Patient Handling and Mobility Equipment Purchasing ... Patient Handling/SPH Equipment & Slin… · There are many variables to consider when selecting, purchasing, implementing

Enhancing Patient Safety through Effective Communication Patient Safety... · Enhancing Patient Safety through Effective Communication Joint Commission Communication Standards •

Potential risks of food safety in purchasing · PDF filePotential risks of food safety in purchasing activities ... 7.4.1 Purchasing process ... Purchasing of materials which impact

Patient Safety

Airway Safety Webinar PresentationL - Patient Safety Movement · • 10 Minutes: Introduction to Patient Safety Movement Foundation and Actionable Patient Safety Solutions (APSS)

Danish Society for Patient Safety Patient Safety The Danish Experience

Patient Safety:

Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London