MSOS Discussion Board

VA SAC Matrix question

Erin Gavin's picture

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Hi everyone,
Hoping someone can clarify language in the VA's Safety Assessment Code matrix.
https://www.patientsafety.va.gov/professionals/publications/matrix.asp

Major includes the criteria "Increased length of stay for three or more patients" and "Increased level of care for three or more patients."
Minor includes "Increased length of stay or increased level of care for one or two patients."

Codonics SLS

Sibyl Cherian's picture

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Does anyone work in an institution that uses the Codonics SLS in their periprocedural area? I have heard positive things about it and was looking into obtaining a demo for our hospital system and wanted to get others feedback. The latest ISMP periprocedural guidelines recommended that by 2025, hand written labels should be eliminated and every syringe and infusion label should have a machine readable goal. Codonics SLS is suppose to help meet this standard.

Norepinephrine, Phenylephrine, EPINEPHrine Administered Vial to Bag

Laurie Perkins's picture

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Interested in any pro's and con's or recommendations regarding the use of vasopressors with an adaptor for immediate use on the nursing unit - specifically vial 2 bag with EPINEPHrine, phenylephrine, norepinephrine, or vasopressin administration.

Medication Safety Committee Ambulatory

Laura Monroe-Duprey's picture

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We have a large contigency of clinics and ambulatory practices within our systtem and have (relatively) recently acquired many more. As part of our new medication safety program, we are developing an ambulatory specific medication safety program.

I am wondering if anyone has done this sucessfully - and would be willing to share the structure, frequency and charter ?

our safety events are very low volume, even though medications are given in the clinics. May experience or sharing would be appreciated !

Diltiazem minibag+vial - safety concerns

Abhiruchi Mehta's picture

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Hello, our institution typically uses the premixed bag for diltiazem, however in this instance, it has been ordered but will not be received for a few weeks.

Our plan is to make the minibag+vial for nurses to activate at bedside.

There are safety concerns around this because the diltiazem is a liquid formulation.

Have you had any experience with this concern? If so, I would appreciate if you could share how you mitigated it.

AutoHeld Medications

Vimerald Hernando Henss's picture

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Hello all.

Our nurses have expressed a concern with an EPIC workflow related to "autoheld" medications.

For those of you who use EPIC at your organization, what are the expectations for your physicians and nurses on addressing medications that were "autoheld" during a procedure & then resumed?

Staff education on One Piece Flow/Single Piece Flow

Susan Shermock's picture

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Interested in any staff educational materials that you or your healthcare facility has created and is willing to share on One Piece Flow/Single Piece Flow (sometimes also called continuous flow), versus batching. I am particularly interested in any pharmacy-centric examples highlighting medication preparation prior to dispensing.

Any information you can share is greatly appreciated!
Thank you-

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