I would be interested in hearing any success stories related to medication safety and fall preventions. What have you done that has had an impact? I am looking for meaningful interventions that don't just result in flagging everyone as a fall risk.

Thank you in advance,
Holly Trotter, Pharm.D.
Siskin Hospital for Physical Rehabilitation

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Especially for those that have stand-alone EDs as part of the system - what are some failsafe methods that are used to prevent patients from receiving a paralytic without adequate sedation of RASS -5. We have an alert in our ADC as well as administration comments within the paralytic order but are there other strategies that have been used to help mitigate this risk?

Does your organization currently have any High alert medication error KPI ?if yes what is the formula of it and the international benchmark

Does your organization currently have any High alert medication error KPI ?if yes what is the formula of it and the international benchmark ?

Hi all,

I'm a medication safety pharmacist in New Zealand and we have opioid premixed IV bags that we use in patient controlled analgesia and produced by the same company. Due to international colour coding standards that require that colour use for IV opioid products is limited to light blue, we have a situation where our morphine, oxycodone, and fentanyl premixed IV bags look very similar at a glance. We have had several incidents of selection error.