1. Medication Safety at its Best, Get on Board!
Emily C Henderson, PharmD, LDE
Medication Safety at its Best, Get on Board!

2. Medication Safety at its Best, Get on Board!
KY Hospital Engagement Network (K-HEN) to KY Hospital Improvement Innovation Network (K-HIIN)
Unwanted/Unused Medications in the home
KY Prescription Assistance Program (KPAP)

5. K-HEN 2.0 ADE (Adverse Drug Events)
CAUTI (Catheter-associated Urinary Tract Infections)
CLABSI (Central Line-associated Blood Stream Infections)
EED/OB Harm (Early Elective Delivery)
Injuries from Falls and Immobility
Pressure Ulcers
SSI (Surgical Site Infections)
VTE (Venous Thromboembolism)
VAE (Ventilator-associated Events)
Readmissions
National focus on the following areas:
C diff (Clostridium difficile)
Sepsis
**Special topics of focus
*PFE (Patient and Family Engagement)
*Health Care Disparities

6. Adverse Drug Events (ADE)
Hypoglycemia
Anticoagulants
Opioids
Numerator
Denominator
Number of patients BS <50
Number of patients on insulin
Number of patients with INR >5
Number of patients on warfarin
Number of patients that received Naloxone for reversal
Number of patients on opioids*
Recommend using patients on IV opioids rather than oral and IV, due to smaller amount of data
Inpatient only , ED excluded

8. HIIN Core Topics Additional Topics Core Topics Adverse Drug Events –
CAUTI
CLABSI
C. Difficile*(& antimicrobial stewardship)
Surgical Site Infection
Ventilator Associated Events
Falls with Injury
Pressure Ulcer/Injury
Readmissions
Sepsis and Septic Shock*
Venous Thromboembolism
Additional Topics
Addressing Malnutrition in the Inpatient Setting
Airway Safety
Diagnostic Errors
Harm Across the Board Reporting/All-Cause Harm
Hospital Culture of Safety**
Iatrogenic Delirium
Multi-Drug Resistant Organisms**
Undue Exposure to Radiation
**HRET will have a strong focus on MRSA and Hospital Patient Safety Culture throughout project
*New core topics

10. What is YOUR Why????
Stop and think about it…..

11. Medication Safety at its Best, Get on Board!!
Questions???

12. Unwanted/Unused Medications in the home

14. Office of Drug Control Policy www.odcp.ky.gov
Questions???

15. KY Prescription Assistance Program KPAP

17. KPAP Community Consultants
Bryant Hileman
Carol Baldwin
Deanna Jessie
Western Kentucky area
Central Kentucky area
Eastern Kentucky area
Questions??

18. Emily C Henderson, PharmD, LDE Pharmacist Consultant KY Hospital Association