ISMP Newsletter Review: Quality Management

Worth 20 points

NAME:  _____________________________________________  Date:  ___________________________

Give Month/Date of  ISMP  ERR   Newsletter:   _____________________________________________

Skim the whole newsletter to understand the issues addressed.

1.  Write a paragraph or 2  to discuss  the  LEAD article covered on page 1 of the issue:

Address the Error or Problem that occurred – Key Points and chain of events           

Discuss the possible solutions to this problem – how to prevent in future.

• List and discuss one or two other topics or situations discussed in this ISSUE:

Have you observed any similar events?

• Describe or suggest actions a NURSE MANAGER  might wish to take based on this  issue of the NEWSLETTER-ERR:     (for example – a poster board information,  an inservice on a subject, or a QA   assessment  or  survey the staff for  input.)
• List and discuss any situations that you have observed that are similar or would also be considered  unsafe  for Medication Administration.   (what would best promote SAFE MEDICINE PRACTICES?)