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2008 Consensus Conference on the Safety of Intravenous Drug Delivery Systems The highlights and outcomes of the 2008 Consensus Conference on the Safety of IV Drug Delivery Systems has been captured and developed into a multi-media continuing education activity. |
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Celiac Disease Training for Pharmacists Three million Americans have celiac disease, and the only treatment for this life-long ailment is the implementation of a gluten-free diet. As gluten is found in medication, pharmacy care is critical in the treatment of this disorder. Celiac disease is a genetic, autoimmune disease that damages the small intestines and interferes with the absorption of nutrients from food. When people with celiac ingest gluten, the protein in wheat, barley and rye, the whole body is affected causing a myriad of symptoms. This common disease affects one percent of the U.S. population! Another six percent of the population is gluten-intolerant, greatly increasing the number of people needing to follow the gluten-free diet. This continuing education activity will provide pharmacists with a reliable understanding of celiac disease and their role in dealing with gluten-intolerant patients. |
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Detect, Correct, and Prevent Medication Errors with Intelligent Infusion Technology The 2006 Institute of Medicine (IOM) report indicated that approximately one medication error occurs per patient per day in hospital care. Many of these errors occur during the medication administration step of the medication use process. Among the improvement strategies to prevent errors, the IOM report noted the use of technology such as smart infusion pumps with well-defined drug libraries as one mechanism to reduce the chances for errors. However, implementation of smart infusion pump technology requires significant time, effort and resources and multidisciplinary involvement. |
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Diversion: Practical Approaches to Prevention and Management Drug diversion is a significant concern in hospitals despite advances and safeguards intended to prevent this practice. Laws, regulations, standards, and guidelines are in place, yet it is with near-perfect certainty that most pharmacy managers have dealt with or will encounter a diversion issue during their career. The goal of this activity is to share practical approaches for the prevention of diversion and for handling the situation when diversion does occur. |
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Glycemic Control in the ICU: New Technology for Better Care Blood glucose management is a critical factor to optimize patient care outcomes in the ICU. Existing protocols for infusing IV insulin can result in poor or inconsistent glycemic control, as evidenced by cases of hypoglycemia and in miscalculations of insulin dosage. This activity will demonstrate why advanced technology for managing IV insulin drips is often warranted, and how implementation can potentially impact patient safety and outcomes. |
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HAI Consensus 2009: Process and Technology Strategies for Prevention of Catheter-Related Bloodstream Infections The prevention of HAIs is a major concern in nearly all facets of healthcare delivery, and their impact receives keen attention from hospital-based practitioners and administrators, as well as regulators, payers, and patient advocacy groups. The purpose of this 1.5-day Consensus Conference was to review the causes, prevalence, and impact of HAIs in general, and then focus more intensively on Progress and Technology Strategies for Prevention of Catheter-Related Bloodstream Infections particularly those linked to the use of central venous catheters. The ultimate goal was to develop a Consensus Statement on the prevention of central line associated bloodstream infections (CLABSIs) that would be broadly disseminated for the purposes of education, clinical implementation, and reducing rates of infection |
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Handling Hazardous Drugs Safely: Many Angles One Focus This dynamic activity on hazardous drug handling was delivered as a satellite symposium at the 2010 midyear meeting of the American Society of Health-System Pharmacists. This on-demand replay will share the content from the live meeting and provide a side-by-side comparison of nursing and pharmacy survey data on factors that impact the use of safe drug handling precautions. |
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Hazardous Drugs: Is Your Practice Putting Patients & Providers at Risk? This CE activity will assess the many factors in the safe handling of hazardous drugs (HDs). Established HD safe-handling precautions, intended to minimize risk to both patients and providers, will be discussed. Participants will learn about safe-handling practices both within the pharmacy environment and throughout the healthcare facility. The entire spectrum of HD management will be discussed from formulary and purchasing, to storing, compounding, delivery, administration, and disposal. more info (ExtraCreditCE available) |
