Safe Medicines on Discharge Louise Maunick MRPharmS, MPharm, Clin Dip Pharm Joint Clinical Lead: Medication Errors lmaunick@nhs.net

Getting Medicines Right Patients are admitted to hospital to receive care, treated and discharged home – as part of this their medicines are reconciled and reviewed Thinking about this video – it focuses a lot upon admission to hospital But….. Patients spend more time at home than they do in treatment centres so surely it is paramount to ensure the medicines are right at home? This means making sure advice from treatment centres are understood & making sure medicines have been reconciled on discharge

Why focus on Medicines at discharge? 30% and 50% of medicines prescribed for long‑term conditions are not taken as intended (World Health Organization 2003) The number of people with multimorbidity in 2008 was 1.9 million, but this is expected to rise to 2.9 million by 2018 When people move from one care setting to another, between 30% and 70% of patients have an error or unintentional change to their medicines

Work so far…. Mapping the Medicines Reconciliation pathway Established a sub-group to support work

Next steps…. Develop a toolkit which will share information across organisations We can all learn from sharing best practice The toolkit will be continually developing based on your feed back

The plan Split into two groups; Group 1: focus on the discharge letter and discharge process Group 2: focus on receipt of the discharge letter and how medicines reconciliation is conducted

The Task Choose a scribe & spokesperson Map out your process Identify areas of risk Talk about solutions you are aware of Leave your name, contact details & description of solution your trust has worked on Spokesperson to feedback