30 Minute - Facilitator’s Guide (Medication Errors)

Introduction

Paient Care Discussion

Clinical Plan
- Each team member should share what their anticipated next actions

Clinical Actions
- Each team member should share their roles and responsibilities

Team Engagement
- Remember to engage with each individual of the team

Patient Care Discussion
(after initial presentation and each update)

Clinical Discussion

Clinical Treatment Goals and Key Discussion Points
- what would be the indicators of something going wrong
- how would you counter administration of the incorrect drug (discussion)

Clinical Actions/Plan (look for ... )
- drug selection (selected vs alternatives)
- dosage concerns / risks
- drug administration concerns / risks
- monitoring (necessary? / risks)

Team Engagement (look for ...)
- Transparent Thinking (Shared Mental Model)

Clinical Discussion
(after last update)

Systems Review

Please take a minute to answer 4 questions (facilitators)

Did you have the necessary support resources?
- enough personnel with the appropriate skills?
- support services (lab, radiology, blood bank)?
- potential work arounds for any issues

Were there any issues with any given process or procedure?
- were there coordination of care concerns?
- potential work arounds for any issues

Were there any medication or equipment issues?
- potential work arounds for any issues

System Issues Discussion
(last slide - focus on system and coordination of care)