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