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Medication errors drug monitoring

Monitoring and taking action to prevent adverse drug reactions and medication errors... [Pg.88]

The FDA enhanced its efforts to reduce medication errors by dedicating more resources to drug safety, which included forming a new division on medication errors at the agency in 2002. FDA works to prevent medication errors before a drug reaches the market and monitors any errors that may occur after that, says Jerry Phillips, R.Ph., former director of the FDA s Division of Medication Errors and Technical Support. [Pg.261]

Safety reporting A proposed revamping of safety reporting requirements aims to enhance the FDA s ability to monitor and improve the safe use of drugs and biologies. In 2003, the FDA published a proposed rule. The rule, if enacted, would improve the quality and consistency of safety reports, require the submission of all suspected serious reactions for blood and blood products, and require reports on important potential medication errors. [Pg.268]

Accrediting organizations emphasize patient safety as a fxmdamental issue. The federal Centers for Medicare and Medicaid Services includes monitoring of medication errors as part of their conditions of participation, noting that the medical staff is responsible for developing policies and procedures that minimize drug errors. This fxmction may be delegated to the hospital s... [Pg.270]

The objective of this chapter is to review medication use quality issues in an institutional context and highlight their impact on patient care and clinical research. The focus is on three themes understanding the medication use system and organizational interests in medication use, understanding the application of drug use monitoring as a tool to improve medication use and understanding processes to identify and improve medication errors. [Pg.403]

A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while medication is in the control of a healthcare professional/ patient/ or consumer (6). Not all medication errors reach the patient. These are often referred to as "near misses." They are not usually considered to be ADEs only because no harm was done. Preventable ADEs are a subset of medication errors that cause harm to a patient (7). Figure 26.1 depicts the relationship between ADES/ medication errorS/ and adverse drug reactions (8). Because adverse drug reactions are generally unexpected/ they are not presently considered to be a reflection of medication use quality in a classic sense. However/ as genetic variances become a more prominent consideration in drug selection and monitoring/ it may be possible to predict and avoid some of the reactions that have been previously unexpected. This offers an opportunity to improve the quality of medication use. [Pg.403]

The medication use process is a complex system intended to optimize patient outcomes within organizational constraints. Quality medication use involves selection of the optimal drug, avoidance of adverse medication events, and completion of the therapeutic objective. Safe medication practices focus on the avoidance of medication errors. Medication use review and ongoing medication monitoring activities focus on optimizing medication selection and use. These two approaches are important means of assessing and optimizing the quality of medication use. [Pg.417]

The pharmacist should be actively involved in the organization s performance improvement activities.Aspects of care that can be monitored include, but are not limited to, patient satisfaction, unscheduled admissions, medication errors, adverse drug reactions, infection control-related issues (e.g., line infections), unscheduled deliveries, and so on. [Pg.437]

Therapeutic drug monitoring Practice guideline development and adherence Medication error prevention and tracking Quality improvement Pharmacoeconomic assessment... [Pg.613]

The medication use system in an institutional setting offers even more complexity, with more chances for error. The five subsystems of the medication system in a hospital are selection and procurement of drugs, drug prescribing, preparation and dispensing, drug administration, and monitoring for medication or related effects (11). Evaluation and improvement of medication use quality require consideration of all of these subsystems. [Pg.404]


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See also in sourсe #XX -- [ Pg.270 ]




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