Challenge: Tertiary Care Hospitals to Management of High Alert Medicine for Reduce the Medication Error

Medication errors are one of the most common causes of avoidable harm to patients in health care organizations. Medications that have the highest risk of causing injury when used wrongly are known as high-alert medications in JCI accredited hospitals. Safe practices can reduce the potential for harm. Because of the significant nature of the potential adverse effects such as bleeding or hypoglycemia. Many of these medications are also more likely to be associated with dosing errors, due to issues such as the need to frequently calculate dosing based on weight. A separate list for community and ambulatory healthcare settings is also available from ISMP. In case of LASA medication regular updating of regular LASA medication list on the basis of current incidence need to be under observation of Pharmacy and Therapeutics Committee. Prescription review by clinical pharmacist in relation with patient report, indication and instruction for the dilution was to be done before administration. This may lead to convert medication error into near miss error. All High alert medication has to be audited for every step in MMU (Medication Management and Use) like prescription, indenting, dispensing and administration. Double checking is compulsory follow in every step.