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Reducing length of stay through medicines management interventions


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Presentation Transcript
what is medicines management
Medicines management encompasses the entire way that medicines are selected, procured, delivered, prescribed, administered and reviewed to optimise the contribution that medicines make to producing desired outcomes of patients care.What is medicines management?

A Spoonful of sugar. Medicines management in NHS Hospitals. The Audit Commission (2001)

why is reducing length of stay important
Patient

Increased morbidity

Loss of autonomy

Increased costs to patient and visitors

Higher risk of hospital acquired infection

Higher risk of adverse drug reaction

NHS

Additional use of NHS resources

Greater risk of adverse events

Adverse publicity

Increased financial cost to Trust

Payment by Results

Bed occupancy

Why is reducing length of stay important?
maximising technical services
Maximising technical services
  • Stock management: Formulary enforcement
  • Electronic prescribing/ordering
  • Automation – in dispensary, at ward level
  • Satellite pharmacies
  • Correct dispensary skill mix
  • Use of patient’s own drugs (PODs)
  • Dispensing for discharge
  • Pre-packaged medicines for discharge
  • Weekend working/ 24 hour pharmacy
  • Motivation of staff
clinical interventions
Clinical Interventions
  • Assertiveness
  • Medication history taking
  • Policy development and implementation
  • Prescribing and prescribing advice
  • Surgical interventions
  • Ward round participation
  • Palliative care interventions
  • Interface liaison
reducing harm
Reducing Harm
  • Adverse Drug Reactions (ADRs), Adverse Drug Events (ADEs) and Hospital-Acquired Infections (HAIs) can increase patient length of stay
  • ADRs are preventable in 50-70% of cases
  • ADEs are generally preventable through appropriate development and implementation of procedures
  • Pharmacists have a key role to play in reducing the incidence of hospital-acquired infection