focus on error prevention and harm minimisation:
- reduce reliance on memory
- computerised drug alert systems
- electronic patient medication profile
- reduce complexity = simplify processes
- reduce the range and variation in equipment and supplies
- select equipment which is simple to use
- reduce variation = standardise equipment + procedure
- drug storage location
- introduce constraints and forcing functions
- standard prescribing abbreviations = 0.1mg not .1mg + unit not u
- program computer not to process orders that lack key info
- use protocols and checklists
- double checking protocol for hazardous drugs
- simple instructions on how to use equipment
- decrease reliance on vigilance
- eliminate look-alike drugs or store them separately
- establish a system to assist differentiation of sound-alike drugs = atropt vs azopt (LOTS automatically alert about common error)
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