| Patient Safety and Medication Error Reduction |
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The Oregon Board of Pharmacy expects all licensees to engage in practices that assure patient safety. All pharmacies should take proactive measures to prevent errors, and adopt a safety culture which allows for sharing of information to promote best practices. Links to resources to reduce medication errors and improve patient safety can be found below.
Safety culture is the enduring value and priority placed on worker and public safety by everyone in every group at every level of an organization. It refers to the extent to which individuals and groups will commit to personal responsibility for safety, act to preserve, enhance and communicate safety concerns, strive to actively learn, adapt, and modify (both individual and organizational) behavior based on lessons learned from mistakes, and be rewarded in a manner consistent with these values.*
*Source: Federal Aviation Administration Report 2002(5)
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| Patient/Consumer Information |
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Oregon Patient Safety Commission http://www.oregon.gov/DHS/ph/pscommission/index.shtml
American Association of Retired Persons, Prescription Drugs: Your Personal Guide to Prescription Drugs http://www.aarp.org/health/rx_drugs/
Institute of Medicine Fact Sheet: What you can do to avoid medication errors http://www.iom.edu/CMS/3809/22526/35939/35945.aspx
Institute for Safe Medication Practices http://www.ismp.org/
Consumer Healthcare Products Association http://www.chpa-info.org/ChpaPortal/
Safe Medication, http://www.safemedication.com/
For reporting concerns, please contact the Oregon Board of Pharmacy.
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| Pharmacist/Staff Information |
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GENERAL
Oregon Patient Safety Commission http://www.oregon.gov/DHS/ph/pscommission/index.shtml
Institute for Safe Medication Practices http://www.ismp.org/
The Just Culture Community, http://www.justculture.org/
Institute of Medicine Reports,http://www.iom.edu
Compendium of Best Solutions by National Patient Safety Foundation http://www.npsf.org/
Reducing Medical Errors and Improving Patient Safety: Success Stories from the Front Lines of Medicine by the National Coalition on Healthcare (NCHC) and the Institute for Healthcare Improvement (IHI) http://www.nchc.org/materials/studies/medical_errors.pdf
U.S. Food and Drug Administration, CDER Medication Errors site http://www.fda.gov/CDER/drug/MedErrors/
Patient Safety Network, Agency for Healthcare Research and Quality, http://psnet.ahrq.gov/
Massachusetts Board of Registration in Pharmacy Medication Error Reduction page
http://www.mass.gov/?pageID=eohhs2subtopic&L=6&L0=Home&L1=Provider&L2=Certification%2c+Licensure%2c+and+Registration&L3=Occupational+and+Professional&L4=Pharmacy&L5=Medication+Error+Prevention&sid=Eeohhs2
USP's medication error reporting program, http://www.usp.org/hqi//patientSafety/mer/
COMMUNITY PHARMACY PRACTICE
National Association of Chain Drug Stores, Patient Safety site, http://www.nacds.org/wmspage.cfm?parm1=1783
INSTITUTIONAL PHARMACY PRACTICE
University of Michigan Health System Patient Safety Toolkit http://www.med.umich.edu/patientsafetytoolkit/
Florida Hospital Association Patient Safety Toolkit http://www.fha.org/patientsafety/safteytoolkit.html
Joint Commission on Accreditation of Healthcare Organizations, Patient Safety http://www.jointcommission.org/PatientSafety/
CE RESOURCES
ISMP
ISMP, http://www.ismp.org/ for the self-evaluation toolkit. The quarterly action agenda is full of free CE Click on http://www.ismp.org/Newsletters/acutecare/actionagendas.asp
List of Error-Prone Abbreviations, Symbols, and Dose Designations
http://www.ismp.org/tools/errorproneabbreviations.pdf
Toolkit of resource materials: www.ismp.org/tools/abbreviations
RXSchool
www.RXschool.com
PowerPak
PowerPak.com http://www.powerpak.com/
Prescription Error CE at: http://www.powerpak.com/index.asp?page=courses/105114/disclaimer.htm&lsn_id=105114
ACPE
http://www.acpe-accredit.org/pharmacists/programs.asp
Note: A Google search of “medication errors continuing education” will come up with an unlimited number of medication error CEs.
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