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Implementing Barcode Technology to Improve Medication Safety Medication errors in hospital settings have been associated with high rates of adverse drug reactions and even death. Technological advances, such as barcode scanners, can help prevent medication errors, having been shown to reduce the medication error rate in an ICU setting by 56%. This educational activity will review the root problem of medication errors and the potential impact of barcode scanning in improving patient outcomes. |
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Levonorgestrel: Patient Use and the Role of Pharmacy Levonorgestrel and other emergency contraception products are considered non-prescription medications, yet unlike other OTC medications pharmacist intervention with the patient is required. Because of the nature of this product, there is a potential for confusion, misunderstanding, and anxiety not only on the part of the patient but also on the part of the pharmacist and pharmacy technician. This continuing education activity addresses the pharmacology of levonorgesterel, the guidelines in place for dispensing, patient counseling and the role of the pharmacists and pharmacy technicians. |
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Optimizing Sedation and Analgesia in the ICU: Teamwork in Patient Care Careful selection of analgesic and sedative medications is essential in critical care. Achieving a balance between patient comfort and safe ventilation involves both science and art. This activity will emphasize the importance of teamwork in achieving optimum analgesia and sedation in the ICU. |
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PCA: 25 Years in the Making: Where Are We Now? This knowledge-based CE activity features the evolution of patient-controlled analgesia (PCA) over the last 25 years. The expert faculty will present risk-management techniques using technology, standardization, and data analysis. They will also discuss PCA compared with other pain-management methods, integration with other protocols and systems, and appropriate use of data to enhance patient care. This presentation focuses on the collaborative partnership between disciplines, particularly nursing and pharmacy. |
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The Role of Store Brand OTC in Patient Self-Care The overall goal of this activity is to understand the role of store brand products in delivering effective patient self-care in the retail environment. |
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Safe Handling of Hazardous Drugs: Practical Considerations for Compounding and Administration Are you at risk for exposure to hazardous drugs? Hazardous medications are capable of causing serious effects in healthcare workers, including local reactions, cancer, organ toxicity, fertility problems, genetic damage, and birth defects. Regulations and guidelines for handling hazardous drugs exist, but exposures still happen. It is important to know how contamination by hazardous drugs can occur and the most effective methods to avoid it. |
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Safe Handling of Hazardous Drugs: Risks and Practical Considerations For healthcare providers, exposure to hazardous drugs can lead to contamination and uptake. Are you one of those at risk? Consequences of exposure include local reactions, cancer, organ toxicity, fertility problems, genetic damage, and birth defects. Although guidelines for safe handling of hazardous drugs exist, exposures still occur, suggesting that compliance is variable. This activity will review the risk of exposure to hazardous drugs, methods to avoid exposure, and best practices for contamination management. |
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State-of-the-Art Sedation: An Interactive Case-Study Discussion The combined use of sedatives and analgesics in critically ill adults is key to optimizing patient comfort and safety. But it is unquestionably challenging for critical care practitioners -- a balance of science and art. Without agreed-upon target levels of sedation, different members of the healthcare team may have disparate treatment goals, thereby increasing the likelihood of iatrogenic complications and potentially impeding recovery. An interdisciplinary ABCDE bundle of care is a strategy for bringing the best of critical care research to the bedside. |
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Vitamins, Minerals, and Supplements: Patient Self-Care and the Role of Store Brands The overall goal of this activity is to understand the role of store brand vitamins, minerals, and supplement products (VMS) in delivering effective patient self-care in the retail environment. |
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Safe IV Administration with State-of-the-Art Technology This educational activity will describe the experiences and lessons learned with the implementation of intelligent infusion technology. The author, Jackie Estok, will discuss the importance of creating a safe IV administration environment for clinicians at the bedside, as well as physicians and patients. She will also describe how data collected with intelligent infusion technology is used in the improvement of safe bedside IV administration . |
