Enhancing Patient Safety in High-Alert Medication Management: A Review of Collaborative Strategies between Nursing and Pharmacy to Minimize Medication Errors

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Salem Musayfir Mesfer Alotaibi, Raed Ghazi Alotaibi, Bader Bejed Ishg Alotaibi Afif,Rola Bakri Ahmed Kourdi,Manal Muteb Almutairi, Ibrahim Farea Khalaf Alotaibi,Munirah Ali Mesfer Alquraini,Alhassan Ahmed S. Hamzi, Nouf Omar Mohammed Hamzi, Reema Hamad Alsahli, Bandar Mihmas Muslih Alotaibi, Talal Hussain Alatawi, Fawizah Zaid Almutery,Sami Ahmed Almutairi, Nora Abdullah Alsuqayran,

Abstract

High-alert medications pose significant risks due to their narrow therapeutic indices and potential for severe patient harm when mismanaged. This review explores collaborative strategies between nursing and pharmacy teams to enhance patient safety in the context of high-alert medication management. Emphasizing interdisciplinary communication, standardized protocols, and technological advancements, the study identifies critical practices to reduce medication errors and optimize patient care.


Key interventions include the implementation of double-checking procedures, barcoding systems, and automated dispensing technologies, which provide additional layers of verification in medication administration. Nurses play a frontline role in monitoring patients and adhering to safety protocols, while pharmacists contribute expertise in pharmacology, dosing, and interaction management. Collaboration between these disciplines fosters a system of checks and balances that minimizes the risk of errors.


Education and training are pivotal, with simulation-based learning and competency assessments ensuring healthcare providers remain proficient in managing high-alert medications. Furthermore, fostering a culture of safety—where errors are reported without fear of retribution—enables continuous learning and system improvement. Monitoring and evaluating safety programs through audits, incident reporting, and performance metrics allow for data-driven enhancements in medication management.


This review underscores the importance of adopting a multifaceted approach to high-alert medication safety, integrating human oversight with technological tools and fostering teamwork among healthcare professionals. Such strategies are essential for reducing adverse events, improving patient outcomes, and advancing the overall quality of care.


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