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Vol 276 No 7389 p223
25 February 2006

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Discharge guidance to reduce medicines-related risk

Guidance for health care teams

Guidance for health care teams

Detailed guidance for those involved in moving patients between different health care settings has been launched by a group of pharmacy organisations with the aim of reducing medicines-related risks on admission, transfer or discharge.

“Moving patients, moving medicines, moving safely”, has been jointly produced by the Royal Pharmaceutical Society, the Guild of Healthcare Pharmacists, the Pharmaceutical Services Negotiating Committee and the Primary Care Pharmacists Association.

The guidance covers England and Wales but is expected to be of benefit in Scotland, too. It includes a list of 13 elements that should be in place to maximise effective transfer and minimise the risks relating to medicines use, together with a template to use for recording an organisation’s state of readiness in each of these areas. This is followed by a nine-point action plan for improving efficiency of transfer, with a further template to help in preparing an action plan for an organisation.

Society Council member Sid Dajani, who chairs the Council’s Practice Committee, said: “Medication issues are of particular concern when patients are being transferred from one health care setting to another. This new guidance and workbook will help pharmacists, primary care organisations, NHS trusts and other health care professionals to measure and reduce the risks to patients during transfer. It will also aid communication to ensure a much more seamless and compliant approach.”

Andrew Alldred, chairman of the guild’s practice committee, said that transfer of medicines between care settings is known to introduce risks — risks that are being targeted in the Institute for Healthcare Improvement’s “100k lives campaign”, which aims to save 100,000 lives worldwide in 18 months by improving care and reducing patient harm.

“We hope that the information in this document will help raise awareness and the use of the checklist to measure the organisation’s performance will assist in identifying areas where practice can be improved to reduce some of the potential risks to patients.”

Copies of the workbook and guidance cost £20 and can be obtained from the Royal Pharmaceutical Society practice division by e-mailing practice@rpsgb.org


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