Transcript Presentation Glenda Fleming NHSCT Leadership Conference

MEDICINES OPTIMISATION
INNOVATION CENTRE
• Overall aim: to work towards better patient
outcomes by initiating, developing & sharing
best practice with regards to medicines use.
• Achieved through:
–
–
–
–
Research
Quality Improvement
Knowledge transfer
Innovation
Current key initiatives
• Launch & establishing the Centre
• Involvement in EU grants
• Knowledge transfer in relation to pharmacy systems
developed in NI
• Continued development technology solutions
• Training and development of other Health Care
Professionals
• Develop Public - Private cross-sector working thereby
helping the local economy
Background: Academic Practice
Unit
• Academic practice unit between Antrim Area
Hospital & QUB established in 1994
• Over 60 papers, almost 100 posters and
abstracts, 13 PhDs, 50 MSc and Diplomas
• Established Integrated Medicines
Management (IMM) in Northern Ireland
Integrated Medicines Management
(IMM) in Northern Ireland







Drug history at admission reduction of 4.2 errors per patient
Length of stay reduced by 2 days
Increased time to readmission (20 days)
Kardex monitoring (inpatient) 5.5 interventions per patient
Faster medication rounds > 25 minutes per day saved
Faster discharge > 90 minutes quicker
More accurate discharge < 1% error rate compared to 25% by
medical staff
Enabling Technology
• Bespoke locker Hospital Metalcraft Ltd
• Safe Therapeutic Economic Pharmaceutical
Selection (STEPSelect) Digitalis Ltd Amsterdam
• Electronic Pharmacist Intervention Clinical
System (EPICS) Yarra Software Ltd
• Medicines Reconciliation Software (Writemed)
Yarra Software Ltd
• Antimicrobial Surveillance System (LAMPS) Yarra
Software Ltd
Pharmaceutical Industry
• Continuity of Care Post – hospitalisation of patients
at risk of medicines related problems – ABPNI
• Hospital pharmacist led smoking cessation schemePFIZER
• A number of new projects are being scoped
KnowledgeTransfer Success
• Regional in Northern Ireland
• Numerous Trusts in England
• Uppsala in Sweden
• Skane in Sweden
• Tallaght Hospital in Southern Ireland
• Drogheda Hospital In Southern Ireland
• Central Norway
Education and Training
Colleagues From •
•
•
•
Sweden
Norway
South of Ireland
Erasmus Programme with
Poland
• Programme with the Spanish
Hospital Pharmacists
Association
• Exchange Programme with
Orbisch Medisch Centrum
Sittard, The Netherlands
• Jordan
• Palestine
• Estonia
• Numerous visits from English
Colleagues
• New Zealand
Health Care Acquired Infections
(Microbiology, Infection Control and Hotel Services)
• Partners for work in in this area includes: Goldshield;
Clinimax; Iskus Health; University of Ulster; QUB
– Alcohol gel
– Hand hygiene
– Chlorhexidine products/formulations
– Chlorine dioxide
– Use of procedure packs
– Environmental processes
Other key initiatives
• European Innovation Partnership on
Active and Healthy Ageing: Three Star
Reference Site Status for Medicines
Management
• Healthcare-SAT Secure Analytics
Tagging: ARCNET
• European Connected Health Alliance:
Medicines Optimisation inter-ecosystem
group