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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

Medicine Reconciliation with Hospital Electronic Prescribing and Administration

Pamela Mills

Principal Pharmacist – Redesign

SPSP Fellow

circa 1993 recurring nightmare
Circa 1993 – Recurring nightmare

Patient

Harm

Administration

errors

Prescribing

errors

Dispensing

errors

Transcription

errors

circa 1995 a dream
Circa 1995 – A dream

Improved medicine administration

Reduced Prescribing

errors

Reduced transcription errors

Safer patients

hospital electronic prescribing administration
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
a thought from a user
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”

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