General Information

Medication Safety Toolkit
Resources for key medication safety topics

The CHA Medication Safety Committee provides leadership within the hospital/health system and health care community to promote the highest standards of safe and effective use of medications.  The committee is made up of a group of diverse multidisciplinary health care organizations who act as a source of medication safety expertise.  The committee provides a venue for the coordination of medication safety activities. 

This toolkit contains tools that have been developed and recommended by the CHA Medication Safety Committee for hospital and health care providers to use as they evaluate current practices and develop specific programs around these key medication safety topics.  The tools are not fixed protocols that must be followed, nor are they entirely inclusive or exclusive of all methods of reasonable care that can obtain/produce the same results.  Additional reference items and websites have been added under respective tool tabs.

1. ANTICOAGULANT TOOL

Part I - Anticoagulantion Tool For Commonly Used Anticoagulants in the Inpatient Setting
This tool is intended to guide acute care facilities in the safe use of the most common anticoagulants in the inpatient setting.

Part II - Anticoagulantion Tool for Direct Oral Anticoagulants
This tool is intended to guide acute care facilities in the safe use of DOACs in the inpatient setting.

2. DRUG PRODUCT SHORTAGES

Drug Shortages Roundtable
AJHP published information on a Drug Shortages Roundtable: Minimizing the impact on patient care.

ISMP Report an Error
Share your stories with ISMP and help prevent errors and patient harm.  Healthcare practitioners and consumers report medication and vaccine errors to ISMP with the hope that future errors and patient harm will be prevented.

ASHP Injectable Opioid Shortage FAQ
This fact sheet provides an outline of potential actions for organizations to consider in managing the acute shortages of injectable hydromorphine, morphine, and fentanyl.

AHSP – Real Time Drug Shortages
Your first stop for information and resources on drug products, their availability and management.

ASHP Guidelines on Managing Drug Product Shortages in Hospitals and Health Systems
Guidelines providing a description of factors that contribute to or exacerbate shortages, describe a three-phase approach to contingency planning for management of drug products shortages and include strategies for prevention.

3. ED MANAGEMENT

Resources Forthcoming

4. HIGH ALERT MEDICATION TOOLS

ISMP Medication Safety Self Assessment
This tool offers hospitals, long-term care facilities, and outpatient facilities a unique opportunity to assess the safety of systems and practices associated with up to 11 categories of high-alert medications.

5. IMPROVING SAFE OPIOID USE

Reducing Adverse Drug Events Related to Opioids Implementation Guide
Society of Hospital Medicine released this guide to provide step-by-step instructions for hospital implementation of a successful QI program to make opioid prescribing safer, with fewer adverse events, and much less likely to result in dangerous sedation, respiratory depression and death.

Pain Management and the Opioid Epidemic
In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioid Action Plan in early 2016.  As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic.

6. INSULIN SAFE PRACTICE

Insulin Recommended Safe Practice Guidelines
These guidelines summarize the insulin safe practices that have been shown to reduce the risk of preventable harm when insulin is used to treat hospitalized patients.

7. MEDICATION RECONCILIATION

Medication List Infographic
Leveraging pharmacy staff prevents harm and increases clinician time for patient care functions.

8. NURSING STERILE COMPOUNDING

Replacing Old Practices with New Paradigms: Adopting Safe Practices for IV Push Medications
Webinar describes the latest changes in procedural and practice expectations and educate participants about Insitute for Safe Medication practices (ISMP) guidelines for adult IV push medications.

9. REDUCING ADVERSE DRUG EVENTS (ADEs)

Resources Forthcoming

10. REDUCING CONTROLLED SUBSTANCE DIVERSION

Reducing Controlled Substances Diversion in Hospitals 
Roadmap for acute care settings as a plan to help navigate controlled substance diversion prevention goals.
 

11. SB 1039 IMPLEMENTATION

Resources Forthcoming

12. STERILE COMPOUNDING 

Perform and Assessment of Risk to Comply with USP<800>
Article by Patricia Kienle and Kate Douglass offering information such as:  Definition of Terms, Handling Options, Compliance Steps, and more.

13. TRACK AND TRACE LAW FAQS

Resources Forthcoming

Commands