The Effect Of Post Discharge Mur And Nms Service

Increasing demands on the healthcare system has led to the development of the role of the Non-Medical Independent Prescriber, with the four-fold aim to improve patient care without compromising patient safety, make it easier for patients to access medicines, make better use of the skills of healthcare professionals and contribute to a greater multi-disciplinary team structures across the NHS (D of H, 2006). Independent prescribers have been defined as “practitioners responsible and accountable for the assessment of patients with previously undiagnosed or diagnosed conditions and for decisions about the clinical management required, including prescribing.” (BNF 2015) In the UK, by 2011, approximately 21,000 nurses, pharmacists and other allied

In the UK, there are more than 1 billion scripts prescribed and dispensed every year (HSCIC, 2013). There are over 12,000 pharmacies in the UK, and approximately 1.6 million people visit a pharmacy every day (HSCIC, 2013). It is therefore natural to assume that between these 1 billion prescriptions, an error or mistake will be made. Current studies suggest that of all the dispensed medicines, there are approximately 0.01-3.32% errors made in community pharmacy and 0.02-2.7% in hospital pharmacy (James et all, 2009).

In accordance with John Swales, “…survival of the community depends on a reasonable ratio between novices and experts” (27). The pharmacy proves to be a stressful work environment and there is a high turn-over rate, thus I have observed there are always new employees within the community. Although turn-over is a normal occurrence, there is a steady presence of “lifers”. A “lifer” is an employee who has been with the pharmacy for a very long time. For example, Barbie is a “lifer” and has been employed with the pharmacy for twenty-five years.

Nurses help organize and manage patient’s transition to home whereas the pharmacist calls the patient after discharge to review their medications. Any problems with medications are communicated to the primary provider.

This is a journal study to investigate the perceptions and opinions of the professional community pharmacy staff about the causes of dispensing errors and strategies to prevent these errors. A survey was completed by pharmacists and pharmacy technicians in 49 community pharmacies and the response rate was 90.9% (Lopes, Joaquim, Matos & Pires, 2015). Handwritten prescriptions were the most single cause of medication errors 51.5% and drugs with similar packages 45.6% (Lopes et al., 2015). Checking prescriptions and confirmation of drugs through barcodes was 97% which were the most agreed prevention methods (Lopes et al., 2015). This article would not only be useful to pharmacy personnel but to other health practitioners or students performing research. In addition, a study similar to this could serve as an example (initiative) that may benefit management. Such initiative would be implemented to help improve medication

Pharmacists have many different responsibilities to their patients, these include promoting patient’s safety through checking the patient’s medication and keeping good records every time a patient fills a new prescription or refills prescription filled (Leagle, 1994). Pharmacists should also improve

Medication reconciliation is defined as a “formal process of obtaining a complete and accurate list of each patient’s current home medications – including name, dosage, frequency, and route – comparing the physician’s admission, transfer, and discharge orders to the list.” (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). There have been several studies performed across the world to try to comprise a system that will successfully accomplish medication reconciliation. Some of these studies have been successful and others have failed to find a solution. There have been studies that have utilized a pharmacy technician in the emergency department to facilitate the input of patient’s medication reconciliation prior to admission. Other studies have relied on the pharmacist to obtain the information. Most studies involved the primary nurse providing care to the patient to obtain the medication reconciliation information. There have been several forms of documentation tried on trial bases. These forms of documentation range from a paper medication administration record (MAR) to an electronic medication administration record (EMAR) that utilizes today’s technology.

Answer to Question 3. The final question posed was the length of time from discharge to time of first office visit in days significantly different in the two samples. Analysis of this data did show a statistical significant difference (p= <.001). Patients discharged with the benefit of Transitional Care Program returned for follow up in less days from discharge then those discharged during the Traditional Care

The United States has many people living among one another all with a different kind of mentality. Varying from a weak to strong mind depending on life events and how they have managed to deal with them. For most the way they react to their surroundings can seem like an easy task but for others it can be the hardest and most difficult of tasks. To further explain this point, one can look into the many possibilities of how one’s surrounding and life events can interfere with their mind creating psychological problems. One of the most common to take into consideration is the mind of a soldier who suffers from post-traumatic stress disorder.

It is the nurse’s and pharmacist’s job to be cautious and aware of every medication they are administering by using their critical thinking skills and applying what they know to every situation. Although it is important for these individuals to be able to advocate for their patients, it also imperative that prescribers be aware of the impact they have on their patients as their actions have a domino effect. In conclusion, it is not the responsibility of a single profession to maintain safety in medication administration. It is the responsibility of everyone involved in the patient’s care. Each person who takes steps to improve the process and promote the patient as the number one priority is doing their part in refining how the healthcare system views medication

is essential to any discussion of issues related to current and future pharmacy technicians.[14,15] Policy statements of a numof national pharmacy associations are listed in the appendix. A summary of key events of the past half century follows.

The managers at the pharmacy department, as team members were involved in the study. Although the study was anonymous, it is presumed that their input and expectations towards the e-Rx could have been different from the non-management staff. What they consider priority may not be the same for the staff members. Their preferences in workflow and employee training provided valuable input in the study.

As a community social services assistant, I work directly with pediatric patients that have been discharged from St. Vincent Hospital. When meeting with patients post discharge, I have noticed that they are often confused about the types of services they require. I have considered various options to address this issue and have come up with a potential solution. Hospital admissions can be overwhelming for young children; I am suggesting we trial providing homecare information in a more fun and less intimidating manner. I am suggesting we hire a popular local clown named Claris who performs at children’s parties .Claris is passionate about helping children, and would be able to explain homecare information in a fun and interactive way that would be easier for children to understand.

Pew, Stephen, Ph.D (2008). Introduction to Health Services. 7th Ed. [Video] Thomson Delmar Learning. Retrieved from:

Self-management has become a concept adopted by the Department of Health (DH) to enable people with chronic health conditions to become the controlling entity over their illness therefore promoting independence and psychological well being. Initiatives that recommend this practice are National Service Framework for chronic disease management and self-care (DH 2002) and National Service Framework for Long-Term Conditions (DH 2005). Part of the framework plan is to implement a strategy to enable people to self-administer their own medication. This includes self-medicating in the community and in acute hospitals.