Presentation on theme: "Basics of Medication Safety"— Presentation transcript:
1 Basics of Medication Safety This is a sample PowerPoint from “Learn to be Safe – Medication Safety. A Guide for Pharmacists”. It is for conducting a presentation on medication safety to the public – your patients and families.To prepare for presentations, review the purpose of the guide, how to use the guide, key topics and messages, and supporting documents, available at The guide includes background information and options for presentation content, patient stories, slides, handouts and resources including those referenced in these slides, a presenter’s planning checklist, tips on conducting effective presentations, and information on supplemental topics.Presentation and PowerPoint TipsChoose a name for your presentation e.g. Basics of Medication Safety.Use this sample PowerPoint as a base – add/delete and move slides to meet your audience needs, goals and timeframe. Add speaking notes from your own experiences, Core Content, and the Appendices.Develop additional slides as needed for presenting supplemental topics (Appendix D – Supplemental Topics). Note: sample slides are included for supplemental section Cancer Medications in the Home.Choose activities and handouts considering your audience and timeframe.Add or handout references so people have additional places to go for information.Use plain language principles when developing your slides (Appendix A – Points for Presenters).Customize your presentation to your audience.
2 Welcome and Introductions Suggested ContentThank people for attending.Inform participants of location of washrooms and fire escape route.Ask participants to introduce themselves and why they are attending the session (depending on number of people attending).
3 Presentation Goals To raise your awareness of: how you can help improve patient safetysafe medication use practicesthe value of working with your pharmacistSuggested ContentReview goals (on slide).Confirm time available for presentation.Encourage that questions be asked throughout.
4 Topics Overview of medication safety Engage in patient safety! Keep a current medication listKnow your medicationsStore and dispose of medications safelyReport and learn from medication incidentsSuggested ContentModify this slide to include what will be covered in the presentation.Add supplemental topics as needed.ResourcesCore Content and Supporting DocumentsAppendix D – Supplemental Topics
5 Get warmed up!! Activities Use warm-up exercise (individual or in a group) to assess knowledge.Pose questions for people to think about and answer verbally or to themselves.Examples:See Appendix E – Presentation AidsAid 3: Medication Safety QuizChose some questions to assess participant’s knowledge and actions related to medication safety.Aid 5: Learn to Read your PrescriptionWhat is A? What is E? What is G? Why is it important?Aid 6: Learn to Read Your Prescription LabelWhat is A? What is E? What is G? Why is it important?Aid 7: What are Auxiliary Labels?Review the additional information provided on auxiliary labels and ask participants why this would be important extra information about their prescription medication.Show Videos from Agency for Healthcare Research and Quality on asking questions and medication safety -ResourcesAppendix C – Patient/Family Engagement ToolsAppendix E – Presentation Aids
7 Why is Medication Safety Important? Medication incidents can happenEveryone has a role to play in preventing harm from medication incidentsSuggested ContentDepending on the audience, illustrate your points with an example:Harm from medication incidents can result in a longer hospital stay, readmission to the hospital, more time for providers to sort through problems and lower success of the treatment plan.Up to 50% of Canadians don’t take their prescription medications how their doctor asked them to.Communication plays a large role in patient safety incidents and patient harm.People with low literacy skills have difficulty understanding what is on their prescription and the directions from the doctor or pharmacist.Six in 10 Manitoba/Canadian adults have low health literacy, and don’t have the skills needed to find, understand, evaluate and use information to adequately manage their health and healthcare needs.46% of medication incidents are from leaving out a regularly used medication.In a study, one in 10 adult Canadians with health problems reported being given the wrong medication or wrong dose while filling a prescription or when hospitalized (within the last two years).ResourcesCore Content – Facts
