Self Assessments

Medication Safety Self Assessment® for Perioperative Settings


Quality improvement results workbook and worksheets now available! Accessible only to participants by logging in to the self-assessment site.  

The ISMP Medication Safety Self Assessment® for Perioperative Settings offers hospitals, freestanding ambulatory centers, and other facilities that perform outpatient medical and/or surgical procedures a unique opportunity to: 

  • Heighten awareness of best practices associated with safe medication systems in the perioperative and procedural setting

  • Assist your interdisciplinary team with proactively identifying and prioritizing facility-specific gaps in perioperative and procedural medication systems to avoid patient harm

  • Create a baseline of your efforts to evaluate perioperative medication safety and measure your progress over time

  • Help analyze the current state of medication safety in perioperative and procedural settings and create a baseline measure of national efforts

Thank you to the organizations that have endorsed the ISMP Medication Safety Self Assessment® for Perioperative Settings.

Collaborate with ISMP

  • Contract with ISMP (for a fee) to establish a cohort of data for your collaborative group

  • Work with ISMP to develop collaborative-specific codes and distribute to the facilities in your group

  • ISMP will provide each group an Excel spreadsheet of the aggregate data of their member facilities 

  • For more information, contact: [email protected] 

Funding Source: This assessment tool, which was developed by the Institute for Safe Medication Practices (ISMP), was funded by the US Food and Drug Administration (FDA) under contract #75F40119C10120. All materials associated with this project represent the position of ISMP and not necessarily that of the FDA.

PRA Burden Statement: According to the Paperwork Reduction Act (PRA) of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid Office of Management and Budget (OMB) control/number. The valid OMB control/number for this information collection is 0910-0847 and the expiration date is 12/31/2022. The time required to determine eligibility to use the assessment is estimated to average 2 minutes per person, and the time required for small teams to complete this information collection is estimated to be 8.54 hours for Ambulatory Surgical Centers and 25.67 hours for Hospitals. 

Security of Participant Information: Participant information will remain secure to the extent permitted by law.

Copyright: The ISMP Medication Safety Self Assessment® for Perioperative Settings and its components are copyrighted by ISMP and may not be used in whole or in part for any other purpose or by any other entity except for self assessment of medication systems by hospitals, ambulatory surgery centers, and other facilities that perform medical and/or surgical procedures as part of their ongoing quality improvement activities.

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