Concentrated Insulin – CHPSO Safe Table Forum

Even with 1.33 million events in the CHPSO database, fewer than 50 relate to concentrated insulin, underscoring the need for broad collaboration to understand the issues behind this high-risk medication. In February 2017, CHPSO started working with other PSOs and health care delivery systems to take a closer look at the types of incidents that are occurring and see what organizations are doing to prevent these types of incidents from occurring.

Collaborating Organizations include:

  • American Data Network – Arkansas
  • Ascension Health Patient Safety Organization
  • Carolinas HealthCare System
  • Cassatt Patient Safety Organization
  • Center for Patient Safety – Missouri
  • Children’s Hospital Patient Safety Organization
  • Empire State Patient Safety Assurance Network
  • Institute for Safe Medication Practices (ISMP)
  • MHA Keystone Center – Michigan
  • Maryland Patient Safety Center- Maryland
  • Midwest Alliance for Patient Safety PSO – Illinois
  • North Carolina Quality Center (NCQC PSO)
  • University of Nebraska Medical Center (UNMC)
  • Tennessee Center for Patient Safety
  • Texas Hospital Association
  • VA National Center for Patient Safety
  • Virginia Patient Safety Organization
  • Virginia Bon Secours Health System
  • Vizient, Inc.

The goal is to identify the parts of the medication use process that members are struggling with, and come up with a gap analysis and toolkit that addresses the areas in which we identify errors. As part of this, participating organizations will hold safe tables and other meetings with their members. They will also develop and accumulate helpful documents such as procedures, training, checklists, etc. CHPSO is hosting a members-only safe table forum.

What is a Safe Table and who should attend?

A Safe Table is a forum where health care professionals within the CHPSO membership have frank, confidential discussions about quality and patient safety issues. Patient Safety, Quality, and Risk Management leaders from your facility are encouraged to attend.

These discussions are driven by attendee participation. Attendees present one case for 3-5 minutes to share with the group. The case involves a situation in which there are systematic concerns or the hospital may be looking for ways to address the matter or obtain advice.

Although we will only have time for a few cases, all attendees must come prepared to discuss their organization’s experience with this topic. The value of this session comes from the expression of multiple viewpoints and experiences on the topic. The moderator may call on specific attendees to share their experiences and insights. Click here to view 2017 Safe Table Meeting Schedule.

Date & Time: September 6, 2017 from 10:00am-11:00am Pacific Time

Location: Via Teleconference

Registration: Registration is required. Register below.

CE Notice:

CHPSO is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16084 for 1 contact hour.

CHPSO does not currently offer ACPE approved Pharmacy CE, but the State of California will accept CE from courses which have been approved for continuing education by the Medical Board of California, the California Board of Podiatric Medicine, the California Board of Registered Nursing or the Dental Board of California towards their California continuing education requirement (Section 1732.2(b) of the California Code of Regulations). Pharmacists need to keep track of CE from these sources on their own as they are not submitted to NAPB.

At the conclusion of the safe table meeting, participants will be able to:

  • Describe information about best practices relative to patient safety.
  • Discuss challenges in a frank, open discussion with other hospitals.
  • Describe lessons learned from other organizations as it could relate to the work in the participant’s hospital.

Please contact CHPSO at info@chpso.org if you have any questions.