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Medicines Reconciliation Needs   YOU! Jennifer Ross  Medication Safety Officer SPSP Fellow
Aims: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
What is Medicines Reconciliation? ,[object Object],[object Object]
 
Group work 1. ,[object Object]
Patient Journey as a process. Patient is admitted to A&E due to a collapse  whilst out shopping Patient is transferred to community hospital Discharged  home Patient is stabilised  and transferred  to acute assessment Unit. Patient deteriorates and is transferred to ITU Patient is transferred to HDU Patient is transferred to ward Seen by diabetes specialist as OP Seen by community pharmacist for self care advice Seen by out of hours service Seen by cardiology as OP
Patient notes / communication of information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medicines Reconciliation to reduce avoidable harm. ,[object Object],[object Object],[object Object],[object Object]
July 2009
October 2008
 
Failure Modes Effects Analysis (FMEA) ,[object Object],[object Object],[object Object],[object Object]
How to carry out an FMEA
Process. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions. ,[object Object],[object Object],[object Object]
Step 1. 1.Unable to communicate with patient. 1.1 Patient is unconscious 1.2 Language barrier 1.3 Patient choice or condition Incomplete information Possible harm to patient Use of language line Local protocol relating to unconscious patient
Group work 2. ,[object Object],[object Object],[object Object]
1.Unable to communicate with patient. 1.3 Patient choice or condition 1.1 Patient is unconscious 1.2 Language barrier Incomplete information Possible harm to patient Incomplete information Possible harm to patient Incomplete information Possible harm to patient 7  5  1  10  50 7  3  10  210 Ensure a  minimum of 2 sources of information are  used for medicines reconciliation. 1 10 70 7 x 1 x 10 =
Thank you for participating Any Questions? [email_address] 01224 551570

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Medicines Reconciliation Needs You!

  • 1. Medicines Reconciliation Needs YOU! Jennifer Ross Medication Safety Officer SPSP Fellow
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  • 7. Patient Journey as a process. Patient is admitted to A&E due to a collapse whilst out shopping Patient is transferred to community hospital Discharged home Patient is stabilised and transferred to acute assessment Unit. Patient deteriorates and is transferred to ITU Patient is transferred to HDU Patient is transferred to ward Seen by diabetes specialist as OP Seen by community pharmacist for self care advice Seen by out of hours service Seen by cardiology as OP
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  • 14. How to carry out an FMEA
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  • 17. Step 1. 1.Unable to communicate with patient. 1.1 Patient is unconscious 1.2 Language barrier 1.3 Patient choice or condition Incomplete information Possible harm to patient Use of language line Local protocol relating to unconscious patient
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  • 19. 1.Unable to communicate with patient. 1.3 Patient choice or condition 1.1 Patient is unconscious 1.2 Language barrier Incomplete information Possible harm to patient Incomplete information Possible harm to patient Incomplete information Possible harm to patient 7 5 1 10 50 7 3 10 210 Ensure a minimum of 2 sources of information are used for medicines reconciliation. 1 10 70 7 x 1 x 10 =
  • 20. Thank you for participating Any Questions? [email_address] 01224 551570

Hinweis der Redaktion

  1. How many opportunities hold up your numbers Please. This is my journey and I have identified 11 Each patients journey will be different but, there are common aspects such as
  2. This is why do we need medicines reconciliation. One example One too many
  3. Lucian leape
  4. Take your FMEA sheets we are going to concentrate on the first 3 columns