Using a ‘pre-packaged to take out’ (pre-pack TTO) medicines system in a clinical area with a high patient turnover has the potential to reduce discharge time and increase FDA approved Drug Library supplier bed capacity allowing for new admissions. This evaluation aims to measure the benefits of the system. The service improvement project was implemented in September 2013 on an acute surgical ward in accordance with the requirements set out by the Trust’s medicines and discharge policies.1 Every patient’s discharge prescription was analysed during October 2013 and March 2014 to evaluate
the impact of the project. In addition, discharge prescriptions dispensed by Pharmacy during this time were also analysed for comparison. Ethics committee approval was not needed. (a) Cost comparison: TTO pre packs’; are 17% more expensive than standard original packs, however when Pharmacy costs are taken into account, the differences are negligible. The average number of items per discharge is 1.6 items for those supplied
on the ward and 4.3 for those dispensed by Pharmacy, providing assurance that more complex discharges are being dispensed by Pharmacy to ensure patient safety in line with Trust policy. The increase in proportion of discharges completed using ‘TTO pre packs’; (59% to 73%) indicates that this process is effective. A comparison of the time taken clearly shows that patients suitable for ward based supply can leave hospital 125 minutes sooner than if medication was dispensed by Pharmacy. This is the equivalent of 30.7 full bed days, or assuming a cost of £250 per bed per patient per day* this equates Ibrutinib clinical trial to £90k per year of bed space that could be utilised in a more effective and efficient manner. This evaluation does not take into account how many prescriptions a Pharmacist clinically screened, or the nursing resources required to ensure consistent provision of this service. 1. Procedure for the supply of pre-labelled discharge medicine packs by nursing staff against a prescription, ** Hospitals
Trust, July 2011 M. J. Boyda, H. F. Boardmanb, A. Joshuac aDivision for Social Research in Medicines and Health, The School of Pharmacy, University of Nottingham,, Nottingham, Nintedanib (BIBF 1120) UK, bInnovation in Pharmacy Education Division, The School of Pharmacy, University of Nottingham,, Nottingham, UK, cNHS England, NHS 111 National Programme, Redditch, UK Analysis of pharmacist records of queries to NHS Direct aimed to determine the nature of medicine related issues. NHS Direct pharmacists handled a large number of queries from patients and carers despite other services being available. Many queries relating to medicines are about acute medicines issues. Pharmacists have provided advice to patients for centuries. NHS Direct was launched as a service in 1998 by the then government and provided a radical new option in health care delivery, a 24 hour telephone advice line, free at the point of use. NHS Direct handled hundreds of thousands of calls every month on many aspects of care.