Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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Presentation transcript:

Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Good Practice on known Drug Allergy Alert Safety Solutions for High Risk Medications 6th series: Hypoglycemics and insulin HAHO Drug Abbreviation KCC Drug Abbreviation HAHO MSC visit KCC audit in Mar 2010 Standardization of label on multiple dose vials Good Practice on known Drug Allergy Alert Future issues… Future issues:Standardization of MAR and time schedule, Dr. Code

Safety Solutions for High Risk Medication Hypoglycemics LASA(Look-alike/Sound-alike) Tall man lettering metFORMIN metoPROLOL Strip packing Facilitate differentiation

Safety Solutions for High Risk Medication Insulin LASA(Look-alike/Sound-alike) Humulog®/Humulin® U vs 0 vs 4 Use ‘Unit’ instead of ‘U’ Tall-man lettering Quick access to antiboites, e.g. D50

Drug Abbreviation Jan 2010 KCC MSC Approved/Standard Drug Abbreviations of KCC

Drug Abbreviation Pharmacy reserve the right to withhold dispensing Criteria based on: HA approved abbreviations Vitamins Chemical name acronym Abbreviation well established in medical literature Low risk of misinterpretation with other abbreviations / drugs names Common knowledge of abbreviation by all health care professionals within organisation(HA)

Drug Abbreviation QD Dexamethasone + chloramphenicol Daily D-C Dexa-C Decadron-C® Decadron-N®

Drug Abbreviation MYDRIN P® MP - Not approved G NaCl 0.9%

9 Sep 2010 Do Not use After Label on multiple doses vials Good Practice on known Drug Allergy Alert

‘Do not use after’ label Expiry Date and Time For multiple dose vials e.g. NS, WFI

Assess patient’s drug allergy history in each hospital admission and outpatient visit Complete drug allergy information on ALL MARs prior to drug prescribing dispensing and administration Enter ‘NKDA’ if there is none

Medication safety - Future issue Standardization of MAR(Medication administration record) HKE - oral/perenteral only

Medication safety - Future issue Administration Time schedules QID, TDS, BD

Medication safety - Future issue Documentation of MO code in MAR No code no drugs QEH only