Does anyone have any practical tips for increasing error reporting in the hospital setting?
Above and beyond providing a Just Culture environment, making reporting as easy as possible, increasing risk awareness, thanking people for reporting and sharing changes made as a result of reporting and providing support as needed for those who self-report or are involved in an issue and other high-level ideas.
Looking for nuts-and-bolts ways to encourage people to report errors and near misses.
Any input appreciated! Thanks.

What is pharmacy's involvement in falls evaluations in current state (whether PTA or inpatient) at your facility?
1. Criteria for who is evaluated (those admitted with a fragility fracture? those who fall inpatient?)
2. What action is taken by pharmacy (home med list or MAR evaluation? Who gets that information?)
3. Any programs looking at this for quality metrics? How do they measure? In current state our hip fracture program is looking at this quality metric.

Thank you!

Does anyone facilitate potassium chloride replacement during cardiac arrest? How do you supply drug without providing access to concentrated electrolytes? How do you deliver via the pump? We are on Epic + Alaris without interoperability. Thank you!

For those on Epic utilizing the insulin infusion calculator functionality, would you be willing to share your build? Our workgroup is currently discussing how to "reset" the calculator when a patient returns to the floor from a procedural space as it gets tricky with the look back function for 3-factor insulin titration. Thanks in advance!

ASHP Standardize for Safety and the Vermont Oxford Network recommend fentanyl 10 mcg/mL and 50 mcg/mL. Have any other institutions changed to this? We are struggling to see how to make that work without causing fluid overload. Especially in our NICU patients who require parenteral nutrition.

Have any other institutions made the switch to just having fentanyl 10 mcg/mL and 50 mcg/mL infusions?

What parameters do organizations have around expected time between narcotic administration and narcotic waste documentation? Thanks!

How many different Bupropion formulations do you carry? How do you prevent mix-ups? We currently carry the immediate release, sustained-release, and extended-release products.

A group within my organization that is focused on patient experience wants to review IV alarm data in order to see if they can prevent alarms the patients are hearing at the bedside. We met with the group this morning and discussed our initial thoughts, but we are wondering if any other organizations have a strategy around such data? We use Alaris.
Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

A group within my organization that is focused on patient experience wants to review IV alarm data in order to see if they can prevent alarms the patients are hearing at the bedside. We met with the group this morning and discussed our initial thoughts, but we are wondering if any other organizations have a strategy around such data? We use Alaris.
Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

Hello, at your institution, do you have different infusion times for gentamicin based on age? (eg peds/nicu vs adults)?