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E2 Joanna Martin et al. A Team Approach to Successfully Improving Medication Safety in a Large...
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Successfully improving medication safety in a large complex residential care facility. TEAM APPROACH MEDICATION SAFETY
Transcript of E2 Joanna Martin et al. A Team Approach to Successfully Improving Medication Safety in a Large...
Successfully improving medication safety in a large complex residential care facility.
TEAM APPROACH MEDICATION SAFETY
WINDERMERE CARE CENTRE
GOALS FOR WCC
*Reduce medication errors
*Promote best practice in med administration
*Enhance transparency and real time communication and efficiencies.
RESPONSIVE PHARMACY
We decided to move forward we needed to partner with a responsive pharmacy who would work with us to help us achieve our goals.
MARKS PHARMACY
GOALS FOR MARKS PHARMACY
The safest medication administration possible for our residents.
*Reduce errors leaving the pharmacy
*Work with the home to supply our service in the best way to reduce administration errors
ELECTRONIC E- MAR
It was decided that an electronic e- mar could be our answer to all of our challenges.
High tech nursing homes?
Is it even possible?
Facility benefits to
E-Mar
Pharmacy benefits of E-Mar
MEDICATION ERRORS
*RN/LPN administer medications and are responsible for their own practice but we wanted to shift culture and support their practice to enable them to succeed in preventing errors and especially repeating errors.
MEDICATION ERRORS
*Error rates recorded
*Targets set
*Monthly score cards
*Tied into a reward structure
PacMed Key Performance Indicator Program
Syllabus of what should be taught at different stations
*Light practical guide Preventative actions
Best practice for key steps
What might be forgotten to be passed on
Staff Training Program
WINDERMERE CARE CENTRE
RESULTS
Over the course of 3 years we have reduced the actual medication errors by 75% and potential medication errors are decreasing and rarely repeat a second time.
Marks Pharmacy Results
Packaging Errors*42% reduction in packaging errors caught
at the pharmacy in 3 months & 78% in six months
Errors leaving the pharmacy*37% reduction in errors caught at the facility
in 3 months & 51% reduction in one year
SUMMARY
Our team approach with our nurses, pharmacy and software provider enables quality improvement as each actual and potential error is identified and examined. A planned course of action to prevent re-occurrence is then implemented.
Continuous, overlapping quality improvement by facility and pharmacy combined with the software company’s commitment to achieve our goals has improved our patients’ safety.
The winners in this improved safety
outcome…
But most importantly!
Thanks for listening-
QUESTIONS?
