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Medicine Reconciliation with Hospital Electronic Prescribing and Administration

Medicine Reconciliation with Hospital Electronic Prescribing and Administration. Pamela Mills Principal Pharmacist – Redesign SPSP Fellow. Circa 1993 – Recurring nightmare. Patient Harm. Administration errors. Prescribing errors. Dispensing errors. Transcription errors.

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Medicine Reconciliation with Hospital Electronic Prescribing and Administration

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  1. Medicine Reconciliation with Hospital Electronic Prescribing and Administration Pamela Mills Principal Pharmacist – Redesign SPSP Fellow

  2. Circa 1993 – Recurring nightmare Patient Harm Administration errors Prescribing errors Dispensing errors Transcription errors

  3. Circa 1995 – A dream Improved medicine administration Reduced Prescribing errors Reduced transcription errors Safer patients

  4. Hospital Electronic Prescribing & Administration • HEPMA at Ayr since 2001 • 64,000 individual patients have been registered with many multiple admissions • 2.6 million prescriptions • 13.5 million administrations • Without major incident

  5. NHS Ayrshire & Arran Scope Decision Support

  6. Original Inpatient Sheet

  7. Electronic Prescription Sheet

  8. A thought from a user........... “of all the systems they want us to use and the changes they want us to make, this system (HEPMA) is the only one that has helped me do my job and care for my patients”

  9. Technology developments

  10. Patient Entry Routes

  11. Medicine Reconciliation Process

  12. Patient Entry Routes

  13. Emergency Care Summary (ECS)

  14. How can HEPMA facilitate Med Rec ?

  15. HEPMA Winners

  16. ECS Med Rec Report

  17. Challenges • Med Rec report not “user friendly” • Not consistent process – access & printing • Accuracy of information • Certain medicines not included • Scheduled patients?

  18. Redesign of ECS Report • Patient Name, CHI, DOB • Patient name on all pages • Allergies • Medicines in alphabetical order • Remove dressings, catheters, needles etc • Comments column • Space under each row- changes • 10 empty rows at bottom • Compliance aid • Details of completion

  19. Response “Atos Origin are looking at options for your change request, and have identified that the system currently couldn’t print patient demographics on each page (like a Word style header or footer) without a change to the system.  We are looking to form an ECS Service Board that will evaluate all change requests to ECS, however until this formed, I’ll take this to our interim board which consists of some of the clinicians that have been involved in the old ECS Programme Board, and Atos and we can evaluate better what is possible.  It would be useful if we could have a conference call to discuss it with the interim group?  I’ll send out dates and get peoples availability.” 28th August 2011

  20. Future ?

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