HEE issues medicines management guidance for nursing associates

HEE issues medicines management guidance for nursing associates

February 23 2018 Health Education England has set out educational content expectations for...

RPS urges community pharmacists to take up free post-registration training

RPS urges community pharmacists to take up free post-registration training

February 22 2018 Community pharmacists in England are being urged to enrol on Masters level...

Which? report claims 'three in 10 pharmacies not following safety guidelines'

Which? report claims 'three in 10 pharmacies not following safety guidelines'

  February 20 2018 A covert study of pharmacies has claimed that some pharmacies are...

British Lung Foundation issues pharmacy resources

British Lung Foundation issues pharmacy resources

February 20 2018 Two new guides supporting the role of community pharmacists in helping patients...

CPPE announces patient safety learning campaign

CPPE announces patient safety learning campaign

February 19 2018 Pharmacists should be receiving educational material this week on a new patient...

  • HEE issues medicines management guidance for nursing associates

    HEE issues medicines management guidance for nursing associates

    Friday, 23 February 2018 10:14
  • RPS urges community pharmacists to take up free post-registration training

    RPS urges community pharmacists to take up free post-registration training

    Thursday, 22 February 2018 16:05
  • Which? report claims 'three in 10 pharmacies not following safety guidelines'

    Which? report claims 'three in 10 pharmacies not following safety guidelines'

    Tuesday, 20 February 2018 17:04
  • British Lung Foundation issues pharmacy resources

    British Lung Foundation issues pharmacy resources

    Tuesday, 20 February 2018 16:34
  • CPPE announces patient safety learning campaign

    CPPE announces patient safety learning campaign

    Monday, 19 February 2018 17:29

Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

a green cross imageFebruary 9 2018

Controlled Drugs were involved in over a third of patient safety incident reports received by the National Pharmacy Association in Scotland over the last quarter.

In her latest bulletin to pharmacy superintendents, the NPA’s Chief Pharmacist Leyla Hanbeck said “patient safety incidents associated with dispensing opioid medicines is a recurring and prominent issue.” Errors involving CDs accounted for 36% of incidents reported during Quarter 4 of 2017.

Among the most common errors involving CDs are:

  • the wrong formulation is dispensed, typically mixing up modified release and standard release tablets;
  • putting the wrong dosage instructions on CD injections, often due to selecting the wrong dosage codes when inputting the label instruction;
  • being interrupted either when checking a CD prescription or when carrying out a CD audit.

The report also includes dispensing tips to reduce the risk of CD errors.

Other topics covered in the newsletter include the recent MHRA alert on drug name confusion. Analysis of data indicates that “errors involving look-alike/sound-alike medicines contributed to 32% of all Scottish incidents reports this quarter.” Notable errors included:

  • co-codamol and paracetamol
  • escitalopram and esomeprazole
  • Renagel and methocarbamol
  • rivaroxaban and rabeprazole

The report also revisits concerns about prescribing errors involving antibiotics. A checklist issued in November 2017 is designed to help pharmacy teams “remain vigilant of antibiotic prescribing errors and provide guidance on how to manage such errors, there is a suggested checklist to follow when performing a clinical check, along with guidance on use of appropriate clinical resources and raising concerns with prescribers.”

Links:
NPA announcement    
NPA ‘Scotland – Patient safety quarterly report: November 2017 – January 2018’                      

Practice News

February 23 2018 Health Education England has set out educational content expectations for nursing associates who administer medicines to patients.
February 19 2018 Pharmacists should be receiving educational material this week on a new patient safety campaign from the Centre of Pharmacy Postgraduate Education. Resources have been mailed out ahead...