SLIDE 1 Demystifying the perils
Dr Natalie Soulsby, Ward Medication Management
SLIDE 2 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?
SLIDE 3 3
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
SLIDE 4 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
SLIDE 5 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.
SLIDE 6 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.
SLIDE 7 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.
SLIDE 8 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
SLIDE 9 Medication Management -what can go wrong?
- Wrong patient
- Wrong medication
- Wrong dose
- Wrong time
- Wrong route
- Wrong documentation
- Wrong for the patient
SLIDE 10 10
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…
SLIDE 11
How can your organisation mitigate against medication risk? 7 top tips for you to take away
SLIDE 12
Ensure you are familiar with the new quality standards and what you need to do to implement them 1.
SLIDE 13
Put in place a strong clinical governance framework 2.
SLIDE 14
Make sure your current QUM and RMMR pharmacist doesn’t just tick the boxes 3.
SLIDE 15
Identify people in your care who are “at risk” 4.
SLIDE 16
Ongoing staff education from specialists in medication management 5.
SLIDE 17
Find a way to build relationships with local GPs 6.
SLIDE 18
Be ready for accreditors’ “spot checks” 7.
SLIDE 19
Remember – we’re always here to support you to eliminate medication related harm.
SLIDE 20
Thank You
Dr Natalie Soulsby Head of Clinical Development
natalie@wardmm.com.au