8 Examples of medication incidents Your medication container from the pharmacy contains the wrong medicationYou take the same medication twice in the same day by accidentSuggested ContentDefine medication incident depending on the audience.E.g. an event that occurs with a medication that can lead to wrong medication use and/or patient harm.Provide examples (on slides).Expand on examples from personal experience and patient stories. See Appendix B – Patient Stories: Medication incidents can happen.ActivityAsk - Do you have examples of medication incidents from your own experience?ResourcesCore ContentAppendix B – Patient Stories
9 You are given too much of a medication while in hospital You receive a medication that you know you are allergic to…Continued
10 Where can medication incidents occur? At your doctor’s office when a medication is prescribedAt your pharmacyWhen a prescription is filledWhen you select an over the counter medicationIn your home, when you take or use the medicationSuggested ContentMedication incidents can happen at any place on your journey in the healthcare system.ResourcesCore Content
11 Where can medication incidents occur? In the hospital, when medications are ordered or prepared by the pharmacyAt your bedside, when medications are given/taken…Continued
13 You can help improve medication safety Patients are the best source of information on the medications they are takingBe involved in medication safety - there are lots of ways to do this!Ask questions!Suggested ContentKey Point – You can help improve medication safety.Review points on slide.Activities:Ask:Give me examples of how you feel you are involved in your healthcareDo you feel comfortable asking questions?What is your relationship like with your pharmacist? Doctor?Do you have or need a patient advocate to help you be involved?Ask for verbal or written responses or people can think to themselves depending on time available.Handouts or direct people to websites (see next slide)See Appendix C – Patient/Family Engagement ToolsMIPS DeclarationMIPS Partnerships DocumentMIPS Values DocumentMIPS S.A.F.E. Patient BlogMIPS It’s Safe To Ask brochures (15 languages)MIPS S.A.F.E. Toolkit Summary SheetMIPS Patient Advocate FormTools at Safemedicationuse.caVideos:MIPS Learn to be Safe – Patient Safety Videos (E/F)ResourcesCore Content – Be Engaged in Patient Safety!Appendix C – Patient/Family Engagement Tools
14 Be involved in patient safety! It’s Safe to Ask!S.A.F.E. ToolkitS.A.F.E. Patients BlogPatient Advocate FormPatient Values and PartnershipsSuggested ContentPatient and family engagement helps:reduce the risk of unplanned harm related to care (such as the examples provided earlier about medication incidents),improve your safety as patients, andhelps you get the best possible health result.Be a partner in your healthcare!ActivitiesTell a patient story (See Appendix B – Patient Stories: Be engaged in patient safety!)See Appendix C – Patient/Family Engagement Tools.Modify slide to include resources you will be reviewing or suggesting:MIPS DeclarationMIPS Partnerships DocumentMIPS Values DocumentMIPS S.A.F.E. Patient BlogMIPS It’s Safe To Ask brochures/posters (15 languages)MIPS S.A.F.E. Toolkit Summary SheetMIPS Patient Advocate FormTools at Safemedicationuse.caVideos:MIPS Learn to be Safe – Patient Safety Videos (E/F)ResourcesCore ContentAppendix B – Patient StoriesAppendix C – Patient/Family Engagement Tools
16 Keep a Current Medication List what you are actually takinghow you are taking itwhy you are taking itSuggested ContentKey Point – Keep a current medication list.Patients and families are vital partners in giving correct information about the medications they are taking and how they are being taken.Key Point – Review what to list (see slide).Remind people to keep the list with them at all times, and show the list to their doctor, nurse, pharmacist or other healthcare provider any time they receive healthcare i.e. KNOW and SHOW.ActivitiesTell a patient story (See Appendix B – Patient Stories: Keep a Current Medication List).ResourcesCore Content – Keep a Current Medication ListAppendix B – Patient StoriesAs a patient, YOU are the best source of information on the medications you are taking!
