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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    Pages

  • Prescribing errors

    Pages

  • Dosage calculators and apps

    • The tool calculates drug doses of frequently used emergency drugs when the patients weight is entered. It can be printed off and used as a quick reference guide for prescribing and administration. The tool was developed by consultants in Paediatric Intensive Care, paediatric cardiac...

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    • This is a simple Excel based calculator that can be used to calculate the time intervals for gentamicin administration at 36 hour intervals in the neonatal setting.

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    • The emergency drug calculator calculates emergency drug doses and volumes based on weight and age (the age component is used in a number of calculations, and also determines which infusions are displayed - prostin is irrelevant over 3 months and life threatening asthma infusions irrelevant under...

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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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    • The spread sheet does not allow the total daily intake figure to be exceeded. It will take into account the volume of enteral feeds and fluid from other infusion and flushes if entered. If the total daily intake minus the infusions, flushes , and enteral nutrition exceeds the prescribed intake...

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    Pages

  • 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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