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Accreditation Canada Standards

The Medication Management Standards promote a collaborative approach to prevent and reduce patient safety incidents involving medications by addressing all aspects of the medication management process, from prescription, selection, preparation and dispensing, to administration of the medication and ongoing monitoring of clients. The Medication Management Standards also contain a number of Required Organizational Practices aimed at preventing medication incidents.

Accreditation Canada Required Organizational Practices

  1. Concentrated Electrolytes: Organizations are required to evaluate and limit the availability of concentrated electrolytes to avoid stocking formats that can cause harmful medication incidents in client service areas.
  2. Heparin Safety: Organizations are required to evaluate and limit the availability of heparin products to avoid stocking formats that can cause harmful medication incidents in client service areas.
  3. High-Alert Medications: Organizations are required to implement a comprehensive strategy to manage high-alert medications, based on the ISMP list of high-alert medications.
  4. Narcotics Safety: Organizations are required to audit and remove from client service areas formats of narcotic (opioid) products that can cause harmful medication incidents.
  5. The "Do Not Use" List of Abbreviations (formerly called Dangerous Abbreviations): Organizations are required to identify and implement a list of abbreviations, symbols, and dose designations that should not be used in the organization. The list must be in accordance the ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations.
  6. Medication Reconciliation (MedRec) at Care Transitions: MedRec is required for the following services: Acute care, Ambulatory care, Emergency department, Home and community care, Long-term care, and Substance misuse. Organizations are required to initiate or complete MedRec for all clients or a target group, depending on the setting and the population served.

Additional ROPs, although not specific to medications that either address or help to prevent medication incidents:

  • Patient Safety Incident Management is an ROP found in the Leadership standards that requires organizations to report, learn from, and act upon patient safety incidents, including those relating to medications.
  • Client identification (formerly called Two client Identifiers) requires that teams use at least two person-specific identifiers before providing a service (including the administration of medications)
  • Information Transfer at Care Transitions requires teams to communicate information effectively during care transitions.
  • Infusion Pump Safety (formerly called Infusion Pumps Training) requires teams to be trained on infusion pump use, evaluate competence, and report and act upon problems with infusion pumps.