Medication Safety Standard 4 Part 1- Introduction

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Medication Safety Standard 4 Part 1- Introduction Margaret Duguid, Pharmaceutical Advisor Graham Bedford, Medication Safety Program Manager Standard 4 Medication Safety

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Standard 4 Medication Safety. Medication Safety Standard 4 Part 1- Introduction. Margaret Duguid, Pharmaceutical Advisor Graham Bedford, Medication Safety Program Manager. Standard 2 Partnering with Consumers. Standard 1 Governance for Safety and Quality in Health - PowerPoint PPT Presentation

Transcript of Medication Safety Standard 4 Part 1- Introduction

Page 1: Medication Safety Standard 4 Part 1- Introduction

Medication Safety Standard 4Part 1- Introduction

Margaret Duguid, Pharmaceutical Advisor

Graham Bedford, Medication Safety Program ManagerStandard 4Medication Safety

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Standard 7Blood and Blood

Products

Standard 10Preventing Falls and

Harm from Falls

Standard 1Governance for Safety and

Quality in Health Service Organisations

Standard 2Partnering withConsumers

Standard 4Medication Safety

Standard 3Healthcare AssociatedInfections

Standard 8Preventing and

Managing Pressure Injuries

Standard 9Recognising and

Responding to ClinicalDeterioration in Acute

Health Care

Standard 5Patient Identificationand ProcedureMatching

Standard 6ClinicalHandover

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Intent of Standard 4 – Medication Safety

Ensure competent clinicians safely prescribe, dispense, and administer appropriate medicines safely to informed patients and carers

• Reduce medication incidents, adverse events

• Improve safety and quality of medicine use.

Standard 4Medication Safety

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Standard 4 – Medication Safety

The Medication Safety Standard describes the elements of a safe medication management system.

It requires hospitals have in place strategies and systems known to reduce the risk of common causes of medication error.

• standardisation and systemisation of processes

• improving clinical workforce and clinician-patient communication

• using technology to support information recording and transfer

• providing better access to patient information and clinical decision support at the point of care. Standard 4

Medication Safety

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3. NSQHSS: Medication Safety Standard 4

Criteria to achieve the Medication Safety Standard:

Governance and systems for medication safety

Health service organisations have mechanisms for the safe prescribing, dispensing, supplying, administering, storing, manufacturing, compounding and monitoring of the effects of medicines.

Documentation of patient information

The clinical workforce accurately records a patient’s medication history and this history is available throughout the episode of care.

Medication management processes

The clinical workforce is supported for the prescribing, dispensing, administering, storing, manufacturing, compounding and monitoring of medicines.

Continuity of medication management

The clinician provides a complete list of a patient’s medicines to the receiving clinician and patient when handing over care or changing medicines.

Communicating with patients and carers

The clinical workforce informs patients about their options, risks and responsibilities for an agreed medication management plan.

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Criterion to achieve the medication safety

standard(5)

Actions required to meet standard

(37)

Items required to achieve standard

(15)

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Core and developmental actions

Core – critical to safety and quality and must be met

Developmental – areas health services can focus efforts. Activity is required, but action does not need to be fully met. Health service organisations should be able to demonstrate planning, analysis and/or focus of efforts and resources for all developmental actions.

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Developmental actions

Documentation of patient information4.8.1 Current medicines are documented and reconciled at

admission and transfer of care

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Developmental actions

Communicating with patients and carers

All action items

4.13.1, 4.13.2 - Clinical workforce provides patients with patient specific information

4.14.1 – An agreed medication management plan documented

4.15.1, 4.15.2 - Information provided to patients and carers in format that is understood

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Standard 4 – Medication safety

Issues• Lack of staff/resources

• Governance • Med safety as priority for S & Q• Undertake risk assessment/gap analysis

- Prioritise activities according to risk • Making medication safety everyone’s business

• Not just a pharmacy issue• Opportunities• Governance• Safety and Quality• Build into Medication Safety QI Plan• Work across the professional silos

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Standard 4 – Medication Safety Resources

Standard 4 - Medication Safety

Resources

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Safety and Quality Improvement Guides

Implementation strategies for each action

• Key task

• Suggested strategies

• Outputs

• Resources

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Safety and Quality Improvement Guides

Key Task

Suggested strategies

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Safety and Quality Improvement Guides

Criterion: Governance and systems for medication safety

Outputs of improvement processes

Resources

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Accreditation workbook

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Medication Safety Standard Workbook

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Other resources

QH Audit toolhttp://www.safetyandquality.gov.au/

our-work/accreditation/resources-to-implement-the-national-safety-and-quality-health-service-standards/

Advice Centre Email: [email protected]: 1800 304 056

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NSQHC Standards Guide for Small Hospitals

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Other resources

Health Service Standards and Accreditation webpage• Accreditation newsroom

• Information for rural hospitals• Guide for small hospitals

• Resources to implement standards• Medication safety standard

• Queensland Health Audit tools• Patient level• Unit/ward level• Facility level

http://www.safetyandquality.gov.au/our-work/accreditation/

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Medication Safety Standard: Summary

Ensuring that competent clinicians safety prescribe, dispense and administer appropriate medicines to informed patients and carers is an essential element of safe and high quality care.

Purpose of the Standard is to improve outcomes for patients by ensuring that there is a systematic approach to medicines management and safety

Outcomes to be achieved are clear – methods to get there will vary depending on context

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Australian Commission on Safety and Quality in Health Care

Medication Safety Program

www.safetyandquality.gov.au

Email: [email protected]

[email protected]

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