1. Reviewed By- Dr Vijay Agarwal Dr Chander Mohan Bhagat Dr Lallu Joseph
MEDICATION SAFETY (Presented By : Batch A -Group 1 : Mr Peter Sailo, Dr Cuckoo John,Ms Limi Abraham, Ms Neelam Sharma, Ms Shiji Jose, Ms Hema K R, Ms Nigini Poulose)
Reviewed By-
Dr Vijay Agarwal
Dr Chander Mohan Bhagat
Dr Lallu Joseph

2. Medication safety definition
Freedom from preventable harm with medication use

3. MOM Standards Standards (SHCO/HCO) Objective Elements (SHCO/HCO) MOM
5/7
18/22

4. Intent of the standards
Safe and organised medication process
The process include:
Purchase
Storage
Prescription
Dispensing
Administration of medicines
Availability of emergency medication
Monitoring mechanism to ensure that the required medication are always stocked well within expired dates
Monitoring of patient after administration and procedure for reporting and analysing adverse drug events
Special emphasis on use of radioactive drugs

5. Safe and organised medication process-Storage
Written protocol in apex manual
Stored in clean and safe environment and as per the recommendations from manufacturer.
FIFO method (policy for identifying near expiry)
Temperature maintenance, temperature monitoring
Proper storage- free from Pest
LASA medicines identified and stored separately
Expiry date to be monitored- 3 mths
List of emergency medicine should be in place and available at all time.
CRASH cart should be in a standardise manner with the list of medicine.

6. Safe and organised medication process-Prescription
Written protocol in apex manual
Who to prescribe- Registered doctors
Where to document- IP Doc (uniform location), op doc (format)
How to prescribe- Clear, legible, dated and signed.
frequency, dose, route, special instruction if any, No abbreviations ( list of approved abbreviations), generic name
Verbal orders- approved list of drugs which can be ordered verbally, READ BACK, counter sign within 12 hrs. NA for high risk medicines
List of high risk medication & emergency medication

7. Safe and organised medication process-Dispensing
Written protocol in apex manual regarding who all are permitted for dispensing
Verify medication orders & expiry dates
Double check / verify high risk medication orders

8. Safe and organised medication process- Administering
Written protocol in apex manual
Who all can administer medicines(state/ national guideline)
Name, UHID, Treatment orders, dosage, route etc should be checked
Prepared medication is labelled prior to preparation of the second drug
Medication time should be as per the policy of Hospital
Documentation of medication immediately after administration
Statutory Requirements for narcotics(licence, double lock)
6 R in medicine administration
(Right patient, right drug, right dose, right time, right route, Right Documentation)