Priority Seven: Reducing harm from medicines Executive Lead: Medical Director Where will the data Milestones/ Key Objective Suggested Outcome measures Comments / Next Steps be collected Trajectory Reducing the harm to Reduced % of medication incidents Develop Datix. Reduce patients from medication with harm. multidisciplinary quality overall errors. improvement projects Medication audits. incidents due Reduced omitted doses of critical to understand, measure to medication medications. and improve Quality errors by 10% performance at ward improvement during Reduced delayed administration of level. project reporting. 2018/19. critical medication. Ensuring patients receive Increased number of patient receiving Train and deploy Pharmacy Deliver trust the correct medication both medicines reconciliation within 48 pharmacy staff reporting. improvement in hospital and when hours of admission. described in trusts trajectory to discharged pharmacy Medication audits. attain required and that GPs receive the Improved accuracy of discharge transformation plan to medicines correct information about all prescriptions. improve medicines Medicines reconciliation discharge medications. reconciliation in key Reconciliation by December Reduced % medication incidents areas. reports. 2018. raised by primary care. Increase use of Discharge Improve connecting for care to summary accuracy discharge ensure accuracy of audits. summary medications on prescription admission. GP, north accuracy by Somerset 50%. Improve timeliness and partnership and accuracy of discharge CCG datix. summaries. Ensuring patients Provide detailed discharge information Develop methodology Complaints. A reduction in understand their cards for patients and their to ensure key complaints medications. relatives/carers. medicines are GP, north and incidents explained prior to Somerset around poor discharge in a partnership and medication consistent and easy to CCG datix. understanding. understand way. Reducing delays to timely Reduction in numbers of patients not Ensure pharmacy Performance team Increase patient discharge due to discharged before 10am due to resources are repots on reasons numbers of medication issues. pharmacy reasons. distributed optimally to for discharge patients support early delays. discharged discharge. before 10 am.
Priority Seven: Reducing harm from medicines Executive Lead: Medical Director Key Objective Suggested Outcome measures Comments / Next Steps Where will the data be collected Milestones/ Trajectory Reducing the harm to patients from medication errors. Reduced % of medication incidents with harm. Reduced omitted doses of critical medications. Reduced delayed administration of critical medication. Develop multidisciplinary quality improvement projects to understand, measure and improve performance at ward level. Datix. Medication audits. Quality improvement project reporting. Reduce overall incidents due to medication errors by 10% during 2018/19. Ensuring patients receive the correct medication both in hospital and when discharged and that GPs receive the correct information about all discharge medications. Increased number of patient receiving medicines reconciliation within 48 hours of admission. Improved accuracy of discharge prescriptions. Reduced % medication incidents raised by primary care. Train and deploy pharmacy staff described in trusts pharmacy transformation plan to improve medicines reconciliation in key areas. Increase use of connecting for care to ensure accuracy of medications on admission. Improve timeliness and accuracy of discharge summaries. Pharmacy reporting. Medication audits. Medicines Reconciliation reports. Discharge summary accuracy audits. GP, north Somerset partnership and CCG datix. Deliver trust improvement trajectory to attain required medicines reconciliation by December 2018. Improve discharge summary prescription accuracy by 50%. Ensuring patients understand their medications. Provide detailed discharge information cards for patients and their relatives/carers. Develop methodology to ensure key medicines are explained prior to discharge in a consistent and easy to understand way. Complaints. GP, north Somerset partnership and CCG datix. A reduction in complaints and incidents around poor medication understanding. Reducing delays to timely patient discharge due to medication issues. Reduction in numbers of patients not discharged before 10am due to pharmacy reasons. Ensure pharmacy resources are distributed optimally to support early discharge. Performance team repots on reasons for discharge delays. Increase numbers of patients discharged before 10 am.
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