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Collaborative Research in Pharmacy – a Practitioner’s View • Tamasine Grimes, PhD, MPSI • Associate Professor in Practice of Pharmacy • Trinity College Dublin and Tallaght Hospital [email protected] @tagrimes Medicines Management is Everybody’s Business! Hospital GP Carers Patient Community Pharmacy Public health nurse Some background • Medicines Management • Hospital Pharmacy • Transitions of care • Medication safety • Medication reconciliation • The journey Main finding: Risk of medication error at hospital discharge Key lessons: • The story begins at admission! • Focus on patients with higher medication burden • Reduce transcription burden • Consider information management Proven Market Impact of TEAMS GP Healthlink Pharmacy Hospital GP Practice Management System Community Pharmacy Source: WHO Growth chart Key findings: • Risk of medication error at hospital admission • Contribution of clinical pharmacist to patient safety Key lessons: • Greater potential for error with medications used to manage conditions other than the presenting complaint • Value of personal communication & collaboration • Importance of structured approach Collaborative Pharmaceutical Care at Tallaght Hospital TALLAGHT HOSPITAL Grimes T et al (2014) BMJ Qual Saf doi:10.1136/bmjqs-2013-002188. • 78% ↓ number of patients experiencing 1+ drug error • 0% potentially serious error vs 6% standard care • Improved quality of prescribing Embed Sustain MEASURE Spread Policy context in Ireland Opportunities in Dissemination • • • • • • Community of Enquiry Create a coalition for change Develop collaborations Promote patient safety culture Develop the evidence base Advance the scope of practice Acknowledgements • Academic and practice colleagues • Ann Allen, Vanesha Bhagwan, John Barragry, Kathleen Bennett, Fiona Boland, Niall Breslin, Sharon Byrne, Evelyn Deasy, Tim Delaney, Tom Fahey, Michelle Fitzsimons, Mairead Galvin, Jennifer Hayde, Carmel Hughes, Marie-Claire JagoByrne, Ciara Kirke, Gráinne Kirwan, Ronan McDonnell, Ciara McManamly, Eddie Moloney, John O’Byrne, Aisling O’Leary, Patrick Redmond, Cathal Walsh, Catherine Wall. • ... And many more Collaborative Research in Pharmacy – a Practitioner’s View • Tamasine Grimes, PhD, MPSI • Associate Professor in Practice of Pharmacy • Trinity College Dublin and Tallaght Hospital [email protected] @tagrimes
