Medication Safety Standard 4 Part 1- Introduction

1. Standard 4 Medication Safety Medication Safety Standard 4Part 1- Introduction Margaret Duguid, Pharmaceutical Advisor Graham Bedford, Medication Safety Program Manager

2. Standard 2 Partnering with Consumers Standard 1 Governance for Safety and Quality in Health Service Organisations Standard 3 Healthcare Associated Infections Standard 10 Preventing Falls and Harm from Falls Standard 4 Medication Safety Standard 9 Recognising and Responding to Clinical Deterioration in Acute Health Care Standard 5 Patient Identification and Procedure Matching Standard 8 Preventing and Managing Pressure Injuries Standard 7 Blood and Blood Products Standard 6 Clinical Handover

3. Standard 4 Medication Safety Intent of Standard 4 – Medication Safety • Ensure competent clinicians safely prescribe, dispense, and administer appropriate medicines safely to informed patients and carers • Reduce medication incidents, adverse events • Improve safety and quality of medicine use.

4. Standard 4 Medication Safety Standard 4 – Medication Safety • The Medication Safety Standard describes the elements of a safe medication management system. • It requires hospitals have in place strategies and systems known to reduce the risk of common causes of medication error. • standardisation and systemisation of processes • improving clinical workforce and clinician-patient communication • using technology to support information recording and transfer • providing better access to patient information and clinical decision support at the point of care.

5. 3. NSQHSS: Medication Safety Standard 4

6. Standard 4 Medication Safety Criterion to achieve the medication safety standard (5) Actions required to meet standard (37) Items required to achieve standard (15)

7. Core and developmental actions Standard 4 Medication Safety Core – critical to safety and quality and must be met Developmental – areas health services can focus efforts. Activity is required, but action does not need to be fully met. Health service organisations should be able to demonstrate planning, analysis and/or focus of efforts and resources for all developmental actions.

8. Developmental actions Standard 4 Medication Safety • Documentation of patient information 4.8.1 Current medicines are documented and reconciled at admission and transfer of care

9. Developmental actions Standard 4 Medication Safety • Communicating with patients and carers All action items 4.13.1, 4.13.2 - Clinical workforce provides patients with patient specific information 4.14.1 – An agreed medication management plan documented 4.15.1, 4.15.2 - Information provided to patients and carers in format that is understood

10. Standard 4 Medication Safety Standard 4 – Medication safety • Issues • Lack of staff/resources • Governance • Med safety as priority for S & Q • Undertake risk assessment/gap analysis • Prioritise activities according to risk • Making medication safety everyone’s business • Not just a pharmacy issue • Opportunities • Governance • Safety and Quality • Build into Medication Safety QI Plan • Work across the professional silos

11. Standard 4 Medication Safety Standard 4 – Medication Safety Resources Standard 4 - Medication Safety Resources

12. Safety and Quality Improvement Guides Standard 4 Medication Safety • Implementation strategies for each action • Key task • Suggested strategies • Outputs • Resources

13. Safety and Quality Improvement Guides Key Task Suggested strategies

14. Safety and Quality Improvement Guides Criterion: Governance and systems for medication safety Outputs of improvement processes Resources

15. Accreditation workbook

16. Medication Safety Standard Workbook

17. Other resources QH Audit toolhttp://www.safetyandquality.gov.au/our-work/accreditation/resources-to-implement-the-national-safety-and-quality-health-service-standards/ Advice Centre Email: accreditation@safetyandquality.gov.auPhone: 1800 304 056

18. NSQHC Standards Guide for Small Hospitals

19. Standard 4 Medication Safety Other resources • Health Service Standards and Accreditation webpage • Accreditation newsroom • Information for rural hospitals • Guide for small hospitals • Resources to implement standards • Medication safety standard • Queensland Health Audit tools • Patient level • Unit/ward level • Facility level • http://www.safetyandquality.gov.au/our-work/accreditation/

20. Medication Safety Standard: Summary Ensuring that competent clinicians safety prescribe, dispense and administer appropriate medicines to informed patients and carers is an essential element of safe and high quality care. Purpose of the Standard is to improve outcomes for patients by ensuring that there is a systematic approach to medicines management and safety Outcomes to be achieved are clear – methods to get there will vary depending on context Standard 4 Medication Safety

21. Australian Commission on Safety and Quality in Health Care Standard 4 Medication Safety Medication Safety Program www.safetyandquality.gov.au Email: mail@safetyandquality.gov.au Margaret.duguid@safteyandquality.gov.au