Atlantic Health is comprised of two community teaching hospitals and a rehabilitation institute. We have decided to develop a corporate strategy for looking at medication safety and welcome any information that you, the medication safety expert at your facility, can provide us. If you would kindly answer the questions below or email me a time that is convenient for you to take my phone call, that would be greatly appreciated. I will be sending this survey out through a few listserv’s so my apologies in advance if you see this more than once.
Single facility vs. Multi-facility health system (_____ facilities)
Multidisciplinary medication safety team in place: yes / no
Formal Medication Safety Officer/Lead position in place: yes / no
Leadership of team and department(s): _____________________
Meetings scheduled: monthly / quarterly / other: ____________
Medication safety team activities reported to: _________________
Reports provided: monthly / quarterly / other: _____________
Membership comprised of:
• Pharmacy management: yes / no
• Staff pharmacist: yes / no
• Clinical pharmacist: yes / no
• Informatics pharmacist: yes / no
• Nursing management: yes / no
• Staff nurse: yes / no
• Clinical nurse specialist: yes / no
• Attending physician: yes / no
• Resident physician: yes / no
• NP / PA: yes / no
• Quality: yes / no
• Risk management: yes / no
• Informatics staff: yes / no
• Other: ____________________________________________
Formal goals established and monitored: yes / no
If anyone would like to see the tabulated results of this survey, please include that in your email.
Thanks for your help, Bill
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William F. Rickley, MS, PharmD
Manager, Clinical Pharmacy Services
Medication Safety Officer
Residency Program Director
Atlantic Health
1000 American Road
Morris Plains, NJ 07950
P (973) 656-6222
F (973) 898-3900