17 Keep a Current Medication List regularly used and “as needed”prescription medicationspills, ointments, creams, liquidsnon-prescription medicationsvitamins, herbal, natural productsdosages and strength (eg: 1 x 500 mg tablet)how and when you take the medicationSuggested ContentKey Point – Keep a current medication list.Key Point – Review what to list (see slide).ResourcesCore Content – Keep a Current Medication List
18 A current medication list helps: you learn about your medicationsyou take your medications correctlyyour doctors, nurses and pharmacists know about your medicationsin an emergencyGet a list of current medications when you move from one setting of care to anotherSuggested ContentKeeping a medication list helps:you learn about your medicationsyou take your medications correctlyyour healthcare providers know about your medicationsprovide important information in an emergencyIt is especially important that patients be given a list of their current medications when they move from one care setting to another.In Manitoba, suggest that people have an Emergency Response Information Kit (E.R.I.K).See Appendix C – Patient/Family Engagement Tools.ActivitiesHandoutsIt’s Safe to Ask Medication Card - Hand out a medication card and review the sections.Knowledge is the best medicine medication recordVideo:Show a video. Know and Show Your Medication Card tells people why it is important to know your medications and show your medication card. How to Fill out the Medication Card demonstrates how to fill out the medication card. (see next slide. Show online or get a copy from MIPS).And/OrShow the 30 second medication safety video from the series Learn to be Safe – Patient Safety VideosResourcesCore Content – Keep a Current Medication ListAppendix C – Patient/Family Engagement Tools
19 Intro to Know and Show Your Medication Card Videos:Intro to Know and Show Your Medication CardActivitiesOverview – intro to “Know and Show Your Medication Card”. 4 minutes 16 secIn “normal” view, right click on “Know and Show Your Medication Card”, then select open hyperlink.During slide show, use mouse to hover over hyperlink and clickHow to fill in and use the Medication Card - 5 min 43 secIn “normal” view, right click on How to fill in and use the Medication Card, then select open hyperlinkDuring slideshow, use mouse to hover over hyperlink and clickResourcesCore Content – Keep a Current Medication ListAppendix C – Patient/Family Engagement ToolsHow to fill in and use the Medication Card
21 Your community pharmacist can help you! Know Your MedicationsCheck name and purpose of medications when you:get a prescriptionfill a prescriptionare given medicationsYour community pharmacist can help you!Suggested ContentTell a patient Story – See Appendix B – Know your Medications: Check Name and Purpose of Medication.Key point - Know your medications.Check name and purpose of medications when you:get a prescription,fill a prescription, andare given a medication.Ask questions.Ask about your medications when you 1) are at an appointment with your doctor or nurse 2) are in hospital, 3) when you leave the hospital, and at your community pharmacy.Your community pharmacist is available to answer questions and will take the time to review your medications.ActivitiesAgency for Healthcare Research and Quality video on asking questions and medication safety -ResourcesCore Content – Know Your MedicationsAppendix B – Patient StoriesAppendix C – Patient/Family Engagement Tools
22 How to Read a Prescription ActivitiesHandout or on PowerPointProvide overview of reading a prescription.See Appendix E – Aid 5: Learn to Read to a Prescription.Ask people to name/describe sections and describe why each is important.AnswersA. Doctor's informationB: My informationC: Date prescription was writtenD: Symbol used for prescriptionE: Medication name and strengthF: The amount of the medication the pharmacist is to dispenseG: Sig, instructions on how to take the medicationH: Indication, what the medication will be used forI: Number of refillsResourcesAppendix E – Presentation Aids
