1. Reviewed By- Dr Vijay Agarwal Dr Chander Mohan Bhagat Dr Lallu Joseph
PRESENTATION ON MEDICATION SAFETY Presented by : Dr Abhijit Amiya Kumar(PT), Dr Venkatesh Sathiraju, Mr. Murali S Narayana , Ms. Lima Mathews , Ms. Junaiha KP, Dr Arya R V)
Reviewed By-
Dr Vijay Agarwal
Dr Chander Mohan Bhagat
Dr Lallu Joseph

2. Definition
Medication safety is defined as freedom from preventable harm with medication use. (ISMP)

3. Components of Medication safety
Prescription
indenting
Dispensing
Administration
Monitoring
Documentation

4. Remedies for Medication safety
BLOCK letter
Clear And Legible Hand writing
Uniform Location for Prescription
Name of the drug
Strength
Frequency
Right Route
Before or after food
Education regarding food drug & Drug Drug Reactions
Correct Prescription

5. Accurate Indenting Recheck before indenting
Correct patient Correct drug name
Correct strength
Double check the high alert drugs
Recheck before indenting

6. Safe dispensing Right drug Correct strength
Check the package of the drug.
Intact seal
Any discoloration
Double check the medication before dispensing
Check the Expiry date
Follow FIFO method

7. Safe administration Right Patient Right Drug Right Dose Right Route
Check the patient Identifier (Name & IP number)
Right Drug
Check The drug As per the prescription (Brand name & Composition)
Right Dose
Check The strength of the drug( Ex-Calpol 500mg or 650 mg ,Proper calculation of dose in case of pediatric & chemo medications)
Right Route
Should b e given as Prescribed(IV,IM,Oral,Subcutaneus)
Right time
Medication Should be administered as per the frequency(OD,TDS OR BD)
Right documentation
Documentation of the Medication administration should be done in the medication card .Sing by administering nurse & counter sing by the senior incharge.

8. Safe Monitoring After Anesthesia drug After Chemotherapy Drug
High Risk & Emergency Drugs
After Sedatives & Narcotic Drugs
Monitor the effect & side effect of the drug administered
Incase of any ADR ,inform the doctor

9. Should be sing By h nurse given & counter signed by the in charge
Safe Documentation
If any Medication is modified or Stopped d then the consultant has to document it properly.
Any verbal order should be documented and signed by the doctor within 24 hours
Should be sing By h nurse given & counter signed by the in charge
Documentation of the medication administration Should be in the medication Card

10. Stake Holders In Medication safety
HCO
Doctors
Nurses
Pharmacy
Quality Department

11. Role of HCO
Licenses –Retail licenses, wholesale license, narcotic and psychotropic drug license
Recruitment of Qualified ,trained & Experienced manpower –Pharmacist, Doctors, nurses
Formation of Pharmacy & therapeutic committee
Developing Quality culture

12. Role of Doctors
Rational prescription of medication as per the clinical conditions
Prescription in the medication chart
Standardized prescription with dose , Route, frequency
Use legible Capital letters , Generic names with Brand name
Approved abbreviations should be used
Special screening for Allergies, precaution for drug-drug and drug- food interaction
Patient education
Monitoring Medication Errors & ADR
Antibiotic stewardship & Surgical antibiotic prophylaxis
Help in making formulary

13. Role of Nurse Avoid indenting error- Double check before indenting
Check and receive the medicines .
Medication reconciliation
Knowledge about the MOM policies (Verbal Orders ,narcotic ,Home medication etc)
Ensure 6 rights for safe medication administration .

14. Role of Pharmacy Storage As per manufacturer guidelines
Temperature and humidity to be monitored
Narcotics under double lock & Key System
LASA to be stored separately
Emergency medicines uniformly stored (crash cart)
High risk medication to be stored separately
Storage of medication as per generic name and strength of medication

15. Proper inventory control
Follow FIFO
Policy for local purchase in case of stock-out
Re-check while dispensing the drugs
Policy for cut-strip medication
Maintain proper TAT

16. Role of Quality Department
Internal Audits As per NABH guide lines
Training
Monitoring the indicators
RCA
CAPA

17. THANK YOU