Demystifying the perils of medication use Dr Natalie Soulsby, Ward - - PowerPoint PPT Presentation

demystifying the perils of medication use
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Demystifying the perils of medication use Dr Natalie Soulsby, Ward - - PowerPoint PPT Presentation

Demystifying the perils of medication use Dr Natalie Soulsby, Ward Medication Management HONEY, DO YOU WANT T HE ONE T HAT CURES HEADACHE AND CAUSES ST ROKE OR EASES BACK PAI N BUT CAUSES HEART AT TACK? Todays presentation Why is


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Demystifying the perils

  • f medication use

Dr Natalie Soulsby, Ward Medication Management

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HONEY, DO YOU WANT T HE ONE T HAT CURES HEADACHE AND CAUSES ST ROKE OR EASES BACK PAI N BUT CAUSES HEART AT TACK?

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Today’s presentation

Why is medication management essential to your business Why is it a problem a nd wha t ca n go wrong? Seven helpful tips for you to ta ke a wa y

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Medication management- essential to your business

  • Failure to provide sufficient client care
  • Unwanted media attention
  • Additional legal risks
  • Unnecessary coroner's cases
  • Accreditation standards not met
  • OH&S issues
  • Additional staffing requirements
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Reference: GnjidicD, HilmerS, et al. Polypharmacy cut off and outcomes: five or more medicine were used to identify community-dwelling older men at risk of different adverse outcomes. J ClinEpidemiol 2012; 65:989-95.

88% likelihood of side effects if over 5 meds.

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Reference: GnjidicD, HilmerS, et al. Polypharmacy cut off and outcomes: five or more medicine were used to identify community-dwelling older men at risk of different adverse outcomes. J ClinEpidemiol 2012; 65:989-95.

66% of Australians aged 75+ take 5+ medications.

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Reference: GnjidicD, HilmerS, et al. Polypharmacy cut off and outcomes: five or more medicine were used to identify community-dwelling older men at risk of different adverse outcomes. J ClinEpidemiol 2012; 65:989-95.

20% of Australians aged 75+ take 10+ medications.

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Medication-related harm is a problem

  • 2 Million people a year have

problems with their medicines*

  • 20-30% of all hospital admissions for

those over 65 are medication related*

  • 24% of medication related problems

can be attributed to the way medicines are stored, managed and used in the home**

References: * Roughead L, Semple S, Rosenfeld E. Literature review: Medication Safety in Australia. August 2013. ** DiMatteo MR Variations in patients’ adherence to medical recommendations: a quantative review of 50 years of research. Med Care 2004;42200- 209

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Medication Management -what can go wrong?

  • Wrong patient
  • Wrong medication
  • Wrong dose
  • Wrong time
  • Wrong route
  • Wrong documentation
  • Wrong for the patient
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The current government model to protect people from medication harm

  • Quality Use of Medicines (QUM)
  • Residential Medication Management Reviews

(RMMR) & Home Medicines Reviews (HMR) – every 2 years

  • A great start, stats show us it’s not enough…
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How can your organisation mitigate against medication risk? 7 top tips for you to take away

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Ensure you are familiar with the new quality standards and what you need to do to implement them 1.

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Put in place a strong clinical governance framework 2.

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Make sure your current QUM and RMMR pharmacist doesn’t just tick the boxes 3.

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Identify people in your care who are “at risk” 4.

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Ongoing staff education from specialists in medication management 5.

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Find a way to build relationships with local GPs 6.

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Be ready for accreditors’ “spot checks” 7.

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Remember – we’re always here to support you to eliminate medication related harm.

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Thank You

Dr Natalie Soulsby Head of Clinical Development

natalie@wardmm.com.au