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Among others, ISMP maintains and disseminates a list of "do not crush" medications, [3] as well as clinical best practices. [4] The ISMP's Medication Safety Self-Assessment tool has been used in surveys of medication safety in hospitals in the United States and elsewhere. [5] [6] [7] [8]
The International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]
In the United States, scope of practice law is determined by the states' legislatures and regulatory boards. [1] [3]According to the National Conference of State Legislatures, non-physician health care providers are providing increasing levels of service to patients, especially in rural and other underserved communities.
It was designed for medication safety officers with the goal to provide an open forum for information sharing and collaboration. ASMSO was acquired by the Institute for Safe Medication Practices (ISMP) in 2013 and was renamed the Medication Safety Officers Society (MSOS). Membership in MSOS is currently free to all interested parties who register.
Variations in healthcare provider training & experience [46] [53] and failure to acknowledge the prevalence and seriousness of medical errors also increase the risk. [54] [55] The so-called July effect occurs when new residents arrive at teaching hospitals, causing an increase in medication errors according to a study of data from 1979 to 2006.
This could occur when a patient is given medication that is too strong and is causing detrimental effects or is simply not necessary. [7] Adverse drug reaction. This could occur when a patient has an allergic response to a medication. [7] Inappropriate adherence. This could occur when a patient chooses not to or forgets to take a medication. [7]
Building a culture around patient safety requires foundational psychological safety. Psychological safety is an interpersonal construct that is experienced at the team or group level. It is a safe environment where people feel comfortable sharing concerns and mistakes without fear of embarrassment or retribution.
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).