Friday, 26 June 2015

A Medicines Optimisation Service

"The service was developed as a result of a pilot in one practice who used innovation funding to employ a pharmacist to improve their management of medicines. The idea came from the GPs who felt they were always rushed when looking at discharge medicines and this task would be more efficiently and effectively undertaken by a pharmacist. "

A Medicines Optimisation Service
Wyre Forest Clinical Commissioning Group
NICE Shared Learning example
May 2015

Read more here.

Improving evidence-based management of irritable bowel syndrome across Somerset

"By identifying cost savings from reducing referrals to secondary care for patients of 16-45 years old with no red flag symptoms and likely IBS, and limiting investigations to those with a likely inflammatory pathology, we were able to fund faecal calprotectin testing for general practice and a specialist dietetic-led gastroenterology clinic"

Improving evidence-based management of irritable bowel syndrome across Somerset
Somerset Gastroenterology Flexible Healthcare Team
NICE Shared Learning example
June 2015

Read more here.

A Right Care Collaboration 2015/19: Forward View

"During 2015/16, NHS Right Care will scale up its activities and will seek to develop partnerships across the major NHS bodies to develop a variations and value programme." 

A Right Care Collaboration 2015/19: Forward View
NHS Right Care
June 2015

Read more here.

Medicine optimisation can cut the costs of long term conditions

"Medicines optimisation can cut waste, emergency admissions and the cost of long term conditions. But a review of rheumatoid arthritis care reveals how far it has to go"

Medicine optimisation can cut the costs of long term conditions
M Shelley
Health Service Journal Supplement
June 2015

Read more here.

Improving medical handover at the weekend

"we found that a structured, well organised weekend handover meeting together with an effective electronic handover system improves the quality of medical weekend handover."

Improving medical handover at the weekend: a quality improvement project
E Michael, C Patel
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207153.w2899

Read more here.

Optimising the Pre-Operative Investigative Work Up for Elective Surgical Patients

"Design and implementation of a “Pre-Admission Handbook”, for use by junior doctors and nurse practitioners in the pre-operative setting, reduced the rate of over investigation to 12% in a subsequent, prospective audit cycle of 50 patients, and has improved patient care by standardising the pre-admissions process for elective surgery"

Optimising the Pre-Operative Investigative Work Up for Elective Surgical Patients
N Hack-Adams, N King, M Ahuja, SM Higgs
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u206272.w2608

Read more here.

Thursday, 25 June 2015

How-to Guide: Prevent Adverse Drug Events

"This How-to Guide describes key evidence-based care components to prevent adverse drug events (ADEs) by implementing medication reconciliation at all transitions in care (at admission, transfer, and discharge), describes how to implement these interventions, and recommends measures to gauge improvement." 

How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation)
Institute for Healthcare Improvement
2011

Read more here.