Pharmacist discharge planning within iEMR.

For patients being discharged, allowing the pharmacist to undertake discharge reconciliation planning within the iEMR in a consultation with the treatment medical team.

Why the contribution is important

Our local data shows a significant proportion of discharge prescriptions and reconciliations within the iEMR contain errors, usually related to the discharge reconciliation of regular medications (by some estimates, up to 50%).  These errors need to be identified through the pharmacist discharge process, raised with the medical officer, require re-reconciliation and action in iEMR, then a further review by the pharmacist to ensure accuracy.  Once this is complete, the pharmacist is able to produce the discharge medication record, discuss with the patient potential supply arranagements with the patient and provide medication counselling.

This process could be sped up considerably by allowing pharmacists to undertake discharge reconciliation planning within the iEMR.  Once notified of discharge, a pharmacist would undertake a medication reconciliation in iEMR in a collaborative fashion with a prescriber to ensure an accurate reconiciliation is undertaken in the first instance.  This would then be signed off by a medical officer to satisfy current legislative requirements in Queensland.  This would avoid the multiple corrections often required for complex medical patients and allow a DMR to be produced early and could potentially impact both length of stay, discharge time (i.e. earlier in the day) and improved accuracy and safety.

by jasonwaddell on May 29, 2019 at 08:17AM

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