Proactively Identifying Risk and Medication Errors Associated with Home Infusion Therapy
Tuesday, April 7, 2020
3:15 PM – 4:45 PM
Location: Red Rock 6-7
According to the landmark 2000 Institute of Medicine report, there are approximately 7,000 deaths attributed to medication errors. Upon examination of errors that are reported on a national level, there are few error reports from the home care or home infusion setting as compared to those reported from other practice settings. This program will introduce a non-punitive approach to reporting and learning about medication errors that have not reached the patient and potentially dangerous situations (potential errors) will be discussed. The role of latent failures in the medication system and active failures of individuals will be explored to understand how errors occur. A proactive approach to identifying risk, before errors reach the patient will be discussed. In addition, there will be a discussion on drug shortages and its impact on both pharmacy workflow and patient care.
Explain the concept of system-based causes of medication errors
Identify examples of latent failures in each phase of the medication use process in the home care setting.
Describe system enhancements to prevent and detect errors before they reach the patient.
List the challenges associated with drug shortages in home infusion.
Review methods to both identify and reports areas of risk associated with home infusion pharmacy.