Pharmacy Report: Medication Incidents and Management Insights

Pharmacy Report Presented To: MQA Presented By: Jacqueline Roberts, Pharmacy Manager

Medication Incidents Number of Medication Incidents Last 5 Quarters 56 50 47 37 35 21/22 Q4 22/23 Q1 22/23 Q2 22/23 Q3 22/23 Q4

Medication Incidents Fiscal 2023-23 Medication incidents by Location Q1-Q4 22/23 70 64 60 50 40 30 32 25 20 10 9 7 7 7 6 6 5 2 1 0 ERP ORP ICUP MSP Third MDU ERSF ORSF ICUSF OBS MSSF Pharmacy SF Pharmacy P Occ health

Medication Management

Errors in the Medication Use Process Administration Medication - Administration Omission Incorrect - Dose/Strength/Concentration/Rate/Volume Medication - Discontinued/On Hold Administration Technique Incorrect Incorrect - Frequency Incorrect - Medication Incorrect - Time/Schedule Contraindicated Duplication Incorrect Patient Prescribing Contraindicated Incorrect Medication ordered Order - Clarification Required Medication Reconciliation Delay Transcribing Incorrect - Time/Schedule Omitted Information Incorrect - Medication Order not sent to Pharmacy Incorrect Drug Incorrect Dose Discontinued in Error Incorrect Route Dispensing Incorrect - Pharmacy fill Incorrect - Restock Narcotic count issue other Lack of Available Medication

Errors in the Medication Use Process Medication Incidents by Category Q1-Q4 22/23 * Administration Dispensing Prescribing Transcribing

Benefits of CPOE/BMV/eMAR Positive patient identification through scanning Improving patient safety by decreasing adverse medication events Creates efficiencies through streamlined workflows Alerts and reminders to support timely medication administration Forced functions such as co-signatures for high-alert medications Automated checks and balances such as interaction and allergy checking

Future Initiatives Support pharmacy automation Packager, Automated Med Cabinets Align regionally with Lumeo Partners eg. Formulary Support Nursing medication workflows

Questions