23 At appointments, ask your doctor or nurse: 1. What is my health problem?2. What do I need to do?3. Why do I need to do this?Suggested ContentIf time, review questions that can be asked at a) doctor/nurse appointments, b) while in hospital, c) at discharge from hospital, and at the community pharmacy.a) At appointments, ask your doctor or nurse three important questions:1. What is my health problem?Examples of good related questionsAre there pictures or pamphlets to more clearly explain my health problem?How will this health problem affect my daily activities?Where can I find more information on my health problem?2. What do I need to do?What are the brand and generic drug names of the medication?How long do I have to be on the medication?What tests do I need and when?When should I return to see you?When should I get a refill?How long will I need to take the medication?Are additional tests (e.g. blood work) required, and if so, when?Is it necessary to return to a doctor/nurse to re-evaluate the effect of the medication, and if so, when?What should I expect from the medication (i.e. side effects or improvement in symptoms)?3. Why do I need to do this?Examples of good related questions:What is the reason for taking the medication? Please write it on my prescription.How will it help my health condition?What good will the medication do for me – how will it help my health problem?I have the following concerns about the medications (list them).ActivitiesHandout – See Appendix C – Patient/Family Engagement Tools.MIPS It’s Safe To Ask brochures (15 languages).ResourcesCore Content – Know Your MedicationsAppendix C – Patient/Family Engagement Tools
24 In the hospital – 5 “Rights” patient namemedication name (generic and/or brand)dose (amount)time of day to be takenroute (by mouth, onto skin, etc.)Suggested ContentIf time, review questions to ask while in hospital.When you are in the hospital remember the 5 “Rights”ActivityAsk:Is my name listed for receiving this medication?Is the medication name correct?Am I getting the correct dosage of the medication?Is this the right time of day for me to take this medication?”Is this the correct way for me to take the medication?ResourcesCore Content – Know Your Medications
25 At hospital discharge, ask: What medications have changed since I came into hospital?Ask:What medications are:continued as before?stopped?changed?new?Did my dose change?Suggested ContentTell a patient story – See Appendix B – Patient Stories: Know your Medications.Key point – At Hospital discharge, what medications have changed since I came into hospital?Review points on slide/add or delete based on audience.ResourcesCore Content – Know Your MedicationsAppendix B – Patient Stories
26 At hospital discharge and at the pharmacy, ask: what is the medication name? (spell it)why do I need it?I have allergies – will I have a reaction to this medication?when and how should I take it?how should I measure a liquid?will it interact with other medications I am taking?Suggested ContentIf time, review points on slide/add or delete based on audience.ResourcesCore Content – Know Your Medications
27 At hospital discharge and at the pharmacy, ask: what will it do?what are the side effects?how long should I take it?what do I do if I miss a dose?does my refill look the same as before?are there “extra labels” on the container?how do I store it?ContinuedIf time, review questions on slide.ActivitiesHandout,/review/discussMIPS S.A.F.E. (Self-Advocacy for Everyone) Toolkit - information on working with your pharmacist – See Appendix C – Patient/Family Engagement Tools.Appendix E – Aid 3: Medication Safety Quiz - related questions.Appendix E – Aid 4: MIPS It’s Safe to Ask – Safe use of Medications. Bring medication measuring devices to use for demonstration of what to use (dosing cup, oral syringe with coloured cap, medication dropper, dosing spoon, oral dosing syringe for infants) and what NOT to use (hypodermic syringe with clear cap, baking spoons, measuring cup with both TBSP (tablespoon) and TSP (teaspoon) markings, kitchen spoons).Video:MIPS Learn to be Safe - Patient Safety Video on medication safety (approx. 30 seconds).ResourcesCore Content – Know Your MedicationsAppendix C – Patient/Family Engagement ToolsAppendix E – Presentation Aids
28 How to Read a Prescription Label ActivityHandout of sample and/or use PowerPointSee Appendix E – Aid 6: Learn to Read a Prescription Label.Ask people to name/describe sections and describe why each is important.AnswersA: Pharmacy name and informationB: Prescription Number (unique identifier specific only to that prescription).C: Patient nameD: Number of refills remainingE: Name of prescriberF: DirectionsG: Brand name of medicationH: Name of medication or main ingredientI: Amount dispensedJ: Date dispensedK: PriceL: Drug Identification Number (DIN)ResourcesAppendix E – Presentation Aids
29 Auxiliary Labels Activity Use handout of sample (download from website) or use the slide.Ask people to name/describe sections and describe why each is important.ResourcesAppendix E – Presentation Aids
32 Know Your Medications – More TIPS Use the same pharmacyAsk your pharmacist how to take medications until you understandAsk before you cut, split, crush or open a pill or capsuleTake with water, not juice; unless told other wise by your healthcare providerSuggested ContentIf time, review slide content.Add points from core content depending on audience, or if there are questions.ResourcesCore Content – Know Your Medications
