kate richardson - st vincent’s hospital, sydney - strategies to manage high risk medicines in emms
TRANSCRIPT
5th Annual EMM Conference
Strategies to Manage High-Risk Medicines in
an eMMS
Kate RichardsonPharmacist – eMedicines Management
St Vincent’s Hospital, Sydney
Agenda
1. Policy Directives
2. Defining a local high risk medicines register
3. Where do you keep this register – what access do clinicians need?
4. Conundrums
1. What about?
2. Second Person Check with co-signature ?
3. Individual protocols - maintenance
4. Alerts - active or passive
5. “To Do’s”
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Policy Directives (NSW)
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Many sites to find information
Local and International
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SVHS Journey
High Risk Medicines
16 March 2016 5th Annual EMM Conference - Strategies to Manage High-Risk Medicines in eMMS
• Started in 2012 with release of first NSW Health PD – adopted this as our policy document
• Concurrently developing an electronic medicines information repository / pharmacy intranet
• Medicine Profile format – “one-stop shop” tool for guidelines, policies and high risk info
• Centre for Health Systems and Safety Research enabled measurement and publication
• DTC endorsed register to be maintained in EMM System (CSC MedChart®)
• Use of Clinical Decision Support (CDS) effectively
• NSW Health Policy Directive updated 2015 - PD2015_029 High- Risk Medicines Management
Page 5
Developing a Register
CSC MedChart® formulary
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Where do I find High Risk Info?
Pharmacy Intranet
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SVHS
Medicine Profile
One-stop shop
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Using EMMS
Integrated into MedChart Reference Viewer
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Using EMMS
Clinicians – point of care order entry
and administration
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Conundrum 1
List Decisions -
what about??
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Decisions - Decisions
What about??
Conundrum 2
Second Person Checks
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Conundrum 2 - Second Person Checks
But the USA says……reflected in MSSA
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Conundrum 3
Maintenance of “Protocols / Standards”
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NSW Health High Risk Medicines Management Policy PD 2015_029
Conundrum 3
High-Risk Section in Medicine Profile
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Conundrum 4
Alerts – active or passive
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To Do’s
1. Indication for use
2. Medication Safety Self Assessment for Australian Hospitals (2015)
3. NSQHS Standards Accreditation – April 2016
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Acknowledgments
Fabio Balducci – ITSC TRIM Administrator SVHA, Sydney
Lasanthi Peres – ITSC Corporate Records Manager SVHA, Sydney
Benison O’Reilly – Contract Pharmacist SVHS
Jessica Clough – Pharmacist SVHS
Anmol Sandhu – eMM Pharmacist SVHS
Maureen Heywood – eMM Pharmacist SVHS
Catherine Murphy – Oncology Pharmacist / Clinical Lead (MOSAIQ®) SVHS
Terry Melocco – Director of Pharmacy SVHS
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Thank You
5th Annual EMM Conference
Strategies to Manage High Risk Medicines in an eMMS
Kate Richardson – eMedicines Management Pharmacist