Safer Medicine Admissions Review Team (SMART). Carl Eagleton and Hannah O’Malley on behalf of the SMART Working Group. The Need… Increasing General Medicine patient volumes. Volume. EC arrival year. The Need… Increasing patient wait times in Emergency Care (EC). LOS (Hours).
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Carl Eagleton and Hannah O’Malley
on behalf of the SMART Working Group
IncreasingGeneral Medicine patient volumes
EC arrival year
Increasing patient wait times in Emergency Care (EC)
EC arrival year
‘MAP’ Model of Care
Adapting the ‘Admissions Team’
The SMART model (a doctor and pharmacist working together) will be applied to 90% of triage category 2-5 patients presenting to EC who are referred to GM between the hours of 8am and 10pm, Monday to Friday.
With help from statistician a daily report was developed capturing the # of patients SMARTed versus total # in target group, time to be seen, time to MR, and LOS
Manual Data Collection
Manual data collection is needed to record interventions and contributions by pharmacists – an electronic data collection form is being developed to streamline this process
A dashboard has been developed to track progress on measures which are updated weekly or monthly
Percent of patients seen increasing as SMART tests new combinations and rolls out new teams
“Patient had run out of epoetin injections and didn't know to continue them. Hb = 80g/L (anaemic), recommended to prescriber to restart”
“HbA1c 79mmol/mol advised increase glipizide dose”
“Citalopram 10mg charted but patient normally on escitalopram 10mg. Medication corrected.”
THE SMART PHARMACISTS combinations and rolls out new teams