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PJ Online homeHospital Pharmacist
2006;13:215-217
June 2006

Hospital Pharmacist back issues

Safety of medicines in practice

Safe medication initiatives — sustaining good practice

By David Cousins, MRPharmS

This article, the last in the “safety of medicines in practice” series, highlights examples of good practice in medication safety and how these initiatives can be sustained and extended. Studies that have employed different methods of measuring safe practice are also described

Safety of medicines series

This article as a FULL TEXT PDF (60K)


David Cousins is head of safe medication practice at the National Patient Safety Agency

Controlled Drugs cupboards

Controlled Drugs cupboards are often small and overcrowded

SUMMARY

Previous articles published in this series indicate that progress has been made in improving safe medication practice in hospitals.

Articles published early in the series focused on how improving the labelling and packaging design of medicines can make them safer. Another article described how NHS purchasing groups can help reduce medicine-related errors by ensuring that the medicines they purchase have been assessed for their error potential and by purchasing medicines with safe packaging designs wherever possible. The need for accurate and complete reports of medication incidents to enable the NHS to identify error trends and disseminate safety information was also described.

Later in the series, a medicines governance team from Northern Ireland described the benefits of establishing a network of six pharmacists, one in each of the larger acute hospitals in Northern Ireland, to increase the levels of medication incident reporting, manage incident data, develop and implement medicines safety initiatives and provide medication safety education for staff.

Finally, the potential of using failure modes and effects analysis to evaluate the safety of medicine packaging was discussed.

It is apparent that much is being done in the safe medication practice field, but how can these initiatives be extended and sustained and what else needs to be done to improve safe medication practice?


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