Adverse Drug Event Occurences

I’ve been working with a group here on a Failure Mode and Effects Analysis (FMEA)  for our bar coding medication administration project (called MAK –Medication Administration checKing by our vendor, Siemens Medical ). The benefit to implementing such as system is to significantly reduce the number of errors that occur during medication administration in hospitals each year.

While researching the project I have come across several interesting facts. I would like to share them with you here.
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FDA revises ceftriaxone-calcium warning

The FDA has issued an update to the previous alert on the interaction between calcium and ceftriaxone (Rocephin). The original warning was based on reported fatalities involving neonates. The update occurred after Roche (manufacturer of ceftriaxone) conducted two studies using neonatal and adult plasma with varying concentrations of ceftriaxone and calcium. Based on the results, ceftriaxone and calcium-containing products may now be used concomitantly in patients greater than 28 days old.

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Agents raid Siemens U.S. headquarters

From the Action News website: “The raid began shortly after employees reported for work Wednesday morning.  Agents with the Defense Criminal Investigations Service rolled in with a rented box truck….DCIS confirms they were looking for records in connection with a specific military contract.” – Huh, we use Siemens Pharmacy Clinical Worksatation as our pharmacy system.

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Batch Files to Increase Pharmacy Efficiency

Our hospital utilizes a decentralized model. One pharmacist in the main pharmacy takes care of the dispensing duties while the rest of the pharmacists are responsible for order entry, kinetics and trouble shooting in their respective areas.

The pharmacist located in the ICU typically participates in daily rounds each morning. If you are familiar with how rounding works, then you know that a pharmacist’s main job is to evaluate drug therapy based on lots of data (patient condition, diagnosis, age, gender, weight, renal status, etc). Accessing this data at the point-of-care is never easy for a pharmacist and they will often rely on the old “pen an paper” to get the job done. With all the advances in technology it just didn’t seem right for them to be doing it this way. Solution? A tablet PC.
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Sum(1) ..how could something so simple be so frustrating

This time of year always comes with a lot of requests for medication usage data from the Pharmacy Clinical Coordinator.  This year has been no exception. The most recent request was for a report identifying all medications in the pharmacy drug master that were used less than ten times in 2008. Seemed simple enough. Right. 
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