The Health Quality & Safety Commission has published two in a series of ‘one step’ activities designed to help clinicians identify risks and change systems and practices relating to high-risk medicines.
The activities are part of the Open campaign focus on reducing harm from high-risk medicines, which can cause harm and even death.
Each one step focuses on different issues relevant to safety for some high-risk medicines. Some focus on clinical audit of prescriptions and are particularly relevant to resident medical officers; others focus on guidelines and patient information, and might be particularly relevant to quality and risk.
The one steps each pose 4–6 questions designed to:
The one steps can be completed by any clinician.
The two one steps published on the Open website at http://www.open.hqsc.govt.nz/medication/one-step/ are on:
Several more on aspects of insulin prescribing, dispensing, management and administration are being developed and tested.
A competition for clinicians to develop their own one steps is planned. Further information will be available soon.