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Institute
for Safe Medication Practices (ISMP)
Cheers
Award – December 2005
St. John’s
Mercy Medical Center received the Cheers Award from the Institute
for Safe Medication Practices (ISMP) at the Midyear Clinical Meeting of the American
Society of Health-System Pharmacists (ASHP) in December 2005. St. John’s
Mercy was among 11 award recipients from throughout the U.S. The Cheers
Award
honors
individuals,
organizations and companies that have set a superlative standard of excellence
for others to follow in the prevention of medication errors and adverse drug
events.
St. John's Mercy was selected by the Sisters of Mercy Health System to be
its pilot facility for the patient-safety initiative of testing automated medication
dispensing cabinetry, bedside point-of-care medication verification technology
and deployment of pharmacists to high-risk medication areas. St. John's Mercy’s
Medication Transformation Design Team tested and validated design decisions
and re-worked processes as needed. The implementation process on the pilot
units provided lessons and opportunities to improve future deployments of technologies
on the units, such as developing standard medication administration times and
creating education and training materials to help with compliance. More than
2,500 hospital co-workers received training on the use of the new technologies
and medication safety is now part of new co-worker orientation.
The new technology has helped create four specific high-alert warnings for
“wrong patient,” “wrong dose,” “dose omitted,” and “no order in system.” To
demonstrate the effectiveness of the new technology, 349 “wrong patient” warnings
were identified by the system in 2004, resulting in no medication errors for
the patients.
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