AAEECE Worlwide Patient Safety Initiative Proposed Solutions Worksheet for HEALTHCARE PROFESSIONALS

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1. Select which healthcare profession you represent:
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2. IMPRINT THE DRUG NAME ON THE TWIST OFF CAP OF EACH PRODUCT.
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SELECT ONE ONLY:
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3. IMPRINT THE DRUG NAME ON THE PROTECTIVE PLASTIC SEAL OF THE CAP (AS SEEN WITH HEPARIN VIALS).

NOTE:This additional safety system would only assist patient until the plastic seal is removed and discarded upon first use.
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SELECT ONE ONLY:
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4. USE DIFFERENT FONT STYLES AND SIZES TO DIFFERENTIATE DRUG NAMES ON PRODUCTS.

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5. CONSIDER THE ADDITION OF TALL MAN LETTERING SYSTEMS ON LABELS.

EXAMPLES: TobrADEX and TobrEX * AZopt and COSopt * XALatan and TRAVatan
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SELECT ONE ONLY:
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6. USE NEW SYSTEMS OF COLOR-CODING LABELS ON DIFFERENT LOCATIONS OF THE PRODUCTS.

EXAMPLE: Color-code the tips of twist off caps and/or the neck of bottles.
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7. BOLD AND EXAGGERATE THE DRUG'S STRENGTH ON THE PRODUCT LABEL.

EXAMPLE: Pilocarpine 1%

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8. BOLD AND EXAGGERATE THE DRUG'S STRENGTH ONTO THE BOTTLE'S TWIST-OFF CAP.

EXAMPLE: Pilocarpine 2%

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9. STANDARDIZE ONE PANEL OF ALL 6 SIDED BOXES (PREFERABLY ONE OF THE SIDE PANELS)TO INCLUDE:THE BRAND AND GENERIC NAME, COMPANY NAME, AND PACKAGE SIZE PRINTED HORIZONTALLY AND IN LARGE BOLD PRINT).

NOTE: MANY BOXES ALREADY HAVE BLANK SPACE NEEDED FOR MODIFICATION.
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SELECT ONE ONLY
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10. TRANSFER EXISTING COLOR CODING SYSTEM IMPLEMENTED BY THE ACADEMY OF OPHTHALMOLOGISTS(AAO)FROM THE TOP TWIST-OFF CAP TO THE BOTTOM OF OPHTHALMIC BOTTLES.ALL BOTTLE TOPS WOULD REMAIN WHITE THEREBY REQUIRING PATIENTS AND HEALTHCARE PROFESSIONALS TO READ THE LABEL.

NOTE: This would minimize errors related to selecting different strengths within the same therapeutic drug class while preserving physician's ability to still use AAO color coding on the bottom of the bottle.

EXAMPLES: PILOCARPINE 0.5%, 2% and 4% look identical
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SELECT ONE ONLY
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11. STANDARDIZE DIFFERENTIATION OF THE SHAPES OF OPHTHALMIC BOTTLES VERSUS OTIC BOTTLES.

*This will be especially helpful for sight impaired patients.
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SLECT ONLY ONE:
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12. ENLARGE ALL OPHTHALMIC AND OTIC BOTTLE SIZES TO ALLOW FOR LARGER LABELS AND FONTS.
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SELECT ONLY ONE:
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13. ASSIGN DIFFERENT COLORS TO LABELS, BOXES, AND/OR CONTAINERS SO THAT NO TWO PRODUCTS HAVE AN IDENTICAL COLOR SCHEME.

*This color coding sytem would be a conversion based on NDC numbers, strengths, and or packaging sizes to specific color assignments agreed upon by manufacturers
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SELECT ONLY ONE:
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14. DEVELOP DIFFERENT/INDIVIDUAL SHAPES OF BOTTLES FOR OPHTHALMIC PRODUCTS.

EXAMPLE: VIGAMOX
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15. EVALUATE WHICH COLORS ARE EASIER TO READ ON DRUG LABELS AND LIMIT SELECTION TO THESE COLORS.

*Helpful to color-blind and other patients who cannot differentiate colors
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SELECT ONLY ONE:
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16. CONSIDER ADDITION OF RAISED SYMBOLS OR BRAILLE ON THE BOTTLE TO IDENTIFY DRUG NAME.
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17. CONSIDER THE PLACEMENT OF A RED BOX AROUND EXPIRATION DATES THEREBY MAKING IT EASIER FOR PATIENTS TO IDENTIFY.

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THE AAEECE THANKS YOU FOR YOUR FEEDBACK!
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