Resources, guidance and support to assess and improve medication safety culture, strategy and policy within the healthcare system

A forum for individuals to discuss challenges and successes to inform and inspire medication safety initiatives across the system.

A summary of recent practice communications reports, publications and safe medication practice research, including emerging issues pertinent to medication safety.

A resource collating the latest medication safety communications and publications to inform, support and inspire medication safety improvements.

Support and guidance for MSOs

Medication Safety Officers promote and ensure safe medication practice. Our resources provide practical support, guidance and tips for MSOs and those working alongside or managing MSOs as well as any individual responsible for the safe use of medicines.

Understanding the role and responsibilities of the MSO in practice will assist organisations in delivering their medication safety agenda
An infrastructure of support opportunities exists that MSOs should utilise to deliver their role most effectively
Practical guidance on effective collaboration opportunities to promote medication safety improvements

High quality reporting and management of incidents and harms ensures opportunities for learning and improving medication safety
Increased medication incident reporting provides greater opportunities for learning and improving medication safety
Practical guidance to ensure opportunities to learn from local intelligence, including patient harm are translated into shared local and national learning

Organisations should utilise resources to effectively drive improvement based on the learning from incidents, concerns, disputes and claims
Practical guidance to support those undertaking medication incident investigations
Effective communication allows for timely responses to new and emerging medication risks and the sharing of potential safety solutions.

Effective use provides assurance that an organisation is aware of the most critical medication safety related information, and acts on this to improve safety
Healthcare professionals responsible for medication safety in their organisation must deliver an appropriate response to safety alerts
Healthcare professionals delivering the medication safety agenda in their organisation require an understanding of national policy, frameworks and legislation

All our medication safety content

All our guidance on antidotes; and safe administration, storage, prescribing and labelling of all medication.

Medication Safety Update

A resource collating the latest medication safety communications and publications to inform, support and inspire medication safety improvements.

Giving intermittent intravenous infusions by gravity in adults

Safe administration of intravenous injections is paramount. Consideration of the risks associated with different delivery methods is essential.

Medication safety across the system: opioid safety

Discussion of key current medication safety challenges within healthcare with a focus on opioids. We aim to inspire partnership working across the system.

Managing the risks of using effervescent tablets in children

Careful use of effervescent or soluble tablets to deliver part tablet doses for children and neonates can minimise risks of toxicity or suboptimal therapy.

Assessment and storage for the self-administration of medicines

Suitable medicines must be stored safely and securely in accordance with organisational policy, while still supporting self-administration

Implementing self-administration of medicines

Patients under hospital care should be supported to continue self-administering unless there are good reasons why they are unable to

Self-administration of medicines

Self-administering medicines in hospital can benefit patients and organisations alike and should be encouraged wherever it is safe to do

Accessing resources for patients on high risk medicines

A number of resources are available to support the safe use of high-risk medicines. Healthcare professionals should ensure they are available for their patients

Medication Safety

Resources, guidance and support to assess and improve medication safety culture, strategy and policy within the healthcare system

Understanding why temperature management is important for medicines storage

Temperature control and monitoring of storage areas to avoid temperature excursions; ensuring medicines are fit for purpose at administration to patients

Preventing parenteral nutrition rapid over-infusion in babies

There is a risk of severe harm or death if PN is unintentionally infused too rapidly in babies. Healthcare professionals need to ensure safe practice.

Using intravenous paracetamol preparations safely in paediatrics

Safety risks and mitigation strategies are described to reduce the risk of errors with intravenous paracetamol in neonates, infants, and children.

Safety considerations when using Vitamin D

Healthcare professionals who use vitamin D should be aware of the risks of toxicity and safe practice principles which may prevent patient harm

Metolazone preparation differences and safety considerations

Healthcare professionals involved in the use of metolazone need to be aware of the differences between licensed and unlicensed products to ensure safe care

Worked example of assessing the risk of transcribing

Example where medicines are prescribed by both the patient’s GP and specialist clinicians, and are administered in a patient’s home.

Risk assessing transcribing for administration

Various factors affect the risks associated with using transcribing for medicines administration.

Managing risk when supplying and administering COVID-19 treatments across the system

Differing models exist for the supply and administration of COVID-19 treatments. We guide through the risks and mitigations associated with each.

Using potassium permanganate for skin conditions or wound care

Potassium permanganate is a chemical product. We review the evidence for using it in wound care and highlight the risk of severe harm associated with wrong use.

Managing risks of betamethasone soluble tablets used as mouthwash

Serious side effects can be caused if betamethasone soluble tablets used as mouthwash are swallowed. Providing clear patient directions can help prevent harm

Including medicines with Risk Minimisation Measures (RMM) in PGDs

This article reflects MHRA guidance on the use of PGDs for medications which have risk minimisation measures (RMM).

Good governance guidance when handling multiple COVID-19 vaccines

Practice points to ensure good governance when planning or designing vaccination services where multiple vaccines are used.

Safe practice for handling multiple COVID-19 vaccines

A number of COVID-19 vaccines are available, all with different handling and dosing requirements; sites need to plan to reduce the risk of errors

Multiple Use of Injectable Medicines in Clinical Areas V 02 February 2020

This document is intended for multi-professional clinical practitioners to use as a reference and source of information for the prescribing, reconstituting or administering injectable medicines.…

Guidance on Handling of Injectable Cytotoxic Drugs in Clinical Areas in in NHS Hospitals in the UK (Yellow Cover) Edition 1 July 2018

Intended audience: This document is intended as a reference and source of information to the following audiences: Nursing staff who handle cytotoxic chemotherapy (Oncology /…

Product Risk Assessment Tools

Product risk assessment tools to support NHS organisations to identify risk resultant from medicinal product presentation.