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Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London.

Published byAnastasia Norman Modified over 8 years ago

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Presentation on theme: "Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London."— Presentation transcript:

1 Purchasing and Design For Patient Safety Professor David Cousins Head of Patient Safety Medicines and Medical Devices National Patient Safety Agency London

2

3

4 Design For Patient Safety Series

5 Council of Europe Report 2007 On Safe Medication Practice Current European medicines regulations concerning naming, packaging and labelling for pharmaceutical products provide inadequate safeguards for patients Medication errors frequently occur in Europe because of sound-alike or look-alike drug names, similarities in packaging and labelling appearance and unclear, ambiguous or incomplete label information

6 Council of Europe Report 2007 On Safe Medication Practice There is little recognition of the importance of the human factor principles in selection and design of drug names, labels and packages in order to minimise the potential for error and enhance medication safety The current design for labelling and packaging prioritise industry concerns, such as “trade dress”, instead of considering the context where the pharmaceutical product has to be used. It is not patient-centred, but, rather, relies on an assumption of perfect performance by healthcare professionals and by patients

7 Patient Safety Incident Involving Vaccines

8 Minimising Risks To Patients Facilitate correct actions Make it easier to discover errors and take corrective action Education, training and work competencies

9 Purchasing For Safety Procuring products that are safer to use in practice Meeting licensing standards is the minimum – practice standards may be higher Not always awarding the contract to the cheapest Products should meet the quality and safety specification – then procure at minimum cost Provide feedback to manufacturers to obtain safer products

10 Use Colour And Design

11 Allocate Space for a Dispensing Label

12 Vial Design

13 Differentiating Injectable Products

14 Look-a-like Names

15 Ampoule Design

16 Name and Strength

17 Bar Codes

18 Labelling of Ampoules and Syringes

19 Technical Information

20 Infusion Product Differentiation

21 Screen Display

22 Use of Colour and Design

23 Keyboard Layout

24 Interface Design Consistency

25 Use of ISO Symbols

26 Infusion Device Alarms

27 Dose Error Reduction Software

28 Use Of Bar Codes By Infusion Devices

29 The ‘Universal’ Connector

30 Safer Enteral Devices

31

32 Spinal (Intrathecal), Epidural And Regional Administration Of Medicines

33

34 http://www.nrls.npsa.nhs.uk

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