Appendix 4 Example stop/start/continue chart Process STOP do you need to START What do you need to CONTINUE What do you —What — — stop start doing? need to continue doing? ED STOP using paper medication START using the EMM system presentations charts for all ED presentations On admission STOP paper medication reviewing the ED medicines CONTINUE medication charts on admission reconciliation on admission using the EMM system STOP recording current START recording current medicines in the progress medicines on the EMM system, notes. Mark the progress notes ceasing or changing medicines as as medicines information required ‘for refer to EMM’ or use stickers if they are available On discharge STOP making changes to START making ALL changes to CONTINUE medication discharge medicines via the discharge medicines via the EMM reconciliation on discharge via telephone system the EMM system STOP finalising the discharge START finalising the discharge CONTINUE to develop the summary until the discharge summary only after the discharge discharge summary as you do medicines are finalised medicines are finalised now, but do not finalise it until the discharge medicines are finalised START providing the patient with a discharge ‘take-home’ medicines list on discharge ED = emergency department; EMM = electronic medication management
Appendix 4 Example stop/start/continue chart Process STOP —What do you need to stop START — What do you need to start doing? CONTINUE — What do you need to continue doing? ED presentations STOP using paper medication charts START using the EMM system for all ED presentations On admission STOP paper medication charts reviewing the ED medicines on admission CONTINUE medication reconciliation on admission using the EMM system STOP recording current medicines in the progress notes. Mark the progress notes as ‘for medicines information refer to EMM’ or use stickers if they are available START recording current medicines on the EMM system, ceasing or changing medicines as required On discharge STOP making changes to discharge medicines via the telephone START making ALL changes to discharge medicines via the EMM system CONTINUE medication reconciliation on discharge via the EMM system STOP finalising the discharge summary until the discharge medicines are finalised START finalising the discharge summary only after the discharge medicines are finalised CONTINUE to develop the discharge summary as you do now, but do not finalise it until the discharge medicines are finalised START providing the patient with a ‘take-home’ discharge medicines list on discharge ED = emergency department; EMM = electronic medication management
EMMS-Implementation-Plan-2nd-Edition.docx