Solutions implemented
The pharmacist reconciles the patient’s medication history and conducts a medication review to identify medication problems. The pharmacist documents the medication history and medication problems and communicates a plan to nursing/medical staff to implement agreed changes.
A medicines governance group has been established to introduce an integrated medicine wise program. The medicine wise culture will be fostered to reduce errors and optimise use of high risk medicines, improve continuity of care, increase early implementation of medication planning, and release capacity. Activities to enable a medical wise culture include delivery of structured education, guideline/protocol development, and quality improvement/research projects.