how do your medication management processes weigh up?
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How do your
medication management processes weigh up?
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According to the Care Homes Use of Medicines (CHUM) study:
Errors occur on 8.4% of medication administration events
This would mean:
1 x resident administered medication 3 x a day = 84% chance of receiving a medication administrator error every
week and a 99.9% chance every month
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Preventable medication errors in care homes are caused by
a combination of factors combinationcombination
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In Managing and Administering Medication in Care Homes for Older People
It is suggested care home residents are prescribed an
average of 7-8 medications per person per day
Residents in care homes are commonly prescribed
multiple medications at the same time, given their complex health conditions
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So we can assume that care home
with 100 beds would be
administering, on average, about
700-800 medications to
residents per day
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Now consider that the primary tools being used by the majority of care home providers to manage their
residents’ medications still revolve around paper-based systems with
significant limitations
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It becomes very challenging to provide the highest levels of safe and quality care,
while using a manual approach to medication management
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The medication management process within a care homes is extremely complex
Providers are responsible for receiving, administering and documenting large volumes of medications on a daily basis
This process draws on information from a range of sources and requires involvement from numerous internal and external healthcare professionals
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How can we better protect residents from adverse medication events caused by errors?
Strengthening the partnerships between the doctors, pharmacies and care homes facilities
Streamlining the workflows that support medication administration in care homes
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Enter:
Electronic Medication
Management
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A trend has occurred over the past few years, where more care home providers are seeking to…
…improve medication management processes
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By investing in EMM systems, many providers have successfully achieved
both an immediate and substantial reduction in preventable medication
errors and improved resident safety
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That’s not all!
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Reduce Compliance Risk1
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Not only do these distractions negatively impact staff productivity, they can also lead to serious compliance risks including signature omissions
Typically, the process of administering medications to residents takes place in the midst of a lengthy, demanding and disrupted medication round
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Configurations prevent staff from proceeding with medication administration until a signature has been recorded
Intuitive alerts prompt staff to log onto a mobile device at the point of medication administration, ensuring that the medications to be administered within a given time period are electronically tagged with a date, time and signature
Eliminating signature omissions is a critical part of maintaining compliance
It can be achieved INSTANTLY with the implementation of an EMM system
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Right documentation
Right resident
Right medication
Right route
Right dose
Right time R’s
These safety alerts further support accreditation requirements by enforcing the six R’s of correct
medication administration:
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Staff are prompted to enter the reason for why the PRN was administered
In instances where EMM integrates with an electronic clinical system, this information is automatically recorded within a progress note to ensure more effective evaluation of PRN medications
EMM also provides further safeguarding against the compliance risks associated with the administration of PRN ‘as required’ medications
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2 Increased efficiency and productivity during medication rounds
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Paper-based systems force staff to spend their valuable time searching through paper-based
records when determining what medications are due throughout any given medication round
This process is not only cumbersome, but can easily increase the opportunity for discrepancies and errors
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Centralised, electronic medication administration records (eMAR) also ensure staff focus on only the specific medications due to be administered within
a given time period
EMM systems offer a tangible boost to efficiency and productivity by saving staff from manually
sorting through paper-based medication records to determine what medication is due at what time
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3 Reduced pressure on resources
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Traditional medication management processes often requires Registered or Enrolled Nurses (RN) to manage hundreds, if not thousands, of medications for residents
EMM reduces the pressure of these tasks by providing a common electronic record that can be accessed by all authorised staff within a care home
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Greater controls and transparency provided
by EMM systems enables greater confidence
to leverage available resources by more
effectively distributing the workflows relating
to the management of medications to
endorsed carers and assistants
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4 Enhanced governance and decision making
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EMM ALERTS staff to potential safety issues or any missed steps relating to the administration of medication
This helps care home providers to ensure that their organisation’s medication administration processes and records are always completed to the highest standard
of quality
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Management can easily and quickly obtain access to data in real-time including medications administered,
medications missed, PRNs and more
With functionality to electronically capture data and centralise this information, EMM also increases visibility of medication management processes
throughout an entire organisation
This electronic data can also be analysed to improve decision making and resident health outcomes
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5 Streamlined communications between care home and pharmacy
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CHUM study found 50% of all communication-related medication errors occurred between the care home and the pharmacy
EMM systems streamline the documentation requirements of medication management by facilitating electronic communication with the
pharmacy
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A clear and transparent flow of communications between the care home and
the pharmacy are recorded electronically and can be tracked to help eliminate the uncertainties around medication dispensing, and achieve
optimal medication management.
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6 Improved experience for care and nursing staff
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The entire social care sector faces challenges
with recruiting and retaining qualified staff
These challenges are compounding with a shrinking workforce, and increasing workloads for those who
remain in the industry
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EMM supports the demands on
facility staff and improves the care
experience
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How?
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Staff are freed from the intensive documentation and administrative duties and given more time to focus on providing safe
and high quality care
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In our own experiences, EMM is quickly embraced by staff in care homes because they are easy to use and do not add to their existing workloads
Leading EMM systems are designed to complement the processes and information associated with existing clinical systems
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When implemented correctly, electronic systems that provide critical clinical and
medication information at the point of care play
a critical role in:
Reducing system-wide inefficiencies, compliance risks and pressure on staff
Improving resident safety
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www.icarehealth.co.uk
iCareHealth is a social care software provider that specialises in electronic medication management
www.icarehealth.co.uk
Connect with iCareHealth: