Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Compliance Check A review of the patient’s repeat drugs Identification of compliance issues (where A patient not taking medicine as intended list to identify if there are items which patient is not taking medication as intended) will potentially be at risk of harm e.g. not have not been ordered, ordered and taking appropriate action (as decided taking medicines or taking too high a dose of infrequently or which have been over within the practice) e.g. highlighting to medicines for a long term condition can lead ordered. appropriate clinician, contacting patient for to worsening of condition and further health review, etc. issues. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Alignment of Repeat At an individual patient level, a review Where there is a mismatch in number of Mismatches in supply amounts can lead to Prescription Item of the repeat prescription items to days supply action is taken to bring supply in stockpiling and creates confusion for the Quantities to a Set identify if there is a mismatch in the line with a set number of days (e.g. if an patient when ordering. For the practice these Number of Days number of days supplied e.g. a mix of 28 individual has four items with a 28 day mismatches lead to additional time spent Supply and 56 day items. supply and one item with a 56 day supply, processing prescriptions. the item that is 56 day supply may be changed to 28 day supply as appropriate). Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Also see ready reckoners in No.4 to assist in calculating supply quantity. Correction of drugs A review of the patient’s repeat drugs Identifying missing or ambiguous dose Unclear dose directions could cause the with missing or list to identify if there are items with directions and taking appropriate action (as patient to take medication in a manner other ambiguous dose dose directions that are missing or decided within the practice) e.g. highlighting than prescribed by the clinician, particularly directions unclear e.g. tablets prescribed simply to a clinician, amending Latin abbreviations if the patient is confused or on multiple ‘as directed’. to English. medications. Supporting Resources
Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Compliance Check A review of the patient’s repeat drugs list to identify if there are items which have not been ordered, ordered infrequently or which have been over ordered. Identification of compliance issues (where patient is not taking medication as intended) and taking appropriate action (as decided within the practice) e.g. highlighting to appropriate clinician, contacting patient for review, etc. A patient not taking medicine as intended will potentially be at risk of harm e.g. not taking medicines or taking too high a dose of medicines for a long term condition can lead to worsening of condition and further health issues. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Alignment of Repeat Prescription Item Quantities to a Set Number of Days Supply At an individual patient level, a review of the repeat prescription items to identify if there is a mismatch in the number of days supplied e.g. a mix of 28 and 56 day items. Where there is a mismatch in number of days supply action is taken to bring supply in line with a set number of days (e.g. if an individual has four items with a 28 day supply and one item with a 56 day supply, the item that is 56 day supply may be changed to 28 day supply as appropriate). Mismatches in supply amounts can lead to stockpiling and creates confusion for the patient when ordering. For the practice these mismatches lead to additional time spent processing prescriptions. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Also see ready reckoners in No.4 to assist in calculating supply quantity. Correction of drugs with missing or ambiguous dose directions A review of the patient’s repeat drugs list to identify if there are items with dose directions that are missing or unclear e.g. tablets prescribed simply ‘as directed’. Identifying missing or ambiguous dose directions and taking appropriate action (as decided within the practice) e.g. highlighting to a clinician, amending Latin abbreviations to English. Unclear dose directions could cause the patient to take medication in a manner other than prescribed by the clinician, particularly if the patient is confused or on multiple medications. Supporting Resources
Abridged-Level-1-Medication-Review-Resource-Pack-Resources-Embedded.docx