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Slide 2 Message from IHI Frank Federico Executive Director Slide 3 Frank Federico Executive Director Slide 4 All Teach; All Learn Slide 5 Slide 6 Medication Safety for IHI Campaigns Focus on high-alert medications Opioids Insulin Anticoagulants Sedatives/hypnotics Slide 7 Large Scale Initiatives Around the World Medication Management High-alert medications Medication Reconciliation Failure Mode and Effects Analysis (FMEA) Slide 8 Focus on Opioid Safety Effective medications for pain management Even when used properly, opportunity for adverse events Segment of patients may be a greater risk Addiction potential Fear of addiction/ADE may lead to uncontrolled pain Lack of expertise in pain management may lead to greater harm Patients/families have a role Overuse linked to development of pressure ulcers because of lack of mobility Slide 9 Bundles A bundle is a structured way of improving the processes of care and patient outcomes: a small, straightforward set of evidence-based practices generally three to five that, when performed collectively and reliably, have been proven to improve patient outcomes. Carol Haraden, Vice President, IHI Slide 10 Opioid Safety Bundle Identify evidence-based practices All needed to improve care Result is improved outcomes Slide 11 Slide 12 Slide 13 Slide 14 Slide 15 Leading the World in Opioid Safety Your work will benefit all patients Identifying those interventions that are most effective and most easily adopted Ensure that patients are receiving the pain management/relief needed and not experiencing adverse events On behalf of all patients, thank you.