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ISMP Rural Hospital Medication Safety ConnectionTM
Resource Binder Table of Contents
TAB 1 - INTRODUCTION
Connection Program Introduction
About the Institute for Safe Medication Practices (ISMP)
ISMP Vision Statement
TAB 2 - KEY ELEMENTS
ISMP's Key Elements of the Medication Use System
TAB 3 - CULTURE
Strategies for a Safer Medication System
Creating a Non-Punitive Environment
A Just Culture
Board Resolution
TAB 4 – ESSENTIAL PATIENT INFORMATION
Key Components
Strategies to Enhance Data Collection
Strategies to Ensure Safety with Use and Monitoring of:
- Patient Information
- Allergies
- Diagnosis and Co-Morbid Conditions
- Age, Height, and Weight
- Medication History
- Laboratory Data
- Clinical Observations
Strategies to Enhance Documentation and Communication
Medication Reconciliation
TAB 5 – HIGH-ALERT MEDICATIONS
Key Safety Principles for High-Alert Medications
Error Prevention Strategies for:
- Neuromuscular Blockers
- Antineoplastics
- Insulin
- Heparin and Warfarin
- Concentrated Electrolytes
Checklists and Safety Considerations:
- Warfarin
- Insulin
- Chemotherapy
- Pediatrics
ISMP High-Alert Medications List
ISMP Trigger List
TAB 6 - INDEPENDENT DOUBLE CHECKS
Definition
Implementing an Independent Double Check System
TAB 7 - PREVENTING MEDICATION ERRORS WITH NARCOTICS
Narcotics (General)
Patient-Controlled Analgesia
Epidural Analgesia
TAB 8 - DRUG LABELING, PACKAGING AND NOMENCLATURE
Storage Labeling
Container Labeling
Principles of Designing a Medication Label:
- Oral, Solid and Liquid Medications
- IV PiggyBack Label
TAB 9 - PEDIATRIC AND NEONATAL MEDICATION SAFETY RISK REDUCTION STRATEGIES
Patient History
Drug Ordering
Precalculated Dosing Sheets
Extemporaneous Compounds
Verbal Orders
Surgical Patients
Pediatric and Neonatal Dosing
Oral Syringes
Pharmacy Prepared Pediatric and Neonatal Dosage Forms
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