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Publication Type: Medication Safety Alert
Single or Multiple Incident: Multiple
Date: 5/1/2019 12:00:00 AM
Country: Hong Kong

This alert provides information on a number of patient safety initiatives to promote medication safety. They are: 1. Safe Medication Tips – identifies newly identified risks on medication errors 2. IV Dilution and Administration Guideline – updated guidelines incorporated into IPMOE standard regimen template to minimize prescribing error in dilution and administration rate. 3. Medication Safety Training – provided to all staff with quarterly educational seminars 4. Standardization of Drug Labels in Drug Trolleys on the Wards – label descriptions are aligned the nomenclature in IPMOE. 5. Invitation to Frontline Staff to participate in medication incident and near miss open discussion.

Additional Details

Medication/Gas/Fluid:
acetylsalicylic acid (Aspirin®), metoclopramide (Maxolon®)


New Territories West Cluster’s experience on Continuous Quality Improvement from Near Miss