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News ArticleMany pharmacies and physicians are forced to deny patients access to drugs, such as methotrexate, that can be used to help induce an abortion A few weeks after the supreme court’s 24 June decision to overturn the nationwide abortion rights established by Roe v Wade, the pharmacy chain Walgreens sent Annie England Noblin a message, informing her that her monthly prescription of methotrexate was held up. Noblin, a 40-year-old college instructor in rural Missouri, never had trouble getting her monthly prescription of methotrexate for her rheumatoid arthritis. So she went to her local Wa
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1 Blog - Managing medicines in care homes – four top tips In this blog, Steve Turner, a qualified nurse specialising in clinical educational and patient engagement, offers up four tips for managing medicines in care home settings, under the following headings: Care Homes must have a medicines policy that is regularly reviewed People must have an accurate listing of their medicines on the day they transfer to the care home People who live in care homes should have at least one multidisciplinary medication review per year Ensure you have safe systems for administer -
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Priorities for tackling overprescribing in the NHS
Patient Safety Learning posted a calendar event in Community Calendar
This Westminster conference will discuss the strategic priorities for tackling overprescribing in the NHS. It follows NHS England’s overprescribing review and subsequent Good for You, Good for Us, Good for Everybody action plan. Delegates will discuss what would be needed if the plan’s aims for systemic and cultural change are to be achieved, and priorities for the proposed Clinical Director for Prescribing. It will be an opportunity to discuss the future of medicines optimisation, opportunities for social prescribing, and measures to enable consistent delivery across the whole -
Content ArticleKey findings: Factors that contribute to medication errors Problems with three-way communication between care home, prescriber and dispensing pharmacy Training of care home staff Leadership and the need to create a safety culture Problematic care processes, including record keeping and ordering medication
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A medication error is defined as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer,” according to the National Coordinating Council for Medication Error Reporting and Prevention. An estimated 237 million medication errors occur in the NHS in England every year.[1] This number represents the sum of medication errors over all stages of the medication use process. Most errors occur during drug administration (54%), followed by prescribing (21%) and dispensi -
News ArticleThe American Medical Association and three other major health groups have warned that patients across the nation could suffer “irreparable harm” due to the shattered legal landscape left in the wake of the Supreme Court’s decision to overturn Roe v. Wade. In a statement, co-authored with the American Pharmacists Association, the American Society of Health-Systems Pharmacists and the National Community Pharmacists Association, the groups said they were deeply concerned by state efforts to limit access to medically necessary medicine. Ongoing questions about state laws are already impacting
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HRT medicine to be sold over the counter for first time
Patient Safety Learning posted a news article in News
Previously offered as prescription only, estradiol tablets, sold under the brand name Gina10, will now be available to women over the age of 50 who have not had a period for more than a year, as part of hormone replacement therapy treatment (HRT). Pharmacists have been offered training to identify who needs the tablets. The Medicines and Healthcare products Regulatory Agency (MHRA) made the decision as part of a strategy to make menopause treatment more accessible for women. Estradiol tablets treat vaginal symptoms caused by a lack of oestrogen, such as dryness, soreness, itchin -
Content ArticleThe mission of the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) is to maximise the safe use of medications and to increase awareness of medication errors through open communication, increased reporting and promotion of medication error prevention strategies. Goals Stimulate the development and use of reporting and evaluation systems by individual health care organisations. Stimulate reporting to a national system for review, analysis, and development of recommendations to reduce and ultimately prevent medication errors. Examine
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WHO: World Patient Safety Day 2022
Patient Safety Learning posted an article in WHO
Medications are the most widely utilised interventions in healthcare, and medication-related harm constitutes the greatest proportion of the total preventable harm due to unsafe care, let alone the economic and psychological burden imposed by such harm. Medication harm accounts for 50% of the overall preventable harm in medical care. US$ 42 billion of global total health expenditure worldwide can be avoided if medication errors are prevented. Acknowledging this substantial burden and recognising the complexity of medication-related harm prevention and reduction, the theme o- Posted
