Meeting: June 9 and June 10, 2010

Format

Meeting Date June 9 (1:09pm ~4:38pm) and June 10, 2010 (10:08am~3:35pm)

Member Organizations (Present at meeting in Bold)

AARP
American Academy of Physicians Assistants
American College of Physicians Foundation
American Geriatrics Society
American Hospital Association
American Medical Association
American Pharmacists Association
American Society for HealthCare Risk Managers
American Society of Consultant Pharmacists
American Society of Health-System Pharmacists
Anesthesia Patient Safety Foundation
Department of Defense
Department of Veterans Affairs
Food & Drug Administration
Generic Pharmaceutical Manufacturers Association
Institute for Healthcare Improvement
Institute for Safe Medication Practices
The Joint Commission
National Alliance of State Pharmacy Associations

National Association of State Boards of Pharmacy
National Council of State Boards of Nursing
National Council on Patient Information and Education
National Patient Safety Foundation
Pharmaceutical Research and Manufacturers of America

Society of Hospital Medicine
United States Pharmacopeia

Individual Members

  • Deborah M. Nadzam
    Diane D. Cousins

Discussion Items

A. Summary of the February Conference Call

B. Agenda

C. Reminder of renewals for October 2010: ASHRM; ASCP; DoD; IHI; ISMP; NASPA; NCPIE; VA

D. Weight-based dosing

E. Rules and procedures

F. The addition of the metric system to the recommendations needing updating

G. Definition of Medication Error

H. Resubmission of ISMP Cheers Award nomination

I. 15 Year Celebration press release

J. Glass ampul labeling for required use of filters

K. National Alert Network for Serious Medication Errors

L. Statement on criminalization of errors and strategies for outreach/communication


Action Items*

A. Observers and other participants were welcomed and introduced

B. The agenda was approved as presented

C. The February, 2010 conference call summary was approved

D. Rules and procedures were revised and approved

E. A workgroup empanelled to review the Council definition of "Medication Error"

F. The Council will resubmit nomination for the ISMP Cheers Award

G. Glass ampul labeling requirements for use of filters considered but not within the scope of Council

H. National Alert Network for Serious Medication Errors web site layout was approved

I. Statement opposing criminalization of medication errors was reviewed and revised. Draft will be reviewed from the human factors and legal perspective

J. Celebration of 15 Years of Council successes convened

Next Meeting Date

October 26, 2010 (10:00am ~ 4:00pm)

Actions/Decisions are those of the Council as a whole and may not reflect the views/positions of individual member organizations.

Meeting Date