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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
AUDIENCE QUESTIONS