Date28 June 2023
LocationOnline via WebEx at 12:30-14:00
About the event
This interactive session was the second of a quarterly series about medication safety aimed at healthcare professionals, working in any sector with a role or passion for medication safety and/or involved in medicines use.
Speakers shared innovative practices that have the potential to be translated and replicated.
Why it’s important
Timely use of medicines are critical and despite efforts to improve safety related to their use, current practice is still leading to patient harm in the NHS. These harms may occur at each stage of the medicines journey and in any setting across the system. This session aimed to equip healthcare professionals with insights, support, and shared learning, to support a reinvigorated approach to improve practice with an aim to minimise these harms.
What was covered
- A discussion of key challenges that impact safe use of time critical medicines within the system and why this issue continues to be a challenge for the whole system
- ‘Lived experience’ was shared to understand the impact of where time critical medicines are omitted or delayed to inspire actions to improve safety
- Shared exemplar practices related to improving the safety with time critical medicines, which will allow for reflection on local practice and consideration for implementation at a local and system level.
- Articulate key current challenges related to the safe use of time critical medicines
- Use the information shared regarding known harms related to time critical medicines to assess local working practices at both an organisational level and across the system
- Reflect on the examples shared and identify actions or responses to recommend locally, in order to improve safe practice
- Take opportunities to network with peers to inform the development of appropriate local and system wide responses to time critical medicines concerns
Programme and speakers
System safety spotlight – Time critical medicines
Time Critical Medicines – A time to think differently
An introduction to the spotlight issue exploring whether time critical medicines are as commonly involved in known patient harms since the initial safety alert on ‘reducing harm from omitted and delayed medicines in hospital’. We explore why this continues to be an issue; not just in the acute setting but across the whole system.
Head of Patient Safety, NHS England
Getting time critical medicines on time – Why it matters
A reflection on why is getting time critical medicines right so important. A healthcare professional shares her lived experience on how the timeliness of medicines administration has impacted her own Parkinson’s Disease symptom management. Introducing the ten recommendations from the Parkinson’s excellence network and hearing how these can be implemented across the system.
Lead Nurse for Adult Safeguarding, Surrey and Sussex Healthcare NHS Trust. Co-Lead for South East Parkinson’s Network
Parkinson’s Nurse Specialist, Parkinson’s UK
Sharing of good practice and practical solutions
Innovate workforce solutions to support time critical medicines
Sharing experiences where staff have been upskilled to administer medicines and discussing how this can be translated across all care settings.
Pharmacy Technician Specialist, Lead WMA project, Northumbria Healthcare NHS Foundation Trust
A self administration journey – How to introduce and embed the principles of self-administration
A shared example of using self-administration principles to minimise harms from time critical medicines. A discussion of challenges and how barriers were overcome. A focus on how this approach could be replicated in any care setting.
Medication Safety Lead Pharmacist, University Hospitals of Leicester NHS Trust
Medicines Management Nurse, University Hospitals of Leicester NHS Trust
Promoting patient engagement to support safety with time critical medicines
Exploring the principle of patient engagement as a safety solution. Promoting patient involvement in communication and transfer of information related to time critical medicines across the whole system.
Professor Bryony Dean Franklin
Professor of Medication Safety, UCL School of Pharmacy; Executive Lead Pharmacist, Imperial College Healthcare NHS Trust; Director, NIHR North West London Patient Safety Research Collaboration
Supporting and inspiring medication safety across the system
System safety update
Communication of urgent / topical safety issues and sharing a collection of time critical medicines related resources.
The meeting will be led by Anna and Emma, with support from Barry and Nicola. You can learn more about our SPS team below.
We are grateful to our colleagues for recording the following videos
Electronic solutions to promote effective communications
Suzanne Cooper shares her experience of using electronic prescribing systems to improve the safe transfer of time critical medication between care settings.
Using the Medicines Supply Tool
Kate Mitchell and Ben Rehman introduce and demonstrate the Medicines Supply Tool which can support healthcare professionals manage supply issues and mitigate against potential harms related to delays of time critical medicine supply. The purpose, origin and maintenance of the tool are presented and potential actions to manage supply issues and shortages are discussed.
A supporting ‘Guide to Managing Medicines Supply and Shortages’ is available from NHSE
A toolkit to promote safe practice
Elizabeth Mckechnie shares her experience with tackling time critical medicine safety in her organisation. Practical examples, which can be translated to work in any care setting, are shared to inspire healthcare professionals to take action towards safety improvements in their care setting and across the system.
You can browse our SPS podcast collection.
We are grateful to our colleagues for recording the following resources related to time critical medicines.
Time critical medicines – What does it mean to the system?
Time critical medicines – What does it mean to medics?
Using the patient medications records to support safe use of time critical medicines
Improving safety of time critical medicines at transfers of care with ambulance services
System Safety Update
Please contact the Admin Team if you have any questions.