Restricted accessOtherFirst published online 2004-7
Implementation of Safety-Focused Pharmacy and Therapeutics Monographs: A New University HealthSystem Consortium Template Designed to Minimize Medication Misadventures
The University HealthSystem Consortium (UHC) Pharmacy Council Medication Management/Quality Improvement Committee has revised their template for drugs being researched for formulary inclusion. The new template incorporates controls aimed at reducing preventable patient injuries by assessing the safety risks of medications before they are added to an institution's drug formulary. Implementing this proactive strategy will improve the ability of Pharmacy and Therapeutics Committees to balance the benefits and risks of adding new drugs to the formulary. Key elements for the successful implementation of the UHC safety-focused strategy are discussed.
MurriN.A., PloetzP.Safety-Focused Drug Monograph Template for P&T Monographs.University of Washington Academic Medical Centers and University Hospitals Consortium Medication Management/Quality Improvement Committee; 2002.
2.
Executive Summary: Safety-focused Drug Monograph Template for P&T Monographs.University Hospitals Consortium Medication Management/Quality Improvement Committee; 2002.
3.
KohnL.T., CorriganJ.M., DonaldsonM.S., eds. To Err is Human: Building a Safer Health System.Washington, DC: National Academy Press; 2000.
BatesD.W., LeapeL.L., CullenD.J.Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA.1998; 280: 1311–6.
6.
ClassenD.C., PestotnikS.L., EvansR.S.Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality. JAMA.1997; 277(4): 301–6.
7.
ADE Prevention Study Group.The costs of adverse drug events in hospitalized patients. JAMA.1997; 277(4): 307–11.
8.
Committee on Quality of Health Care in America, Institute of Medicine.To Err is Human.National Academy Press; 2000. www.nap.edu/catalog/9728.html. Accessed August 21, 2003.
9.
The JamesS.Brady Press Briefing Room. Press briefing by senior administrative officials on President's Initiative to Reduce Medical Errors. February 22, 2000. www.ahrq.gov/wh22200brf.htm. Accessed August 21, 2003.
Committee on Quality of Health Care in America, Institute of Medicine.Priority Areas for National Action: Transforming Health Care Quality.National Academy Press; 2003. www.nap.edu/catalog/10593.html. Accessed August 21, 2003.
12.
Pathways for Medication Safety: Leading a Strategic Planning Effort. Section 1.2: Model Strategic Plan for Medication Safety. American Hospital Association, Health Research & Education Trust, and the Institute for Safe Medication Practices; 2002. www.medpathways.info. Accessed August 21, 2003.
Pathways for Medication Safety: Leading a Strategic Planning Effort. Section 2.2: Failure Mode and Effects Analysis. American Hospital Association, Health Research & Education Trust and the Institute for Safe Medication Practices; 2002. www.medpathways.info. Accessed August 21, 2003.
15.
Team Handbook. Copyright 1999 by South Western College Publishing.
16.
Institute for Safe Medication Practices.ISMP Medication Safety Self Assessment.Huntington Valley, PA: Institute for Safe Medication Practices, 2000. www.ismp.org/Survey/. Accessed August 21, 2003.
17.
Pathways for Medication Safety: Looking Collectively At Risk. Section 2.3: Use of the ten key elements to assess risk. American Hospital Association, Health Research & Education Trust and the Institute for Safe Medication Practices; 2002. www.medpathways.info. Accessed August 21, 2003.
18.
Pathways for Medication Safety: Looking Collectively At Risk. Section 2.4: Illustrating the Medication Flow Process. American Hospital Association, Health Research & Education Trust and the Institute for Safe Medication Practices; 2002. www.medpathways.info. Accessed August 21, 2003.
