2. 2013 CAH National Patient Safety Goal #3 is
Medication Safety
More of a focus now than ever before
7,000 deaths each year related to medication errors
Focus on system not individuals
Used to be “5 Rights” now up to 8 and some reports
show 10 Rights that should be observed
3. 1. Right Patient
2. Right Medication
3. Right Dose
4. Right Route
5. Right time
6. Right Documentation
7. Right Reason
8. Right Response
4. Check name on order & the patient
Use 2 identifiers
Ask patient to ID him/herself
When available, use technology
6. Check the order
Confirm appropriateness
If necessary, calculate the dose
Have another nurse calculate as well
7. Again, check appropriateness of route ordered
Confirm that pt. can have a medication by this route
8. Check the frequency of the medication
Double check that you are giving the ordered med at
the correct time
Confirm time of last dose
9. Document AFTER giving the medication
Chart time, route, and any other specific information
EG: site of an injection or
Lab value or vital sign needed before administration
10. Confirm the rationale for the medication
History
Why is patient taking this medication
Revisit the reasons for long-term medication use
11. Make sure that the desired effect is achieved
If antihypertensive given did BP improve?
Document the monitoring and any other interventions