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*TS: Northport Veterans Affairs Medical Center: Journey to Improve Medication Safety[®] [REF: MD, Phrm, PI, P&T] The Source, May 2014, Vol 12, #5, Pg 12 JCs1405_B3 A 2007 report; Preventing Medication Errors by the Institute of Medicine’s Committee on Identifying and Preventing Medication Errors, estimated “that on average, there is at least one medication error per hospital patient per day”. In that context, MM.08.01.01 requires organizations to evaluate the effectiveness of their medication management systems. This article provides a Key Definition of Medication Error (see comments section of this article). Most importantly, this article encourages movement toward high reliability in the area of medication management by showcasing the improvement efforts of a VA Medical center. A key component of their work was applying rate-based (e.g., number of errors per 1,000 doses) analysis to their data. The calculation method for this is explained in a straightforward manner and a sample data display is provided. |
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One response to “RTN1405_B3_MM.08.01.01 – Med Error Evaluation”
KeyDef – Medication Error:
• Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use.2 – – National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of a medication error.
• US Department of Veteran Affairs. Message from Leadership. Accessed Apr 14, 2014.
http://www.va.gov/icare/icare_leadership.asp.
• Within the Center for Drug Evaluation and Research (CDER), the Division of Medication Error Prevention and Analysis (DMEPA) reviews medication error reports on marketed human drugs including prescription drugs, generic drugs, and over-the-counter drugs. The DMEPA uses the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of a medication error.