33 Know Your Medications – More TIPS If dose is more than 3 pills at once, checkDo not share your medicationsGive your contact information and an emergency contactCheck when medications “expire” (best before date).ASK QUESTIONS...Continued
34 DOUBLE CHECK!!Get information on how to take the medication… THEN Tell your pharmacist your understanding of how to take the medicationSuggested ContentDescribe the “Teach Back” technique – it helps clarify for everyone what the patient/family member understands.ResourcesCore Content – Know Your Medications
35 non-prescription medications Know yournon-prescription medicationsVitamins, herbs, natural health products, “over the counter” medicationsTell your doctor and pharmacist what non-prescription medications you are taking.A bad interaction with prescription medication or a medical condition may cause harmSuggested ContentTell a patient story – See Appendix B – Patient Stories: Know your Medications - Understand the risks of non-prescription/over-the-counter medications.Key point – Tell your doctor and pharmacist what non-prescription medications you are taking.Review slide content.ResourcesCore Content – Know Your Medications: Understand the risks of non-prescription and over-the-counter medicationsAppendix B – Patient Stories
37 Store Medications Safely securely (e.g. locked cabinet)in an area free of excess heat, cold and moisture (some exceptions)Leave medications in original labelled containersDo not mix medications in same containerSuggested ContentTell a patient story – See Appendix B – Patient Stories: Store Medications Safely.Key points - Store Medications Safely.Review slide content and provide examples.ResourcesCore Content – Store Medications SafelyAppendix B – Patient Stories
38 Dispose of Medications Safely Return unused or out of date medications to your pharmacyIf using needles to inject medication, get a biohazard container from your pharmacySuggested ContentTell a patient Story – See Appendix B – Patient Stories: Dispose of Medications Safely.Key Point – Dispose of Medications Safely.Return unused, unwanted, or expired medications.Describe Manitoba Medications Return Program and explain that patient will not get money back for returning their medications.ResourcesCore Content – Dispose of Medications SafelyAppendix B – Patient Stories
40 Report and Learn from Medication Incidents Inform healthcare providers if you feel a medication incident has occurredReporting incidents helps get to the root of the problemSuggested ContentTell system story – See Appendix B – Patient Stories: Report and Learn from Medication IncidentsEmphasize that most of the time, things go well but sometimes, incidents reach the patientKey Point – Patients and/or families must inform their healthcare provider if they believe an incident has occurred.Key Point – Reporting is not about punishing the people involved, it is about getting to the roots of the problem to prevent the same incident from occurring again.ResourcesCore Content – Report and Learn from Medication IncidentsAppendix B – Patient Stories
41 Reporting Medication Incidents Medication incidents toyour healthcare provider, andISMP Canada online at or toll-free atReport critical incidents to your Regional Health AuthoritySuggested ContentDescribe what and how to reportActivitiesGo to to show participants how to report an incident to ISMP Canada.In slide show, hover mouse over hyperlink and click to reach websiteResourcesCore Content – Report and Learn from Medication Incidents
42 Reporting Adverse Drug Reactions Adverse drug reactions are not related to the healthcare providedReport adverse drug reactions to the Canada Vigilance ProgramEither by mail, fax, telephone or onlineFor details see: sc.gc.ca/dhp-mps/medeff/report- declaration/index-eng.php#a1Suggested ContentAdverse drug reactions are reactions that are not related to the healthcare provided, and are not medication incidentsThey should be reported to the Canada Vigilance ProgramActivitiesGo to website ( to show consumers how they can report adverse drug reactions.In slide show, hover mouse over hyperlink and click to reach websiteResourcesCore Content – Report and Learn from Medication Incidents
43 Summary and Evaluation Suggested ContentThank people for comingActivityReview Appendix E – Aid 3: Medication Safety Quiz.See Appendix E – Aid 8: Participant Evaluation Form.Ask people to complete evaluation forms.ResourcesAppendix E – Presentation Aids
44 Children and TeensFor content, refer to Appendix D – Supplemental Topics.
45 High Alert Medications For content, refer to Appendix D – Supplemental Topics.
46 SeniorsFor content, refer to Appendix D – Supplemental Topics.
47 Travelling with Medications For content, refer to Appendix D – Supplemental Topics.