Page 24 - Risk Reduction Series Effective Systems Part 2
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SVMIC Risk Reduction Series: Effective Systems
Medication Safety
A primary example of “dropping the baton” is the
pervasive deficiency in medication reconciliation.
Medication errors account for a significant
percentage of medical liability claims. In fact, our
data at SVMIC reveals that medication-related
issues are a leading factor in claims. Closely
monitoring medications often requires utilizing standardized
tools and guidelines, as patients are usually under the care of
multiple medical providers. Liability experts anticipate even
further increases in the number of drug-related claims as
physicians see more patients and patients move between
insurance plans and providers. The best way to protect the
practice is to develop written procedures to cover the
acquisition, maintenance, storage, dispensing, and
administration of medications, and to ensure conformity with all
applicable federal and state regulations. The Physician Office
Resource Manual at www.svmic.com outlines additional details
to consider when developing these procedures.
High-Risk Medications
Having a reliable and consistent system for newly prescribed
or high-risk medications is crucial. When first initiating high-
risk medication therapy, the patient should be educated to
understand the indications for the medication, the potential
risks and benefits, potential side effects and how to manage
them, the importance of monitoring, if applicable, dietary and
alcohol interactions, and medication and herbal supplement
interactions. When appropriate, include a family member or
friend in this discussion. It is preferable to use educational
tools, such as written materials and/or videos, to reinforce the
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