Safe Prescribing

Guidelines and checklists/ Reducing prescribing errors/ Dosage calculators and apps/ Care bundles/ Other

Case study

 

  • Guidelines and checklists

    • A standard, simplified monograph for prescribing high risk drugs on an intensive care. Most units will recognise that they already have monographs and consider this irrelevant but we challenge you to test the ease of use and error rate for clinical staff under pressure.The new layout (tool)...

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    • Explanatory material relating to potential different insulin regimens which are commonly prescribed is presented at the beginning of the chart for doctors not familiar with every method of giving insulin.  A full explanation of carbohydrate counting and calculating corrective insulin is included...

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    • A purpose designed prescription chart with prescribing guidance and clear information of monitoring of pharmacokinetics and dose adjustments.

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    • A single supplementary drug chart was designed, with all immunisations, brands and doses pre-printed as per the approved schedule. Supporting information was included as well as a space to note consent. 

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    • The Master Formulary for Paediatric Palliative Medicine provides information on indications, routes and standardised doses for paediatric palliative medicine based on systematic literature review and appraisal of available research evidence together with expert consensus opinion where there is...

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    • The Asthma Focus section of the Webkit contains resources to support medicines optimisation for patients with asthma, which include:

      A bulletin and briefing highlighting key evidence, national guidance, spend on treatments and options for implementation of change.

      Pathway documents...

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  • Prescribing errors

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  • Dosage calculators and apps

    • The tool is based in an excel spreadsheet, where the users only have access to enter data into five cells for the baby name, call number, baby weight, their date of birth and date that the sheet was created. When printed, a single page is produced which contains pre-calculated doses of common...

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    • The tool is based in an excel spreadsheet, where the users only have access to enter data into three cells for the baby weight, call number, date of birth and date that the sheet was created. When printed, two pages are produced which contains pre-calculated doses of common emergency drugs and...

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    • Data can only be entered into the yellow cells. The desired concentration and volume is entered together with the two starting concentrations. The spreadsheet calculates the volumes of the two starting concentrations to be mixed and also from this admixture recalculates to check the...

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    • An excel file which allows inputting of an age (or known weight) to enable the key critical care drugs and infusions to be calculated.

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    • This is an android app. It is a single screen app, with easy to use buttons to select date of birth, clinic date and a gestational age. It reports decimal age (useful in endocrinology) as well as chronological age in days, weeks, months and years. It will correct ages for babies born premature...

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    • NeoMate is a smartphone app that helps neonatal staff to provide the best possible care for unwell babies in the hospital setting. The app offers drug and fluid calculations, guides, and concise checklists to guide acute neonatal care. NeoMate is based upon established guidelines used by the...

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  • Care bundles

    • Implementing Neonatal Blood Transfusion Bundle into a Local Neonatal Unit (LNU) within the Thames Valley and Wessex Operational Delivery Network

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      • To increase awareness and understanding of the complexity of Ibuprofen.
      • To reduce drug errors in prescribing and administration.
      • To model a previously successful care bundle (Gentamicin) Act as a tool for continuous audit.
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  • Other

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