Persons United Limiting Substandards and Errors in Healthcare

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Persons United Limiting Sub-standards and Errors
in Healthcare

• Support
• Education
• Advocacy
• PTA, Seniors, Religious Groups, Teens,
  Professional Organizations

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MEDICATION MEDICAL MISTAKESNot just a
number Any more
Insist that someone listens
Be active in your care
Ask questions
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• Zantac and Zyrtec
• Medication Errors Associated with Zantac and
  Zyrtec
• Problem Medication errors have occurred over
  the last three years with Zantac and Zyrtec in
  the pediatric population where Zantac syrup was
  prescribed but Zyrtec syrup was dispensed. Zantac
  is an H2-Blocker and Zyrtec is an antihistamine.
  They do not have overlapping dosage strengths,
  but they are both available in the syrup dosage
  form, Zantac as 150 mg/10 mL and Zyrtec as 5 mg/5
  mL. Glaxo Wellcome manufactures Zantac and Pfizer
  manufactures Zyrtec and the container labels do
  not appear similar. Both are available in 1-pint
  amber glass bottles Zyrtec is also available in
  a 120 mL bottle. The proprietary names look alike
  and sound alike to each other. Such similarities
  between Zantac and Zyrtec increase the potential
  for medication errors.

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WHATS IN THE BAG?Mr. Pharmacist, what are you
doing to keep us safe?

• Whos name is it?
• What is it for?
• 7,000 is not just a number

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• ALL THOSE WHO TREAT YOU MUST ASK YOU YOUR NAME
  AND WHY YOU ARE HERE. IF THEY DONT, PLEASE
  REMIND THEM.
• Thank you,
• THE staff

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• RED
• BLUE
• GREEN
• YELLOW
• PURPLE
• ORANGE

Understanding How Errors Happen
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• RED
• BLUE
• GREEN
• YELLOW
• PURPLE
• ORANGE

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SAFETY CONCERNS

• Motorcycle safety
• Seatbelt and car seat safety
• Safe sex
• Fire safety
• Airplane safety

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LESSONS LEARNED

• What is Patient Safety?
• Do the 20 tips and Speak Up literature work?
• The Single most important way you can help to
  prevent errors is to be an active member of your
  healthcare team.
• AHRQ 2000