Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines...

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

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Transcript of Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines...

Page 1: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Purchasing and Design For Patient Safety

Professor David CousinsHead of Patient Safety

Medicines and Medical DevicesNational Patient Safety Agency

London

Page 2: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.
Page 3: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.
Page 4: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Design For Patient Safety Series

Page 5: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

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

Page 6: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

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

Page 7: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Patient Safety Incident Involving Vaccines

Page 8: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Minimising Risks To Patients

• Facilitate correct actions • Make it easier to discover

errors and take corrective action

• Education, training and work competencies

Page 9: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

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

Page 10: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Use Colour And Design

Page 11: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Allocate Space for a Dispensing Label

Page 12: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Vial Design

Page 13: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Differentiating Injectable Products

Page 14: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Look-a-like Names

Page 15: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Ampoule Design

Page 16: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Name and Strength

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Bar Codes

Page 18: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Labelling of Ampoules and Syringes

Page 19: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Technical Information

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Infusion Product Differentiation

Page 21: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Screen Display

Page 22: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Use of Colour and Design

Page 23: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Keyboard Layout

Page 24: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Interface Design Consistency

Page 25: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Use of ISO Symbols

Page 26: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Infusion Device Alarms

Page 27: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Dose Error Reduction Software

Page 28: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Use Of Bar Codes By Infusion Devices

Page 29: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

The ‘Universal’ Connector

Page 30: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Safer Enteral DevicesSafer Enteral Devices

Page 31: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.
Page 32: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Spinal (Intrathecal), Epidural And Regional Administration Of Medicines

Page 33: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.
Page 34: Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

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


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