1. Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

2. 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

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

4. 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

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

7. 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)

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

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

10. 9 Sep 2010
Do Not use After Label on multiple doses vials
Good Practice on known Drug Allergy Alert

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

13. 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

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

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

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