High-risk medicines campaign launch
Carmela Petagna
#MedSafetyNZ
Topic # 1 Falls
• May: Launch and awareness raising • June: Hospital settings, with a focus on
risk assessment and care planning • July: Hospital settings, with a focus on
safe care environments • August: Aged residential care settings,
with a focus on promoting Vitamin D • September: Focus on community/at
home, promoting strength and balance • October: Consolidation and ongoing
activity • Falls 10 Topics interactive learning
platform • Ongoing programme activity • Building networks
10 Topics
4
Topic # 2 Surgical site infections
• November 2013: SSI surveillance • December 2013: Correct use of prophylactic
antibiotics • January/February 2014: Using appropriate skin
preparation before surgery • March 2014: Clipping not shaving the surgical site
Topic # 3 Perioperative harm • April: case for change • May: teamwork and
communication – checklist • June: teamwork and
communication – briefing and debriefing
• July: improving VTE risk assessment
• August: appropriate VTE prophylaxis
• September: celebrating success
Topic # 4 High-risk medicines
Monthly themes
• the case for change
October 2014
• identify and mitigate
November 2014 • partner with
patients and whanau
December 2014 & January 2015
• prevent
February 2015 • safe use of
opioids
March 2015
Grand Rounds Factsheets One steps Patient
stories Webinars
Tools & resources
Programme context Timeframe Focus Audience Benefits Campaign 6 months High-risk
medicines (HRM) Whole sector Raise awareness
Increase enthusiasm for collaborative
Collaborative 18 months HRM focussing on safe use of opioids
Participants in collaborative (teams form 20 DHBs)
Building capability in sector – clinical networks, consumer engagement, QI methodology
HRM programme 3 years Quality improvement
Whole sector Broaden to other HRMs and areas (e.g. aged care, primary care)
Enduring programme
Medication safety
Whole sector On-going programmes
Campaign • raise awareness and
knowledge of high-risk medicines across the sector
• promote ways to reduce harm and error from these medicines
• encourage sharing of patient and clinician experiences
Using examples for:
• opioids • anticoagulants • insulin • concentrated
potassium injections
• oral methotrexate
Safe use of opioids collaborative
Avril Lee
#MedSafetyNZ
Opioids
• recognised as high-risk medicines – errors likely to cause significant patient harm
• are effective medicines for treating severe pain
• approximately 50% of hospitalised patients receive opioids
includes: • morphine • oxycodone • fentanyl • Pethidine • tramadol
Safe use of opioids collaborative
Goal: • reduce harm from
opioids in DHB hospitals • build capability in
medication safety and quality improvement
Participants: • multidisciplinary teams
in each DHB hospital • regional level networks
to share knowledge and experiences.
Collaborative methodology
Select Topic
Expert Meetings
Identify Change
Concepts
Pre work
LS 1
S
P A D
LS 2
Collaborative Teams
Supports: emails/ visits/ reports/ sponsors / meetings/ assessments / conference calls
P A D
S
The Breakthrough Series: IHIs Collaborative Model for Achieving Breakthrough Improvement
LS – Learning Session
LS 0
LS 3
Spread
Quiz
#MedSafetyNZ
Time’s up!
#MedSafetyNZ
Quiz results
#MedSafetyNZ
Quiz answers
1: there were 132 medication-related serious adverse events reported 2: Opioids (23) are the greatest number of these 3: Campaign topics were – falls, surgical site infections, perioperative harm
4: the collaborative will run for 18 months 5: opioids (32.9%) and anticoagulants (10%) are the high-risk medicines most commonly implicated for causing an adverse drug event (recent rigger tool study)
Quiz answers 6: Aaron Cruden played for Manawatu 7: proMETHazine is the tall man lettering format for use in NZ 8: The woman mistakenly superglued her lips together.
9: Coup Detat (Coo day-tah). It is an ode to "the dangers of having too much fun". 1980 10: Expires on - a. First of March 2011 b. Last day of the month, 31 October 2010 c. Last day of the previous month, 31 August 2012
It starts here, it starts with me
#MedSafetyNZ