Feature haloperidol contraindications 5 insights for EPMA success – htn

There is strong evidence to suggest that electronic prescribing and haloperidol contraindications medicines administration systems improve safety for patients, reduce the risk of harm and ensure high quality efficient haloperidol contraindications patient care which is as safe as possible. However these projects can be difficult to deploy and many haloperidol contraindications trusts still utilise a paper process.

“if e-prescribing systems are to be used by hospital teams, they must maximise familiar tools that users can access whenever haloperidol contraindications they need them, wherever they are. That means making it mobile. The benefits are significant. Fundamentally, documenting prescribing information at the patient’s bedside is the safest and most efficient time to haloperidol contraindications do it. The portability of mobile devices means the system not only haloperidol contraindications becomes part of the uniform, it removes the need for clunky desktop systems that disrupt haloperidol contraindications the patient consultation or make it difficult to administer medicines haloperidol contraindications that fall outside standard drug rounds. Mobile systems allow hospital staff to capture – and access – data in real-time, anytime, empowering them with the best information to make accurate, reliable and timely decisions.

One of the biggest complaints about traditional e-prescribing is that the screens in the system don’t match what users actually do. User experience is everything – but to be effective it must be designed with the haloperidol contraindications clinician, not the technology, in mind.

The next generation of e-prescribing must therefore be clinically-led and mobile-first. Delivering the best mobile experience means helping the user get haloperidol contraindications to where they want to go in a single click haloperidol contraindications – and that requires understanding their workflow and designing interfaces that haloperidol contraindications reflect it.

Common sense tells us that e-prescribing solutions cannot operate in isolation. Prescribing decisions are both complex and multifactorial; medication can link to pathology results, physiological parameters, past medical history, current medications and contraindications. If you want to do e-prescribing well, you can’t separate these items out, they must be connected and accessible at the point of haloperidol contraindications clinical care.

Next generation tools will make e-prescribing part of a fully-integrated EPR. They’ll interact with real-time vital signs and pathology data to show optimal drug haloperidol contraindications chart views including full drug history, pathology results and amendable dosing and timing options. And they’ll link to the PAS to provide a complete picture haloperidol contraindications of the patient. Crucially, because next generation tools will be mobile and accessible, multidisciplinary teams will have all the information they need at haloperidol contraindications their fingertips, wherever they are in the hospital.

These tools will incorporate the dm+d database to enable fast and precise data input. This will empower mobile prescribing, giving doctors rapid access to the national dictionary alongside local haloperidol contraindications formularies and all the necessary clinical decision support. This means clinicians can prescribe when they’re with the patient, allowing even the most complex medicines to be prescribed on haloperidol contraindications a handheld device with full validation against allergies and drug haloperidol contraindications interactions.

It will allow hospitals to configure alerts so that they’re automatically generated upon certain triggers. This could include alerts to pharmacy for toxic or high haloperidol contraindications cost medicines, alerts to infection control when medicines are prescribed to treat haloperidol contraindications contagious diseases, or alerts to nurses if medicines with unorthodox timing requirements haloperidol contraindications risk becoming overdue.

Handheld devices typically include familiar functionality that can be maximised haloperidol contraindications for e-prescribing. The best example of this relates to BCMA. Next generation solutions will allow GS1 barcodes to be scanned haloperidol contraindications using the built-in camera on standard mobile devices – meaning that users are uninhibited by technology and can use haloperidol contraindications it seamlessly as part of clinical practice. The approach will help hospitals comply with FMD, in particular with complex patients whose medicines need to be haloperidol contraindications administered outside of the drugs round. Moreover, by making it easier to scan barcodes at the point haloperidol contraindications of clinical care, mobile tools will – at a stroke – move the concept of closed-loop prescribing from rhetoric to reality.

Mobile technology can open the door to closed loop administration. Fundamentally, closed loop medicines administration isn’t just about traceability and scanning barcodes, it’s about ensuring that every aspect of the prescribing pathway haloperidol contraindications is aligned to support the safe and timely administration of haloperidol contraindications medicines. This means connecting the dots to inform agile and safe haloperidol contraindications prescribing decisions, accurate and efficient flow through pharmacy and the timely administering haloperidol contraindications of authenticated medicines to patients. Mobile solutions will connect those dots.”

Nervecentre’s mobile e-prescribing tools allow hospital staff to capture and access data haloperidol contraindications whenever they need to, wherever they are – empowering them with the best information to make accurate, reliable and timely decisions. The tools make e-prescribing part of a fully-integrated EPR, giving clinicians real-time visibility of data that can influence complex prescribing decisions; pathology results, vital signs, medical history, drug charts, current medications and contraindications.

The inefficiencies and risks of paper-based medication records continue to contribute to the increasing volume haloperidol contraindications of reported adverse medication errors. International studies highlight an average of 1 in 10 patients haloperidol contraindications experiencing an adverse medication error whilst in hospital.

North tees and hartlepool NHS foundation trust is an acute haloperidol contraindications service that has recently deployed a hospital-wide electronic medication management (emm) solution to transition from paper records. This has been achieved as part of a broader programme haloperidol contraindications to deploy the intersystems trakcare EPR solution.

The emm programme set out a series of practicable steps haloperidol contraindications reflecting the scale of change the trust could consume whilst haloperidol contraindications providing the opportunity to gain experience and insight in a haloperidol contraindications controlled manner for how the emm solution could best meet haloperidol contraindications the trust’s aspirations:

Mandy skilcorn, ward matron, north tees and hartlepool NHS foundation trust said “before emm there were lots of issues with handwriting, being able to get hold of the actual chart. You can see when it was last given so you haloperidol contraindications are not giving doses too early and putting the patient haloperidol contraindications at risk.”

