Gordon Thomson, Principal Clinical Pharmacist, NHS Tayside discusses how they implemented PharmacyView, reducing their time spent on administrative tasks, enabling the more efficient deployment of staff resource and how they can now more easily identify priority patients on high risk drugs.
2. Introduction – Andrew Grant, Nugensis
PharmacyView Implementation, Gordon Thomson,
NHS Tayside
PharmacyView Demo - Andrew Grant, Nugensis
PharmacyView Reporting Dashboard - Andrew Grant,
Nugensis
Questions for the Panel
TODAY’S AGENDA
3. Gordon Thomson,
Head of Clinical Pharmacy Development
NHS Tayside
IMPLEMENTING
PHARMACYVIEW
A tool for clinical teams, team leaders and
the organisation
4. PHARMACYVIEW
Nugensis product – part of a suite of
tools linked to the eWhiteboard
programme
Data populated from Topas
(Trakcare)
5 additional fields to be populated
by Pharmacy staff to record activity
Data moves with the patient within
NHS Tayside hospitals
5. Pharmacy Technician
Identify new admissions
8am Spt/Snr PhTech Access TOPAS, create report for ward
set, print, highlight new admissions since last working day
(8am previous day)
Check eDD for discharges
Spt/Snr Ph Tech access eDD to identify list if discharge
workload in the morning signed off by doctor
Approx 15 Minutes
(Per Patient)
Give TOPAS sheets to Ph Techs
Spt/Snr Ph Tech gives endorsed TOPAS sheets to Ph Tech
covering ward and highlights discharges on eDD.
Pharmacy Technician transits to ward
Check data on TOPAS sheet with Ward
Data
Compare data on whiteboard/WardView and annotate TOPAS
sheets with bay/bed information.
5
Minutes
Approx 20 Minutes
(Per Patient)
Are there
eDD’s on the
system?
Yes No
POD Check New
Patients
Working from TOPAS sheets, TPAR
& PODs assess the suitability of
PODs and communicate problems
/ discrepancies to the ward
pharmacist
5
Minutes
Ward Clinical Pharmacist
20-30
Minutes
Identify and plan workload for ward 3
• Filter patients with first green tick on eDD column.
•Filter patients with no triage category documented.
•Filter patients due for review today.
Filter
PharmacyView
Are there eDD’s
(first green tick)
(Not part of testing
as IT issues with link)
Transit to ward
Yes
No
Sign off eDD
(Not part of testing as IT
issues with link)
Filter
PharmacyView
Are there patients
with no triage
category
Yes
NoClinically Review Patients
Med Rec, TPAR screen, Bloods
Update PharmacyView column.
Filter PharmacyView by
Review Date
Review all patients due
for review today.
Access to Clinical Portal and eDD and
other IT systems accessed via intranet
Confirm if new Patient(s) screened from AMU
•Manual examination of medical notes, update Pharmacy View if required
25Minutes
10
Minutes
10 Minutes
(Per Patient)
20
Minutes
(Per
Ptient)
10Minutes(Per
Patient)
PHARMACYVIEW PROJECT – Where is Agnes?DischargePatientJourney
Admission Process Mapping Exercise – Current Technical and Clinical Practice
6.
7.
8. PHARMACYVIEW PROJECT – Where is Agnes?
Process Mapping Exercise – Pharmacy View Testing
Pharmacy Technician Ward Clinical Pharmacist
Identify and plan workload for ward 3
•Filter patients with red cross in Pod Check column.
•Filter patients with first green tick eDD column.
(Not part of testing as IT issues with link)
Open PharmacyView on desktop in
department or transit to ward
Are there eDD’s
(first green tick)
(Not part of testing
as IT issues with
link)Yes No
Complete Supply
Column on eDD
Working from TPAR, PODs update
the supply column on the eDD and
refer problems/ discrepancies on
eDD leaving notes via free text
comments
POD Check New
Patients
Using TPAR & PODs assess the
suitability of PODs and
communicate problems /
discrepancies to the ward
pharmacist.
Update POD CHECK on
PharmcyView at bedside
Access to Clinical Portal and
eDD and other IT systems
accessed via intranet
Identify and plan workload for ward 3
• Filter patients with first green tick on eDD column.
•Filter patients with no triage category documented.
•Filter patients due for review today.
Filter
PharmacyView
Are there eDD’s
(first green tick)
(Not part of
testing as IT
issues with link)
Open PharmacyView on desktop
in department or transit to ward
Yes
No
Sign off eDD
(Not part of testing as IT
issues with link)
Filter
PharmacyView
Are there patients
with no triage
category
Yes
NoClinically Review Patients
Med Rec, TPAR screen, Bloods
Update PharmacyView column.
Filter PharmacyView by Review
Date
Review all patients due for
review today.
Access to Clinical Portal and eDD and other IT
systems accessed via intranet
Confirm if new Patient(s) screened from AMU
•Manual examination of medical notes, update Pharmacy View if required
3Minutes+5Minstotransit
toward
Approx20Minutes(Per
Patient)
2Minutes+5Minstotransit
toward
10
Minutes
10 Minutes
20
Minutes
(Per
Ptient)
Approx15
Minutes
(PerPatient)
10Minutes(Per
Patient)
PHARMACY TECHNICIAN
RESULT
New Patient Screening process
only
*Until end of first patient seen
Current practice 60 mins
Testing practice 28 mins
Difference 32
mins
PHARMACIST RESULT
New Patient Screening process
only
*Until end of first patient seen
Current practice 55 mins
Testing practice 37 mins
Difference 18
mins
DischargePatientJourney
Admission
9. PHARMACYVIEW BENEFITS
Captures and displays pharmacy activity
Visible to all members of MDT
No need to transfer this information between
pharmacy teams
Patients requiring a review after initial triage can be
easily identified
Allows more efficient deployment of staff resource –
directed to areas of need rather than on geographical
basis
Opportunity to extract data to display in Qlikview –
everyone will see the same data!
Can be accessed via eWhiteboard screens, PC’s or
mobile devices
Reduces time spent on administrative tasks which can
be re-directed to clinical activities
Staff love it!
10. PHARMACYVIEW WHAT HAPPENS NEXT?
eHealth Team to complete closure report
Currently in use across medical floor Ninewells (12 wards)
Implementation plan will describe process to gain access via IT Portal
and awareness sessions for pharmacy staff
Working with Business Unit to agree specification for measures to be
displayed in Qlikview
Pharmacy View will come as part of the rollout package for the
eWhiteboard
Collaboration with users in other Boards to agree national
specification for system and measures
13. Provides an immediate and real-time view of every patient’s pharmacy service
requirements.
Available throughout the Trust to identify and effectively manage the prescription and
supply of drugs
Supports pharmacists and technicians to record and see, at a glance,
completed/incomplete pharmacy-based requests and alerts
Enabling a more safety-focused approach to the provision of patient care and
eliminating unnecessary patient visits and assessments.
THE PHARMACYVIEW SOLUTION
14. QUESTIONS FOR THE PANEL
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