Demystifying the perils of medication use Dr Natalie Soulsby, Ward Medication Management
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?
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 3
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
88% likelihood of side effects if over 5 meds. 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. 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. 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.
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
Medication Management -what can go wrong? • Wrong patient • Wrong medication • Wrong dose • Wrong time • Wrong route • Wrong documentation • Wrong for the patient
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… 10
How can your organisation mitigate against medication risk? 7 top tips for you to take away
1. Ensure you are familiar with the new quality standards and what you need to do to implement them
2. Put in place a strong clinical governance framework
3. Make sure your current QUM and RMMR pharmacist doesn’t just tick the boxes
4. Identify people in your care who are “at risk”
5. Ongoing staff education from specialists in medication management
6. Find a way to build relationships with local GPs
7. Be ready for accreditors’ “spot checks”
Remember – we’re always here to support you to eliminate medication related harm.
Thank You Dr Natalie Soulsby Head of Clinical Development natalie@wardmm.com.au
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