Presentation on QUM In Various setting.pptx

Presentation on QUM In Various setting.pptx

1. QUM In Various Settings

2. CONTENTS C Introduction Background Hospital Settings Ambulatory care/Residential care Role of Healthcare professionals in promoting the QUM Impact Of QUM Areas Of Focus Reference QUM In Various Settings 2

3. Introduction Quality use of medication refers to the safe, effective, and appropriate use of medications to achieve optimal health outcomes. It encompasses a holistic approach that considers not only the medication itself but also the individual patient's needs, preferences, and circumstances. QUM In Various Settings 3

4. Background In the 1997-1998 Australian federal budget , the Government allocated funds towards creation of the National Prescribing Service (NPS MedicineWise), a body tasked with undertaking and promoting Quality Use of Medicines work. The organisation’s services such as the Medicine Name Finder and Medicines Line are the most apparent representations of governmental QUM policy at work. Medicines Line, for example, provides a hotline for patients to call with questions about their medicines, furthering the QUM goal of ensuring medicine safety through improved patient knowledge QUM In Various Settings 4

5. QUM In Various Settings Hospital Settings, Ambulatory Care/Residential Care

6. Hospital Setting Presentation title 6 In hospitals, QUM involves ensuring that medications are used effectively, safely, and appropriately for patients. Health professionals play a crucial role in promoting QUM by: Providing accurate drug information to patients and other healthcare providers. Monitoring medication regimens to prevent adverse effects or interactions. Educating patients on proper medication use. Implementing strategies to minimize medication errors.

7. Providing accurate drug information to patients and other healthcare providers QUM in various setting 7 Understand the Drug : Start by thoroughly understanding the drug in question. Stay Updated : Regularly consult reputable sources such as drug reference books, peer-reviewed journals, and official prescribing information provided by regulatory agencies. Assess Patient Specifics : Consider the patient's medical history, current medications (including over-the-counter and herbal supplements), allergies, age, weight, renal and hepatic function, pregnancy or lactation status, and other relevant factors. Use Clear Language : Communicate drug information in clear, jargon-free language that patients and other healthcare providers can understand.

8. QUM In Various Settings 8 Provide Balanced Information : Present both the benefits and potential risks of the drug, including common side effects, serious adverse reactions, drug interactions, contraindications, and precautions. Address Questions and Concerns : Encourage patients and other healthcare providers to ask questions and address any concerns they may have about the drug. Document Information : Document the drug information provided, including the date, source of information, and any specific recommendations or counseling provided. This ensures continuity of care and facilitates communication among healthcare team members. Follow Up : Follow up with patients and other healthcare providers as needed to ensure understanding and address any further questions or concerns that may arise.

9. QUM In Various Settings 9 Monitoring medication regimens to prevent adverse effects or interactions. Review Medication List : Including prescription medications, over-the-counter drugs, herbal supplements, vitamins, and any other supplements. Ensure the list is up-to-date and comprehensive. Assess Adherence : Evaluate the patient's adherence to the prescribed medication regimen. Non-adherence can lead to treatment failure or adverse outcomes. Monitor for Adverse Effects : Potential adverse effects associated with each medication and encourage them to report any new or worsening symptoms promptly. Monitor for common adverse effects during follow-up visits and assessments.

10. QUM In Various Settings 10 Check for Drug Interactions : Pay attention to interactions that may affect drug efficacy, safety, or pharmacokinetics. Evaluate the clinical significance of identified interactions and take appropriate action. Consider Pharmacokinetic Parameters : Such as renal or hepatic impairment, age-related changes, genetic variability, and drug-drug interactions. Adjust medication dosages or frequency accordingly to optimize therapy and minimize the risk of adverse events. Monitor Laboratory Values : For medications with known laboratory monitoring parameters, regularly monitor relevant laboratory values to assess drug efficacy and safety. Adjust medication doses or therapy based on the results and clinical judgment. Evaluate Therapeutic Response : Monitor the patient's response to therapy, including improvements in symptoms, disease progression, or achievement of treatment goals. Adjust the medication regimen as needed to optimize therapeutic outcomes

11. QUM In Various Settings 11 Communicate with Healthcare Team : Including physicians, pharmacists, nurses, and other healthcare providers. Share relevant information about medication changes, adverse effects, or concerns to facilitate coordinated care. Educate Patients : Medication management by educating them about their medications, including proper administration, potential side effects, and the importance of adherence. Provide written materials or resources to reinforce key concepts. Document Monitoring Activities : Document all medication monitoring activities, including medication reviews, assessment findings, interventions, and patient education efforts. Maintain accurate and comprehensive medication records to support continuity of care and ensure accountability.

12. QUM In Various Settings 12 Educating patients on proper medication use Dosage and Timing : Explain the correct dosage of the medication and when it should be taken. Emphasize the importance of adhering to the prescribed schedule. Administration Instructions : If the medication needs to be taken with food, on an empty stomach, or with certain liquids, provide clear instructions. Also, demonstrate proper administration techniques if applicable (e.g., inhalers, injections). Duration of Treatment : Explain how long the medication should be taken. Even if symptoms improve, it's essential to complete the full course of treatment unless instructed otherwise by a healthcare professional.

