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Found 226 results
  1. Content Article
    Safety recommendations: It is recommended that NHSX develops a process to recognise and act on digital issues reported from the Patient Safety Incident Management System. It is recommended that NHSX supports the development of interoperability standards for medication messaging. It is recommended that NHSX continues its assessment of the ePRaSE pilot and considers making ePRaSE a mandatory annual reporting requirement for the assessment and assurance of electronic prescribing and medicines administration safety. It is recommended that the Department of Health and Social
  2. Content Article
    This study from Schultz et al., published in the The Canadian Journal of Hospital Pharmacy, clearly shows hat abbreviations currently used by manufacturers to differentiate short- and long-acting medications are problematic. Furthermore, it has highlighted the potential consequences of using non-intuitive abbreviations to differentiate medications with different release rates. The study demonstrates how evidence-based research at the local level, along with feedback and input from front-line staff, can be used to address longstanding problems. Although no strategy can eliminate all errors
  3. Content Article
    How to use the tool The tool can be used prospectively or retrospectively to assess products, their features, and how those could impact on their safe use. This will help determine whether any patient safety issues could arise in relation to a specific medicine. It can also be used as part of the learning process if any product-related incidents have arisen in a pharmacy. The form should be completed by a pharmacy professional and any findings, particularly where the boxes next to text marked in red have been checked, should be shared with team members and the Superintendent Pharmacist if
  4. Content Article
    From the analysis of inspection reports, notifications of incidents and enforcement notices, the CQC have categorised the most common areas of risk with medicines across regulated health and adult social care services. This did not include providers of online consultations over the internet or by other remote means, as we have previously reported on these services. These six common areas are summarised as follows: prescribing, monitoring and reviewing administration transfer of care reporting and learning from incidents supply, storage and disposal sta
  5. Content Article
    The web page includes: Video outlining the background of PINCER. Resources for you to access - PINCER and PRIMIS information and help. PINCER Myth Buster Poster. PINCER Myth Buster. Using PRIMIS tools for quality improvement. PINCER 1 Query Library - Overview, analysis and interpretation.
  6. Content Article
    Latest case studies: Urgent/emergency care Delayed oxygenation of neonate during resuscitation when oxygen not ‘flicked’ on Equipment falling onto critically ill patients during intrahospital transfers Misapplication of spinal collars resulting in harm from unsecured spinal injury Ensuring compatibility between defibrillators and associated defibrillator pads Ensuring pregnant women with COVID-19 symptoms access appropriate care General medicine Harm from catheterisation in patients with implanted artificial urinary sphincters Confusion be
  7. News Article
    Patients have come to avoidable harm after a large private provider failed to deliver thousands of medicine prescriptions, according to a report from the Care Quality Commission. Healthcare at Home, which is based in Staffordshire but provides NHS-funded care and medicine supplies to patients’ homes across the country, has been rated “inadequate” and placed in special measures. A report published today said inspectors found more than 10,000 patients missed a dose of their medicine between October and December 2020 due to problems caused by the introduction of a new information system
  8. Content Article
    In this video we reflect on a role play we presented to students, of a prescribing assessment. Our conversation focuses on the eight areas that prescribing students are asked to cover.
  9. Content Article
    This project was commissioned because of an issue with multiple medicines records being held by different agencies for local children with complex needs and at the end of life. The project was highly commended by NICE and a poster was presented at the NICE Annual Conference in 2015 (see poster below). This duplication of records was believed to be a major risk factor for medicines errors and a waste of clinical time. It also meant that parents needed to repeat information about their children’s medicines time and again, as they accessed services, including inpatient services, tertiary cen
  10. Content Article
    "Several concerns have been raised about the risk of overdose and death from oral morphine sulphate solution over the past few years, but they have gone unheard." In light of coroners reports of deaths related to abuse, or accidental overuse of Oramorph or oral morphine sulphate solution. the author argues for increased regulation. Commenting: "In the absence of any action from ministers, it seems that healthcare professionals are going to have to take the care of vulnerable patients into their own hands." My reflections on this are: Is this a signal for increased regulation or
  11. Content Article
    'To support all prescribers in prescribing safely and effectively, a single prescribing competency framework was originally published by the National Prescribing Centre/National Institute for Health and Care Excellence (NICE) in 2012. NICE and Health Education England approached the Royal Pharmaceutical Society (RPS) to manage the update of the framework on behalf of all the prescribing professions in the UK. A Competency Framework for all Prescribers was first published by the RPS in July 2016. Going forward, the RPS will continue to maintain and publish this framework in collabora
  12. News Article
    Hormone replacement therapy (HRT) could be made available to buy over the counter. Health watchdogs are proposing a re-classification of the medication so women would be able to buy it in pharmacies without a prescription, it’s claimed. HRT is mainly used to treat menopause symptoms but it is not yet known which version of the medication will be a part of the proposal, the Daily Telegraph reports. Symptoms can include hot flushes, reduced sex drive and mood swings and usually pass after a few years. More than one million women a year are believed to suffer each year but tre
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