By Shahzad Ali MPharm

• Understand Drivers For Change

• Understand current and future requirements

• What standards need to be adhered to

• Types of interfaces

• Understand what skill mix is required

• A seminal piece of work by the US Institute of Medicine in 1999, To Err is Human, first highlighted that too many inpatients were coming to unnecessary harm.1 An organisation with a memory, published in 2000, estimated that up to 10 per cent of hospital inpatients suffer adverse events and that 50 per cent of these are avoidable.2

1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC, USA: National Academies Press. 1999. 2. Department of Health. An Organisation With A Memory. Report of an Expert Group on Learning from Adverse Events in the NHS. London: The Stationery Office. 2000.

ClinicalInformationSystem

Automated

Dispensing Cabinets

Bar

Code Medication

Admin.

Dispensing Robot

PN

Robot

Smart Pumps

• Need to have consistent medication databases across multiple systems

• Different methods how this can be achieved-manual vs electronic

Clinical

Information System

Automated

Dispensing

Cabinets

CriticalCare

Chemo

Pharmacy Robot

• Analysing which systems unable to integrate

• HL7

• Flat File

• Systems that can integrate but only have limited functionality

• Read only

• Structure

• Clinical Decision Support

• Standards

• SNOMED,

• ICD10,

• LOINC,

• dm+d, GS1, GTIN

• Overcoming Supplier Preferential Partners

• Increasingly required • Increases Patient Safety-less transcribing• Types that need to be understood• Business Requirements

• Functional Design Documents• Technical Design Documents

• ADT-Demographic

• RDE-Order

• MFN-Formulary

• DFT-Financial

• ZPM-Load/Unload

• Others-Badger

ClinicalInformationSystem

Automated

Dispensing Cabinets

Bar

Code Medication

Admin.

Dispensing Robot

PN

Robot

Smart Pumps

ADT

RDE

MFN

DFT

ZPM

Informatics Lead

Interface Lead

Technical Lead

Additional Key Resources• Management• Clinical staff

https://nhsreality.wordpress.com/2014/04/02/nhs-staff-with-poor-english-can-be-struck-off/