Medication Safety: What Have We Learned?
Joint Federal Pharmacy Seminar
PTCB will moderate a CE session at the Joint Federal Pharmacy Seminar on October 21 at 3:15 PM. Entitled 'Medication Safety, What Have We Learned?', the program will discuss how medication errors and adverse drug events can result in serious harm, compromise patient confidence in the health-care system, and increase health-care costs. According to the Agency for Healthcare Research and Quality, October 2012 Patient Safety Network's Patient Safety Primer, adverse drug events (ADEs) account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. ADEs affect nearly 5% of hospitalized patients, making them one of the most common types of inpatient events; ambulatory patients may experience ADEs at even higher rates.
Transitions in care are also a well-documented source of preventable harm related to medications. The problems and sources of medication errors are multidisciplinary and multifactorial. Errors occur from lack of critical drug and/or patient information, failures in communication, mental lapses, or failures in work processes/systems. This session will review data findings from both the private sector and VA regarding the types and causes of medication errors and other ADEs, and how data are used to drive best practice strategies to minimize adverse events.
At the completion of this activity, participants will be able to outline the most common types, and causes of medication errors as published from various national and state databases; compare to findings in CHAMPVA Meds by Mail; describe general best practices in reducing medication errors; describe how the Department of Veterans Affairs National Center for Patient Safety and VAMEDSAFE collect adverse events and then use the data in developing national interventions to minimize identified risks; and discuss the role of the pharmacist and pharmacy technician in identifying and preventing medication errors.
John Santell, MS, RPh, FASHP, Department of Veterans Affairs; and
Bruce McIntosh, PharmD, Department of Veterans Affairs View session details
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