Medication Safety Standard 4Part 1- Introduction
Margaret Duguid, Pharmaceutical Advisor
Graham Bedford, Medication Safety Program ManagerStandard 4Medication Safety
Standard 7Blood and Blood
Products
Standard 10Preventing Falls and
Harm from Falls
Standard 1Governance for Safety and
Quality in Health Service Organisations
Standard 2Partnering withConsumers
Standard 4Medication Safety
Standard 3Healthcare AssociatedInfections
Standard 8Preventing and
Managing Pressure Injuries
Standard 9Recognising and
Responding to ClinicalDeterioration in Acute
Health Care
Standard 5Patient Identificationand ProcedureMatching
Standard 6ClinicalHandover
Intent of Standard 4 – Medication Safety
Ensure competent clinicians safely prescribe, dispense, and administer appropriate medicines safely to informed patients and carers
• Reduce medication incidents, adverse events
• Improve safety and quality of medicine use.
Standard 4Medication Safety
Standard 4 – Medication Safety
The Medication Safety Standard describes the elements of a safe medication management system.
It requires hospitals have in place strategies and systems known to reduce the risk of common causes of medication error.
• standardisation and systemisation of processes
• improving clinical workforce and clinician-patient communication
• using technology to support information recording and transfer
• providing better access to patient information and clinical decision support at the point of care. Standard 4
Medication Safety
3. NSQHSS: Medication Safety Standard 4
Criteria to achieve the Medication Safety Standard:
Governance and systems for medication safety
Health service organisations have mechanisms for the safe prescribing, dispensing, supplying, administering, storing, manufacturing, compounding and monitoring of the effects of medicines.
Documentation of patient information
The clinical workforce accurately records a patient’s medication history and this history is available throughout the episode of care.
Medication management processes
The clinical workforce is supported for the prescribing, dispensing, administering, storing, manufacturing, compounding and monitoring of medicines.
Continuity of medication management
The clinician provides a complete list of a patient’s medicines to the receiving clinician and patient when handing over care or changing medicines.
Communicating with patients and carers
The clinical workforce informs patients about their options, risks and responsibilities for an agreed medication management plan.
Criterion to achieve the medication safety
standard(5)
Actions required to meet standard
(37)
Items required to achieve standard
(15)
Standard 4Medication Safety
Core and developmental actions
Core – critical to safety and quality and must be met
Developmental – areas health services can focus efforts. Activity is required, but action does not need to be fully met. Health service organisations should be able to demonstrate planning, analysis and/or focus of efforts and resources for all developmental actions.
Standard 4Medication Safety
Developmental actions
Documentation of patient information4.8.1 Current medicines are documented and reconciled at
admission and transfer of care
Standard 4Medication Safety
Developmental actions
Communicating with patients and carers
All action items
4.13.1, 4.13.2 - Clinical workforce provides patients with patient specific information
4.14.1 – An agreed medication management plan documented
4.15.1, 4.15.2 - Information provided to patients and carers in format that is understood
Standard 4Medication Safety
Standard 4 – Medication safety
Issues• Lack of staff/resources
• Governance • Med safety as priority for S & Q• Undertake risk assessment/gap analysis
- Prioritise activities according to risk • Making medication safety everyone’s business
• Not just a pharmacy issue• Opportunities• Governance• Safety and Quality• Build into Medication Safety QI Plan• Work across the professional silos
Standard 4Medication Safety
Standard 4 – Medication Safety Resources
Standard 4 - Medication Safety
Resources
Standard 4Medication Safety
Safety and Quality Improvement Guides
Implementation strategies for each action
• Key task
• Suggested strategies
• Outputs
• Resources
Standard 4Medication Safety
Safety and Quality Improvement Guides
Key Task
Suggested strategies
Safety and Quality Improvement Guides
Criterion: Governance and systems for medication safety
Outputs of improvement processes
Resources
Accreditation workbook
Medication Safety Standard Workbook
Other resources
QH Audit toolhttp://www.safetyandquality.gov.au/
our-work/accreditation/resources-to-implement-the-national-safety-and-quality-health-service-standards/
Advice Centre Email: [email protected]: 1800 304 056
NSQHC Standards Guide for Small Hospitals
Other resources
Health Service Standards and Accreditation webpage• Accreditation newsroom
• Information for rural hospitals• Guide for small hospitals
• Resources to implement standards• Medication safety standard
• Queensland Health Audit tools• Patient level• Unit/ward level• Facility level
http://www.safetyandquality.gov.au/our-work/accreditation/
Standard 4Medication Safety
Medication Safety Standard: Summary
Ensuring that competent clinicians safety prescribe, dispense and administer appropriate medicines to informed patients and carers is an essential element of safe and high quality care.
Purpose of the Standard is to improve outcomes for patients by ensuring that there is a systematic approach to medicines management and safety
Outcomes to be achieved are clear – methods to get there will vary depending on context
Standard 4Medication Safety
Australian Commission on Safety and Quality in Health Care
Medication Safety Program
www.safetyandquality.gov.au
Email: [email protected]
Standard 4Medication Safety