National Patient Safety Goal #2 Loyola Medicine国家患者安全目标2忠臣药.pptVIP

National Patient Safety Goal #2 Eliminate the Use of Unacceptable Abbreviations in the Medical Record by All Healthcare Providers Opportunity Statement The use of ambiguous abbreviations in the medical record may lead to serious medication errors. The JCAHO has compiled commonly used abbreviations which have a high potential for error. The elimination of these “unacceptable abbreviations” should reduce medication errors and promote patient safety. Goals Improve patient safety by the elimination of the use of unacceptable abbreviations in the electronic and handwritten medical record Achievement of 100% compliance with the use of acceptable abbreviations in the electronic and handwritten medical records Solutions Implemented Resident education with monthly discussion on the use of unacceptable abbreviations at staff meetings QD warning signs placed in key spots on every patient unit Chart reviews which focus on the use of unacceptable abbreviations by specialty in order to identify patterns of individual physicians Results shared with department chairs Laminated pocket cards with the unacceptable abbreviations distributed to attending physicians and resident staff Larger laminated cards will be placed in each medical record on unit Poster presentations at the Safety Fair (March 8-9) and Quality Fair (April 11-12) Analysis of Results Inpatient providers achieved target (90%) October 2005. Outpatient providers achieved and maintained the target 7 out of 8 months. Data collection processes revised to enable department specific analyses and improvement efforts Unacceptable Abbreviations andDose Designations * * Must write out “International Units” IU can be mistaken for IV or 10 IU (for International Units) Must write out “units” U can be confused with 0 or 4 U (for units) Acceptable Practice Reason Unacceptable Abbreviation or Dose Designation *