Governance and systems for medication safety Overview of what is required Suggested approach Examples of evidence Audit of medication authorities and prescribing regularly review and update the log or register practices during a clinical record or random of medication authorities audit. routinely revalidate medication authorities. Relevant documentation from committees and Ensure contracts for medication management other meetings where reports on medication services from an external provider specify the incidents and breaches of the medication medication authorities in the scope of practice authorisation system are reviewed and of the contractor. discussed. Review medication incidents in which A risk register in line with that includes actions unauthorised clinicians have prescribed, to address identified risks. supplied or administered medicines. A quality improvement plan in line with that Review the effectiveness of the medication includes actions to address issues identified. authorisation system and use the information to Examples of improvement activities to increase identify areas for improvement. the effectiveness of the medication authority system that have been implemented and evaluated. 4.4 Using a robust organisation-wide system of reporting, investigating and managing change to respond to medication incidents 4.4.1 Adverse medication incidents are regularly monitored, reported and investigated These actions relate to processes for recording, If the overarching health service organisation Policies, procedures and/or protocols for has an established system for reporting reporting, investigating and managing reporting and responding to medication incidents medication incidents, these should be medication incidents, adverse drug reactions when they occur in community health services or implemented locally. and near misses. where, during the course of providing consumer care, community health services identify an An incident register in line with that includes If your community health service is responsible adverse medication incident that may have documentation of medication incidents, adverse for implementing a system for reporting occurred externally to the service. drug reactions and near misses. medication incidents you need to ensure: Relevant documentation from committees and policies, procedures and/or protocols are in Your community health service needs to ensure meetings that demonstrate medication incidents place to report incidents, including forms or that systems are in place to ensure: are routinely reviewed. templates that are accessible to the workforce adverse medication incidents are managed medication incident reporting occurs
Governance and systems for medication safety Overview of what is required Suggested approach Examples of evidence regularly review and update the log or register of medication authorities routinely revalidate medication authorities. Ensure contracts for medication management services from an external provider specify the medication authorities in the scope of practice of the contractor. Review medication incidents in which unauthorised clinicians have prescribed, supplied or administered medicines. Review the effectiveness of the medication authorisation system and use the information to identify areas for improvement. Audit of medication authorities and prescribing practices during a clinical record or random audit. Relevant documentation from committees and other meetings where reports on medication incidents and breaches of the medication authorisation system are reviewed and discussed. A risk register in line with that includes actions to address identified risks. A quality improvement plan in line with that includes actions to address issues identified. Examples of improvement activities to increase the effectiveness of the medication authority system that have been implemented and evaluated. 4.4 Using a robust organisation-wide system of reporting, investigating and managing change to respond to medication incidents 4.4.1 Adverse medication incidents are regularly monitored, reported and investigated These actions relate to processes for recording, reporting and responding to medication incidents when they occur in community health services or where, during the course of providing consumer care, community health services identify an adverse medication incident that may have occurred externally to the service. Your community health service needs to ensure that systems are in place to ensure: adverse medication incidents are managed medication incident reporting occurs If the overarching health service organisation has an established system for reporting medication incidents, these should be implemented locally. If your community health service is responsible for implementing a system for reporting medication incidents you need to ensure: policies, procedures and/or protocols are in place to report incidents, including forms or templates that are accessible to the workforce Policies, procedures and/or protocols for reporting, investigating and managing medication incidents, adverse drug reactions and near misses. An incident register in line with that includes documentation of medication incidents, adverse drug reactions and near misses. Relevant documentation from committees and meetings that demonstrate medication incidents are routinely reviewed.
Guide-to-the-NSQHS-Standards-for-community-health-services-February-2016.docx