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Drug Card Audit

Drug Card Audit. XX Hospice, 2008. Standards. 100% of patients charts should have patient name in all relevant boxes 100% of patients charts should state ‘team’ name on front 100% of patients charts should correctly identify the number of drug charts in use

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Drug Card Audit

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  1. Drug Card Audit XX Hospice, 2008

  2. Standards • 100% of patients charts should have patient name in all relevant boxes • 100% of patients charts should state ‘team’ name on front • 100% of patients charts should correctly identify the number of drug charts in use • 100% of patients charts should have additional charts correctly referred to • 100% of patients charts should state patient’s consultant on all sides of chart • 100% of patients charts should have all allergy boxes completed • 100% of ‘PRN’ prescriptions should state maximum doses where appropriate:

  3. Standards (2) • 100% of prescriptions should be signed by a doctor • 100% of prescriptions should state route of administration • 100% of prescriptions should state units correctly • 100% of prescriptions for liquid medications should state dose in ‘ml’ • 100% of prescriptions should be written in capital letters • 100% of prescriptions should be written in black ink • 100% of prescriptions should use the generic name

  4. Standards (3) • 100% of prescriptions for regular medications should state times of administration • 100% of prescriptions should state frequency of administration • 100% of prescriptions should be unaltered • 100% of ‘stopped’ prescriptions should state the stop date • 100% of ‘stopped’ prescriptions should be crossed through prescription and administration boxes • 100% of ‘stopped’ prescriptions should be signed by the doctor when stopped

  5. Good points

  6. Recommendations • Circulate report findings to all staff • Present findings at Thursday Doctors meeting • Pharmacy staff to ensure that main learning points are covered at junior doctors induction Main points to highlight could include: • Complete front of drug chart to include team, number of charts and consultant • Document any additional charts used • Complete ALL allergy boxes – highlight box on back of chart • Educated about maximum doses for relevant ‘as required’ medication • Reinforce accepted abbreviations for units, and importance of clear and legible writing • Write medication names in capital letters • When stopping medication, sign and date the prescription as well as crossing through the boxes. • Re-audit to see if standards have improved. • Consider looking at similar standards for individual prescribers, with focused tutorial type sessions with pharmacy staff if any trends in prescribing are identified.

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