ISMP Canada Identifies Themes Associated With Fatal Medication Events in the Home.
نویسنده
چکیده
fatal medication events in the home Medication safety in the home is an important public health issue. Almost half of all Americans have taken at least one prescription medication in the last month,1 and more than three-quarters have taken an over-the-counter (OTC) medication.2 Almost two-thirds of Americans take at least one medication daily to treat a chronic health problem.3 Most of these medications are taken in the consumer’s home, group home, or other residential or community setting. In these settings, the risk of medication errors is ever present as consumers with variable health literacy4 and unlicensed healthcare personnel undertake the complex processes associated with safe medication management.
منابع مشابه
An effective tool to enhance a culture of patient safety and assess the risks of medication use systems.
INTRODUCTION Adverse events involving medication use represent a significant patient safety issue in Canada. This was most recently identified through the findings of the Canadian Adverse Events Study, released in May 2004 (Baker et al.) One strategy for addressing this issue is to utilize a systems approach to patient safety rather than focusing on individual performance. Practitioners, howeve...
متن کاملEnhancing safe medication use for pediatric patients in the emergency department.
Contributions to this column are prepared by the Institute for Safe Medication Practices Canada (ISMP Canada), a key partner in the Canadian Medication Incident and Prevention System, and may include, with permission, material from the ISMP Canada Safety Bulletin. The present article is based on “Hydromorphone intended for an adult patient inadvertently administered to an infant”, ISMP Canada S...
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The Institute for Safe Medication Practices Canada (ISMP Canada) is an independent, not-for-profit organization founded in early 2000 with the goal of promoting medication safety. It operates a voluntary medication error-reporting program that receives error reports, in confidence, from nurses, pharmacists, physicians and the public. Most reports are analyzed and error prevention strategies are...
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Failure to accurately measure and record a patient’s weight can contribute to serious, even fatal, dose errors, especially with high-alert medications such as anticoagulants and chemotherapeutic agents and in certain populations (e.g., children, elderly people).1 ISMP Canada recently received 3 reports of medication dosing incidents attributed to use of an incorrect patient weight. These incide...
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Note to Readers: Contributions to this column are prepared by the Institute for Safe Medication Practices Canada (ISMP Canada). The article presented here uses, with permission, information originally published in ISMP Canada Safety Bulletin 2009;9(7). Future bulletins from ISMP Canada that have particular relevance to hospital pharmacists will be published in the CSHP eBulletin, a semimonthly ...
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ورودعنوان ژورنال:
- Home healthcare now
دوره 33 8 شماره
صفحات -
تاریخ انتشار 2015