Criterion 5.3.3 SAFETY OF MEDICINES

 Criterion 5.3.3

Processes to improve the safety of cautionary medicines are established and implemented.

1) Main Thoughts:

a) Medication administration to patients needs to be managed well in an effort to ensure patient safety. Mistakes in using medication that need to be taken care of can cause injury to the patient.

b) High alert medications are drugs that have a risk of causing serious injury to patients if used incorrectly. High alert drugs include: 1) High risk drugs, namely drugs with active substances that can cause death or disability if an error occurs in their use (for example: insulin, heparin or cytostatics), 2) Drugs that look similar and sound similar ( Name of drug with similar appearance and pronunciation/NORUM, or Look Alike Sound Alike/LASA) 3) Concentrated electrolytes for example: potassium chloride with a concentration equal to or more than 1 mEq/ml, sodium chloride with a concentration of more than 0.9% and magnesium sulfate injection with a concentration equal to or more than 50%.

c) Medication errors can also occur due to the presence of drugs with similar names and looks (look alike sound alike).

d) Policies and procedures regarding the management of drugs that require caution are established and implemented which include storing, arranging, prescribing, labeling, preparing, using and evaluating the use of drugs that require caution, including psychotropic drugs, narcotics and drugs with similar names or appearance.

2) Assessment Elements:

a) A list of drugs that need to be wary of and drugs with similar names or looks is prepared and labeling and arrangement of drugs that need to be wary of and drugs with similar names or looks are carried out in accordance with the policies and procedures prepared (R,D,O,W).

b) Monitoring and controlling the use of psychotropic/narcotic drugs and other drugs that require high alert (D,O,W).