Medication System & Safety
"First do no harm." Safety is perhaps the most compelling call for systems improvement.
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Medication System & Safety




>

Saturday, July 06, 2002
> Medication Process/Safety Learning Group, Boston, May 2--30, by Carol Boston-Fleischhauer

Per your request, the following is what I "gleaned" and committed to from the P2 meeting in Boston; May 29-30th; according to the learning groups that I attended.

Observations:

1. Most of the P2 projects are clearly inpatient ADE tracking/ improvement focused. Exception is Children's Cincinnatti, and to a lesser extent, Tallahassee.

2. IHI staff persons leading this group clearly wish all P2 organizations to use their ADE Trigger tools; regardless of P2 project focus; some of P2 organizations currently use it thru the IHI quantum series, others do not.

3. Our focus on the continuum is viewed by P2 project organizations as fascinating and frankly, I think we are thinking far beyond where IHI is currently at........

Bottomline; what did I commit to:

1. I am part of this group's subteam on Ambulatory/Continuum Medication Process Improvement--it is us, Cincinnati Childrens and Sweden(!----yes, they have done some really interesting things...). Also to be included is San Diego Children's--one of the P2 12

2. I and Cincinnati Children's have volunteered to beta test the IHI Outpatient ADE Trigger Tool; given the broad implications of this tool for all of PeaceHealth; let alone the Whatcom project, I am prepared to dedicate some of my staff's time to this as part of the Peacehealth contribution---remember, I am hiring a pharmacist as part of my expanded team, and I think this focus would be terrific.......

3. I have already connected with San Diego Children's regarding med list reconciliation ideas in the community; and I am using this work as I continue to "feed" the ATP project for CHF med list reconciliation; which, by the way, is going along swimmingly..................

4. This Learning Group overall is highly jazzed, motivated, and agressive; I anticipate a fair amount of regular work that I will be a part of; and frankly, is great for all.......

 CBoston-Fleischhauer@PeaceHealth.org

>

Wednesday, June 26, 2002
> A first project to improve med hand-offs from hospital to pharmcy and clinic is underway.
>

Tuesday, June 25, 2002
> Medication handoffs are a prime area for improved systems.


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