The Institute of Medicine (IOM) report To Err Is Human: Building a Safer Health System (IOM, 2000) identified medication errors as the most common type of error in health care and attributed several thousand deaths to medication-related events.
Regardless of whether one considers errors of commission or omission, error rates for various steps in the medication-use process, adverse drug event rates in various care settings, or estimates of the economic impact of drug-related morbidity and mortality, it is clear that medication safety represents a serious cause of concern for both healthcare providers and patients. -Preventing Medication Errors, Institute of Medicine, 2007
Lilly’s Available Resources
To receive additional information about any of these resources, please contact your hospital account executive.
Tools for Medication Safety Second Edition
Joint Commission Resources with funding support provided by Lilly USA, LLC created a dynamic toolkit available to you and your organization to assist in your efforts to further reduce medication errors. The toolkit has seven major lessons. While the first four lessons are foundational—discussing culture, describing the medication system and introducing performance improvement, understanding how data makes it possible, and discussing what is necessary to support an effective error reporting system—the last three lessons focus on some of the specific, current challenges to medication safety that organizations face.
An independent double check is the process in which a second healthcare practitioner conducts an individual verification of the planned course of action to be taken concerning a patient’s medication. The Signs of Safety: Double Check Campaign is designed to assist hospitals in raising the awareness of Double Check and to support your specific hospital safety protocol.
Reconciling Medication Information
Interpretive Guidelines and Compliance Strategies for the New National Patient Safety Goal DVD – Coming soon (Fourth Quarter 2011)
The Joint Commission’s new National Patient Safety Goal on maintaining and communicating accurate patient information, NPSG.03.06.01, went into effect July 1, 2011. Two leading experts describe the goal and ways to comply with it in an informative 30-minute video presentation, Reconciling Medication Information: Interpretive Guidelines for the New National Patient Safety Goal and Strategies for Compliance.
With fewer elements of performance, the new goal focuses on important risk points in medication reconciliation—such as admission and discharge points. Transitions of care are particularly vulnerable times for patients, but effective reconciliation processes can help improve communication and coordination of medications at those key times. Research has shown that better communication of information results in fewer errors and greater patient safety.