Session 2
Improving Narcotics and Opiate Management
Frank Federico, RPh, IHI Executive Director Steve Meisel, Pharm.D., IHI Faculty January 31,2012 12:00 - 1:00pm ET
Session 2 Improving Narcotics and Opiate Management Frank Federico, - - PowerPoint PPT Presentation
Session 2 Improving Narcotics and Opiate Management Frank Federico, RPh, IHI Executive Director Steve Meisel, Pharm.D., IHI Faculty January 31,2012 12:00 - 1:00pm ET Beth ODonnell, MPH Beth ODonnell , MPH, Institute for Healthcare
Frank Federico, RPh, IHI Executive Director Steve Meisel, Pharm.D., IHI Faculty January 31,2012 12:00 - 1:00pm ET
Beth O’Donnell, MPH, Institute for Healthcare Improvement (IHI), is responsible for managing and coordinating strategic
at St. Lawrence University and her graduate degree from The Dartmouth Institute for Health Policy and Clinical Practice. She joined IHI in August. 2
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Frank Federico, RPh, Executive Director, Strategic Partners, Institute for Healthcare Improvement (IHI), works in the areas of patient safety, application of reliability principles in health care, preventing surgical complications, and improving perinatal care. He is faculty for the IHI Patient Safety Executive Training Program and co-chaired a number of Patient Safety Collaboratives. Prior to joining IHI, Mr. Federico was the Program Director of the Office Practice Evaluation Program and a Loss Prevention/Patient Safety Specialist at Risk Management Foundation of the Harvard Affiliated Institutions, and Director of Pharmacy at Children's Hospital, Boston. He has authored numerous patient safety articles, co-authored a book chapter in Achieving Safe and Reliable Healthcare: Strategies and Solutions, and is an Executive Producer of "First, Do No Harm, Part 2: Taking the Lead." Mr. Federico serves as Vice Chair of the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP). He coaches teams and lectures extensively, nationally and internationally, on patient safety.
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Steven Meisel, Pharm.D., Director of Patient Safety for Fairview Health Services, an integrated health system based in Minneapolis, Minnesota. In this role he is responsible for all aspects of patient safety improvement, as well as related measurement, reporting, educational and cultural initiatives. Dr. Meisel has served as faculty for the Institute for Healthcare Improvement safety since 1997. Dr. Meisel is the recipient of numerous awards, including the 2005 University Health-System Consortium Excellence in Quality and Safety Award. He is the author of several publications. 9
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50 primary care clinics, 50 retail pharmacies, home infusion, a home care & hospice agency, a pharmacy benefits management company, and various other programs.
university adult and pediatric tertiary care.
pediatrics, behavioral, and extended care.
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the PACU; not detected quickly enough; disability proved permanent.
respiratory arrest and could not be revived.
for minor surgery. 6 hours after arrival on the floor, found in respiratory arrest. Recovery efforts were unsuccessful.
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*NCCMERP rating F-I http://www.nccmerp.org/pdf/reportFinal2005-11-29.pdf
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morphine
from <8
stock/Pyxis over-ride status
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history
anesthetists and anesthesiologists
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2,053 3,195 1,923 500 1000 1500 2000 2500 3000 3500 2000 2001 2002
Team sun-setted
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2,053 3,195 1,923 11,111 5,247 24,000 24,500 5000 10000 15000 20000 25000 2000 2001 2002 2003 2004 2005 2006
Zero cases in 2005 or 2006
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6 8 2007 2008 2009 2010 2011
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34 26 11 13 5 10 15 20 25 30 35 40 2008 2009 2010 2011
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64.7% reduction from 2008
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