The adoption of hospital-wide emm is arguably the most complex and challenging deployment haloperidol contraindications of a clinical software solution. However, it is one where the ROI is clear from patient haloperidol contraindications experience, clinical outcomes and fiscal performance perspectives.

Cambridge university hospitals adopted ‘scan for safety’ – the international best practice for the safe administration of medications, through the scanning of barcodes which has been integrated with haloperidol contraindications its trust-wide epic electronic patient record.

Barcode medication administration enables nurses to safely administer medications and haloperidol contraindications infusions by scanning both a patient’s barcode on their identity wristband and the barcode on haloperidol contraindications their prescribed medications. This process is now live across all 51 of its haloperidol contraindications wards, 5 critical care areas and emergency department.

“there was a lot of pre-planning with this project to first understand our workflows, who does what, where and when. Then we needed to understand what the workflows could look haloperidol contraindications like. There’s lots of stakeholders involved so it’s important to know the process upfront and then understand haloperidol contraindications the technology.

“last year, the UK government last year announced £78m of funding for electronic prescribing and medication administration systems haloperidol contraindications for 13 trusts. The next round of funding is expected to be announced haloperidol contraindications imminently. To date, the main focus for trusts seems to be an investment haloperidol contraindications in electronic prescribing systems – however they only improve patient safety to a limited degree. They don’t protect against the nurse picking the wrong drug, the wrong dose or administering medication to the wrong patient.

To help eradicate medication errors altogether, the NHS needs to adopt a system to close the haloperidol contraindications loop on medication administration. This includes automated dispensing, electronic confirmation of patient identity and medication administration records. This approach allows trusts to track everything back to the haloperidol contraindications patient from the moment the medication is prescribed to when haloperidol contraindications it is administered, improving patient safety throughout the entire medication management process.

Patient safety remains a key issue for the NHS. Just last month, NHS england & NHS improvement announced their eagerly-awaited new patient safety strategy – a ‘golden thread’ to run through healthcare. It includes a series of recommendations built on two core haloperidol contraindications pillars – a patient safety culture supported by a patient safety system. If implemented successfully, the report believes it could save around 1000 lives and haloperidol contraindications £100m in care costs every year.

The development of a medicines safety programme to support medicines haloperidol contraindications safety systems across the NHS is welcomed whole-heartedly by omnicell. The programme has identified a number of national priorities for haloperidol contraindications improving safety. This includes a medicine safety improvement programme (MSIP) to reduce avoidable medicine related harm globally by 50% in five years, as well as the implementation of electronic prescribing and medication haloperidol contraindications administration systems. It’s great to see the report mention the importance of haloperidol contraindications combined electronic prescribing and medication administration systems in improving patient haloperidol contraindications safety. Omnicell has been campaigning for both systems to be used haloperidol contraindications in UK hospitals as a standard of care.

As well as the human cost of medication errors, there’s also the financial costs to the NHS. The estimated cost to the NHS of avoidable adverse drug haloperidol contraindications reactions is a staggering £98.5 million per year, consuming 181,626 bed days, causing 712 deaths and contributing to 1,078 deaths. Adverse drug events in england have previously been estimated to haloperidol contraindications be responsible for 850,000 inpatient episodes and costing £2 billion in additional bed days.

Last year omnicell worked with an independent pharmacy expert to haloperidol contraindications produce a new report; ‘SAFE in secondary care’, which showed that the implementation of automated medication administration systems haloperidol contraindications alongside epma systems would dramatically reduce the risk of medication haloperidol contraindications errors. With 40% of nursing time currently spent on medication tasks, using both systems would simplify the process for nurses so haloperidol contraindications they have more time to focus on face to face haloperidol contraindications patient care.

Omnicell will continue to campaign and raise awareness of the haloperidol contraindications importance of using both technologies to ensure the UK works haloperidol contraindications to a gold standard of care across our healthcare landscape haloperidol contraindications – creating a consistent and truly ‘national’ health service.”

Nick bolton, interim chief pharmacist, poole hospital NHS foundation trust “we started the project against a backdrop of challenging IT haloperidol contraindications deployments, with cynicism from some clinicians towards newer IT solutions; so we wanted to ensure our teams had the full haloperidol contraindications support they needed. This led us to take a phased roll-out approach and I think one of the key successes haloperidol contraindications of the project is that it has been really well haloperidol contraindications delivered and well managed.

‘there are positives and negatives for taking a phased roll-out over a big bang approach. It can mean you’re using a mixture of paper and electronic processes but haloperidol contraindications then there are risks associated with a big bang approach haloperidol contraindications in getting it right. Each trust has unique circumstances and this approach to the haloperidol contraindications project worked for us.

“it gave us the opportunity to work with our nursing, clinical and pharmacy teams to really understand their processes. You might think the methodology is right beforehand but in haloperidol contraindications practice we gained valuable feedback from the teams. This feedback loop helped us to hone and refine the haloperidol contraindications system, we had some really good ideas come back that we haloperidol contraindications were able to implement.”

James young, EPMA project lead pharmacist “the deployment team were on the ‘shop floor’ from 7am – 11pm each day to ensure the support was there for haloperidol contraindications our teams. Identifying advocates within ward teams helped the project to embed haloperidol contraindications within work patterns.

“we decided to start the proof of concept in a haloperidol contraindications downstream ward that had slower patient turnover. However this was not an admitting ward, so we had to transcribe new patients from paper to haloperidol contraindications digital. The better place to start is an admission ward, because although it’s busy with a higher turnover, it’s safer going from digital to paper (by printing) than the other way around.

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