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Gillian Sharratt , Kate Oliver

SMART COMMUNICATION: Improvement of discharge summary quality using Junior Medical officer targeted education strategies. Gillian Sharratt , Kate Oliver. Background. 2010 SAFER Medicines group undertook a priorities assessment of current issues in the hospital system

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Gillian Sharratt , Kate Oliver

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  1. SMART COMMUNICATION:Improvement of discharge summary quality using Junior Medical officer targeted education strategies Gillian Sharratt, Kate Oliver

  2. Background • 2010 SAFER Medicines group undertook a priorities assessment of current issues in the hospital system • Issue of changes to patients medications whilst in hospital selected for project work • DUE methodology, project referred to NSW DUE support group. • Literature search to identify the barriers to communication and documentation in discharge summaries

  3. Objectives • Describe the extent to which explanations for changes to patients medicines are being documented in discharge summary (QUM Indicator 5.3) • To increase awareness of APAC guiding principles within the hospital setting – • Guiding Principle 9: Communicating Medicines Information • To optimise the discharge summary as a communication tool to GPs in communicating explanations to patients medicine therapy.

  4. Project timelines

  5. Multisite project • DUE SG had oversight of project and the development of data collection tools • Expert advisory group to develop intervention tools • 16 hospitals recruited to participate (14 NSW, 2 ACT)

  6. Methodology: Data collection • QUM Indicator 5.3¹ • Percentage of discharge summaries that include medication therapy changes and explanations for changes • Retrospective review of patients discharged over a one week period (Jan 2010 and June 2011) ¹Indicators for Quality Use of Medicines in Australian Hospitals: NSW TAG 2007

  7. Definitions “Medication therapy changes” Changes to the patients pre-admission regimen which are intended to continue after discharge “Explanation for changes” Should include sufficient detail to inform future management decisions and should be explicitly documented in the discharge summary or letter

  8. Data collection tool

  9. Intervention development • Barriers identified in literature search……………. Expert Advisory Group - CETI JMO rep - GP - Director Medical Services - Paediatric consultant form SCH - Quality manager - Senior Pharmacist Education and Training

  10. Interventions

  11. Interventions

  12. Interventions

  13. Interventions

  14. Discussion/conclusion

  15. Recommendations

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