Received date: October 24, 2018; Accepted date: November 05, 2018; Published date: November 08, 2018.
High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error. Most medications errors are occurring due to these drugs. The Institute for Safe Medication Practices (ISMP) reports that the incident rates of this group of medicines may not necessarily be higher than the other medicines but when incidents occur the impact on the patients would be serious (significant). Concentrated electrolytes, Heparin, Insulin, Chemotherapy, Narcotic, LASA Medicines are under the high alert medicines.
This may include strategies like limiting access to these medications, using auxiliary labels and automated alerts, standardizing the ordering, preparation, and administration of these products, and employing automated or independent double checks when necessary. Preventing the harm from high alert medications: Awareness, readiness, education: Training arranged for nursing, pharmacists and doctors for high alert medication; develop list for high alert medications and show cash in every wards/ICUs. Strategy like Double check, High alert labels with indications, High alert exhibition near nursing office for awareness, Double signature, Store in different locations in wards/ICUs and Pharmacy, Involve the patient & family: Patient counseling in case of insulin. Provide patient education at literacy level understandable by all.
As per guidelines of The Institute for Safe Medication Practices (ISMP) we have taken following initiative in our organization.