Medicines optimisation The road to excellence Workshop Overview of - - PowerPoint PPT Presentation

Medicines optimisation

The road to excellence

Workshop

• Overview of meds optimisation
• Your role in meds optimisation
• Case study
• What can you do on your road to excellence

What is Medicines Optimisation ?

• Medicines optimisation is defined as 'a

person-centred approach to safe and effective medicines use, to ensure people

• btain the best possible outcomes from

their medicines. Medicines Optimisation applies to people who may or may not take their medicines effectively.

• Who is involved ?

Medicines optimisation - What do you currently do?

Benefits of medicines optimisation

• Quality

– Residents/family/ care workers are involved in decision making – Residents/family/ care workers satisfaction and experience – Reduce admissions to hospital

• Safety

– Unnecessary medicines stopped

• Savings

– Prescribing budget reduced – Reduced admission to hospital

How well do we use medicines?

• CHUMs study (2009) >66% care home

residents were exposed to one or more medication errors

• We waste £300 million on waste medication ?
• £150 million medication waste is avoidable?
• 6% of readmissions to hospital are caused by

medication

Meet Alice

• 90 year old
• Mobility – wheelchair
• Cognitive impairment
• Hypertension, MI,
• Rheum Art
• Hosp admission confused unwell UTI
• Treated with antibiotics and rehydrated
• Routine monitoring detected atrial fibrillation
• Rivaroxaban commenced in hospital
• Discharged – no further follow up

Amlodipine 10mg tablets (BP) Cp-Amilofruse 2.5/20 (BP) Doxazosin 4mg tablets (BP) Quetiapine 200mg tablets (antipsychotic) Zopiclone 7.5mg tablets (sleeping tablet Folic Acid 5mg tablets (vitamins) Alendronic acid 70mg tablets (bone protection) Adcal D3 1.5g/10micrograms (bone protection) Paracetamol 500mg tablets (pain) Ferrous Sulphate 200mg tablets (iron) Simvastatin 40mg tablets (cholesterol) Codeine Phosphate 30mg tablets (pain) Rivaroxaban 20mg tablets (blood thinning) Luventa XL 16mg ( dementia) Mirtazapine 15mg tablets (antidepressant) Morphine sulphate 10mg/5ml (pain) Laxido (laxative) Docusate Sodium (laxative)

Alice is prescribed an extra 4 medicines on discharge Medicines use is

• k isn’t it?

Group work

• Discuss Alice’s medication (pre/post hospital)
• With your knowledge , how would you

contribute to promoting medicines

• ptimisation?

Is this tablet burden all necessary?

• Are meds necessary / appropriate?
• Lack of structured review
• Rare resident involvement
• Medication errors
• Medication waste
• Silo working

Medicines optimisation [NG5] March 2015

https://www.nice.org.uk/guidance/ng5

• This guideline covers safe and effective use of

medicines in health and social care for people taking 1 or more medicines.

• It aims to ensure that medicines provide the

greatest possible benefit to people by encouraging medicines reconciliation, medication review, and the use of patient decision aids.

Medicines optimisation -What can you do to assist your home on the path to excellence?

examples

• Tool to measure the Quality Standard
• Ensure improved instruction on medication–

e.g. applying emollients

• Utilise opportunity to gain information
• Produce action plan