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Using Advanced Technology for Glycemic Control in the ICU This educational activity will describe the implementation of a computerized program for glycemic control in a 10-bed Medical ICU and 18-bed Surgical/Trauma ICU at Tampa General Hospital in Tampa, Fla. The author, Sara Thrower, will describe the rationale for and process engaged in changing from a paper protocol system to a software program. Challenges, derived lessons, and chance outcomes will also be described. |
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Advancing Patient Safety with Intelligent Infusion Technology This journal supplement will focus on the use of technology to proactively prevent medication errors. The estimate of 44,000 to 98,000 annual patient deaths due to adverse medical events (AMEs) is often quoted in the literature and prevention of medication errors continues to dominate the health-system quality improvement environment. |
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Key Aspects of a Successful Antibiotic Stewardship Program Health-system pharmacists play a prominent role in the use of antibiotics in their institutions, and in the development of programs that result in good antibiotic stewardship practices. The goals of such programs include appropriate management of hospital-acquired infections and avoidance of antibiotic resistance. This supplement is designed as a one-stop resource for current information and practical solutions regarding antibiotic stewardship. The authors review current national initiatives and guidelines, summarize the potential impact of antibiotic stewardship on resistance, and demonstrate practical suggestions for initiating and maintaining antibiotic stewardship programs. |
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The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 1999 Consensus Development Conference (Hospital Pharmacy - Feb 2009) This monograph addresses recommendations from ISMP for safe use of PCA and is designed to assist readers in organizing and implementing a CQI process to optimize PCA use and minimize medication errors. |
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High Alert Drugs: Addressing Potential Errors Proactively Patient safety is of utmost importance within health-systems; yet, medication errors continue at an alarming rate. Regulatory and accrediting organizations have developed standards addressing medication safety; however, additional focus by these organizations is likely. Implementation of technology to help prevent medication errors has been slow due to the cost and resources required. This monograph will identify medications and processes prone to error and describe how medication infusion technologies may help prevent those errors. Additionally, this activity reviews the data generated by medication administration technology and describes how to use this data to assist in quality improvement programs to reduce medication errors. |
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Intelligent Medication Administration and Patient Safety at the Point of Care: An Evaluation of Implementation and Return on Investment This monograph will familiarize nurses with 21st century "intelligent" technology that can help enhance patient safety and provide nurses an understanding of the types of errors taking place with medication administration. New medication administration technology can potentially help prevent errors and improve practice. Nurses will learn how to analyze data reports generated with this technology to better understand current facility practice and to improve facility practice if warranted. Examples of how to make a business case for today's "intelligent" technologies will be addressed. |
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Keeping the Lines Open with Evidence-Based Practice and Advanced Technologies Intravascular catheters are indispensable in modern day medical practice and are necessary to provide vascular access. They can, however, put patients at risk for complications from catheter-related bloodstream infections, or CRBSIs. CRBSIs are life-threatening infections and account for significant medical costs - about $2.3 billion annually in the United States. This education activity is designed to empower clinicians caring for these catheters with tools to prevent complications and promote positive outcomes for patients. |
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Patient and Provider Safety with the Chemotherapy Infusion Process The risk of patient and provider exposure to hazardous drugs has been identified as a problem of increasing health concern. These hazardous medications are capable of causing serious effects to those exposed; including local reactions, cancer, organ toxicity, fertility problems, genetic damage, and birth defects. Professional organizations, government agencies, and various regulatory bodies have called for and/or developed guidelines for handling hazardous drugs. However, even with these measures in place, inadvertent exposures still occur and providers need to receive education on the availability and use of advanced safety equipment used in the preparation and administration of hazardous drugs. This monograph focuses on the safe handling, preparation and administration of hazardous drugs. The monograph covers risk management, current chemotherapy guidelines, types of safety equipment, and use of closed IV preparation/administration equipment. |
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