Just what St George’s ordered: Improved medication prescribing and administration
23 January 2015
St. George’s NHS Trust is the first organisation to go-live with Cerner electronic prescribing and medicines administration (ePMA) across Paediatrics and Paediatric Intensive Care (PICU) in the UK. As part of an enterprise wide solution this will be fully rolled out across all adult inpatient and outpatient locations during 2015.
The Trust aims to have one comprehensive medical record for all patients to provide the continuity of care through a patient’s lifetime, following the patients’ journey through the hospital. This is part of a larger programme of work to ensure that all patients’ records are electronic and to reach the ambition of becoming paperless by 2018.
The ePMA system enables in-depth reporting for the entire organisation which drives better outcomes for patients reducing missed doses and highlighting areas for practice improvement. St Georges NHS Trust will have removed all additional medication charts, using the ePMA system to support workflows for complex medicines such as warfarin, epidurals, and complex Intravenous preparation’s. In Paediatric ICU the system has been integrated with the end of bed charting solution, which uploads real time vital sign information.
Patients have a wrist band that is bar coded which connects directly to their Electronic Health Record (EHR) and barcode scanning is used to ensure the correct patient, receives the correct drug, at the correct time and at the correct dose. Patient benefits include better care provision as a direct result of a reduction in administration errors related the barcoding medication administration.
Prescribing accuracy has also reached 100% and national standards for antibiotic prescribing are now being adhered to.
Will Hall, Lead Pharmacist for ePMA: “Our decisions on what to do at the start of the programme were driven by previous incidents within the organisation. We recognised that healthcare technology enables better and safer patient care. Delivering an enterprise solution is challenging but a worthwhile investment for an organisation to strive towards. Going live with ePMA as part of a larger roll-out plan has been challenging, and the sheer scale of what we are trying to achieve is complex. But once we have rolled this out, the opportunities in driving clinical practice through reporting and decision support are phenomenal. We have released Nursing time to care, as time spent looking for paper drug charts and trying to understand the squiggle on paper chart have been eliminated. We have been engaging with Cerner on system optimisation based on our user feedback in order to improve the system’s adoption. I am very excited about collaborating with our IT partner and other organisations over the coming years, as we drive the patient safety agenda. We are leading the way in the UK and aim to continue on our journey by developing and delivering more ways to improve the system, and we are always happy to showcase the system and its potential to other organisations, wanting to start on this journey. This is just the beginning.”
Notes to Editors
About St Georges Healthcare NHS Trust
St George's Healthcare NHS Trust is one of the largest healthcare providers in the UK. Its main site, St George’s Hospital – one of the country’s principal teaching hospitals – is shared with St George's, University of London, which trains medical students and carries out advanced medical research. As well as acute hospital services, the trust provides a wide variety of specialist and community hospital based care and a full range of community services to children, adults, older people and people with learning disabilities. These services are provided from Queen Mary’s Hospital, Roehampton, 11 health centres and clinics, schools and nurseries, patients' homes and Wandsworth Prison.
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