Medication errors – learning from errors to reduce harm

Course overview

If you’re trying to reduce medication errors stop right now, you’re thinking about this the wrong way around. You want to reduce the harm that medication errors (or more correctly medication incidents) cause, and the only way you’ll do this is by learning from these incidents. With success, you’ll see your reported incidents go up, giving you more opportunities to learn.

But the harm they cause should go down.

This course will teach you how manage, report and learn from medication incidents. It will enable you to provide the correct response to Safeguarding Teams and the Care Quality Commission. It will enable you to reduce the chance of harm from medication incidents occurring by learning from them.

Duration

3.5 hours

Aimed at

Managers, nurses and seniors in all social care settings

Learning outcomes

By the end of the course you will be able to:

  • Understand how to change a culture of blame, to openness (a just culture)
  • See how some of the world’s safest care providers achieved a reduction in harm from errors
  • Create a reporting system to ensure the whole organization learns from incidents
  • Outline what an ‘outstanding’ incident reporting system looks like to CQC (KLOE S6)
  • Explain which medication incidents need reporting to Safeguarding and CQC
  • Demonstrate root cause investigation so you can learn from your medicines incidents
  • Explain how to spread the learning from medicines incidents
  • Use the Incident Decision Tree to understand when staff need support vs intervention

 

We will study actual medicines incidents that have occurred in your organisation in the case studies.

Handout

In addition to the handout, you will be sent a free electronic copy of our medicines incident form and investigation protocols

Course mapping

CQC Key Lines of Enquiry S4: How are people’s medicines managed so that they receive them safely?
CQC Key Lines of Enquiry S6: Are lessons learned and improvements made when things go wrong?

Price

(up to 16 people)

£600 + VAT