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WHO states that medication harm accounts for around 50% of the overall preventable harm in medical care and comes with a huge financial cost, estimated at $42 billion USD annually. Patients can be subject to avoidable harm as a result of medication in a range of different ways, including: prescription errors—being underprescribed or overprescribed medicines or receiving a prescription which does not address the health condition and subsequently results in deterioration. dosage errors—missed doses or incorrect doses, which can occur in a range of different settings. mis -
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GPs to prescribe walking and cycling in bid to ease burden on NHS
Patient Safety Learning posted a news article in News
GPs around England are to prescribe patients activities such as walking or cycling in a bid to ease the burden on the NHS by improving mental and physical health. The £12.7m trial, which was announced by the Department for Transport and will begin this year, is part of a wider movement of “social prescribing”, an approach already used in the NHS, in which patients are referred for non-medical activities. Minister for health, Maria Caulfield, said the UK is leading the way in embedding social prescribing in the NHS and communities across the country. “Getting active is hugely ben -
Content ArticleDid you know? Key causes of anti-infective medication error claims: Failure to check allergy status. Failure to cross-check the ingredients of a medication against allergy status. Failure to adjust dose of medication to the patient’s weight. Failure to adjust dose of medication according to renal function. What can you do? When prescribing antibiotics, refer to the British National Formulary (BNF) for guidance on adjusting dosages according to patient weight, kidney function and the frequency of monitoring. Refer to the traffc light system for
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Use of antipsychotic drugs among dementia patients increasing, study suggests
Patient Safety Learning posted a news article in News
Prescribing potentially harmful antipsychotic drugs to people with dementia has increased by more than 50% on average in care homes during the pandemic, new research suggests. It found that the number of people with dementia receiving these prescriptions had soared from 18% to 28% since 2018 – with prescription rates of over 50% in a third of care homes. Professor Clive Ballard, who was part of a national campaign in 2009 to reduce antipsychotic prescribing by half, said: “Covid-19 put tremendous pressure on care homes, and the majority of them must be applauded for maintaining relat -
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News ArticleThe UK needs to do more to use diagnostic testing in the fight against antimicrobial resistance (AMR), the chair of a government-commissioned review on AMR told MPs. Lord O’Neill, an economist and former treasury minister, warned in the review’s final report in 2016 that a continued rise in AMR would lead to 10 million people dying each year by 2050 and made ten recommendations, including the need for rapid diagnostics to reduce unnecessary use of antimicrobials. Speaking to a Commons Science and Technology Committee evidence session on 22 June 2022, Lord O’Neill said that while he w
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Cost of living: GPs warning over rise in prescription requests
Patient Safety Learning posted a news article in News
The cost of living crisis is adding to pressures on GPs, the British Medical Association (BMA) in Northern Ireland has warned. The BMA said that is because the number of people asking for prescriptions for medicines that can be bought over the counter is increasing. That includes medicines like painkillers and allergy medication, Dr Alan Stout of the BMA said. Prescriptions are free for everyone in Northern Ireland. The rise in prescription request increases "the cost to the health service as a whole and the pressure on GPs", Dr Stout told Ulster's Good Morning Ulster progr -
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Questions in the House of Commons on medication safety (21 June 2022)
Mark Hughes posted an article in Medication
Below are details of two written questions tabled by Feryal Clark MP, Shadow Minister for Primary Care and Patient Safety, concerning incidences of medication error and the World Health Organization's (WHO) Medication Without Harm initiative. Both questions were answered by Maria Caulfield MP, Minister for Primary Care and Patient Safety: Medication errors in the NHS Question: To ask the Secretary of State for Health and Social Care, how many incidences of medication error have been reported since 2017. Answer: From 2017 to 7 June 2022, 1,309,128 medication-related incidents have -
Content ArticleThe investigation found a significant number of failures in the care and treatment of the patient overall and in the following areas: Nutrition and Feeding the patient – contrary to guidance which highlights the importance of high quality nutritional care based on individual assessment of needs with appropriate planning and monitoring, this investigation found the following failings: The feeding of porridge contrary to Speech and Language Therapy advice on 3 and 4 December 2016 and offering other foods contrary to advice. The recording who fed the patient porridge. The