13. QUM In Various Settings 13 Potential Side Effects: Discuss common side effects and what patients should do if they experience them. Encourage patients to report any unexpected or severe side effects to their healthcare provider. Interactions and Contraindications: Inform patients about potential interactions with other medications, supplements, or foods. Also, discuss any contraindications or situations where the medication should not be taken. Storage: Advise patients on how to store the medication properly, such as keeping it away from heat, moisture, or direct sunlight. Also, remind them to store medications out of reach of children and pets. Refills and Renewals: Explain the process for refilling prescriptions and the importance of not running out of medication. Encourage patients to schedule follow-up appointments as needed to monitor their progress.

14. QUM In Various Settings 14 Importance of Communication: Stress the importance of open communication with healthcare providers. Encourage patients to ask questions, express concerns, and report any changes in their condition. Written Instructions: Provide written instructions or informational materials that patients can refer to at home. Use clear language and simple diagrams if necessary to enhance understanding. Follow-up: Schedule follow-up appointments or check-ins to monitor the patient's progress, adjust treatment if needed, and address any concerns or questions.

15. QUM In Various Settings 15 Implementing strategies to minimize medication errors Use of Technology : To reduce errors associated with handwritten prescriptions. E-prescribing systems can provide alerts for potential drug interactions, allergies, and dosage errors. Barcoding Systems : Utilize barcoding systems for medication administration to ensure that the right medication is given to the right patient in the right dose and route. Medication Reconciliation : Perform medication reconciliation at transitions of care (e.g., admission, transfer, discharge) to ensure that the patient's medication list is accurate and up to date.

16. QUM In Various Settings 16 Standardization of Processes: Standardize medication-related processes, such as medication ordering, preparation, dispensing, and administration, to minimize variability and reduce the risk of errors. Education and Training : Provide comprehensive education and training to healthcare providers on medication safety practices, including proper prescribing practices, medication administration techniques, error reporting procedures, and the use of safety protocols and technologies. Double-Check Systems : Implement double-check systems for high-risk medications or procedures, where a second healthcare provider independently verifies the medication or dose before administration.

17. QUM In Various Settings 17 Error Reporting and Analysis: Encourage staff to report medication errors, near misses, and adverse drug events so that root causes can be identified, and preventive measures can be implemented. Regular Audits and Quality Improvement Initiatives: Conduct regular audits and quality improvement initiatives to monitor medication-related processes, identify areas for improvement, and implement corrective actions. Collaboration and Interprofessional Communication: Foster collaboration and effective communication among healthcare team members, including physicians, pharmacists, nurses, and other allied healthcare professionals, to ensure coordinated and safe medication management.

18. Ambulatory Care/Residential Care QUM In Various Settings 18 In outpatient and residential care settings, QUM focuses on optimizing medication therapy for patients living outside the hospital. Strategies include: Regular medication reviews. Collaboration between healthcare providers. Patient education on adherence and potential side effects.

19. QUM Plan process and actions QUM In Various Setting 19

20. QUM In Various Settings 20

21. QUM In Various Settings 21

22. QUM In Various Settings 22

23. Remember, QUM aims to optimize medication outcomes while minimizing risks. It’s a collaborative effort involving healthcare professionals, patients, and caregivers. “ ”

24. Role Of Health Care Professionals In Promoting QUM

25. Impact Of QUM QUM In Various Settings 25 successful implementation requires collaboration among stakeholders, investment in technology infrastructure, attention to privacy and security concerns, and ongoing evaluation of outcomes and usability. Integrative medicine offers a holistic and patient-centered approach to healthcare that emphasizes collaboration, empowerment, and personalized care. It maximizes the expertise of diverse disciplines to achieve optimal health outcomes and improve the overall quality of care.

26. Areas of focus F QUM considerations vary for specific patient groups: Pediatrics: Dosing adjustments, age-appropriate formulations, and safety profiles. Geriatrics: Addressing polypharmacy, drug interactions, and age-related changes. Pregnancy & Lactation: Balancing benefits and risks for both mother and fetus. Immunocompromised Patients: Ensuring appropriate medications without compromising immunity. Organ Failure Patients: Adjusting doses based on renal or hepatic function. QUM In Various Setting 26

27. How we get there Judicious Use Medicines should be used only after considering all other options. Healthcare professionals must weigh the risks and benefits before prescribing or administering medications Appropriate Selection Choosing the right medicine involves evaluating factors such as risk-benefit analysis, treatment duration, and cost. Safety Minimizing misuse and abuse is essential. Proper dosing, avoiding drug interactions, and monitoring adverse effects contribute to medication safety QUM In Various Settings 27 Efficacy Medications should provide quantifiable benefits to the patient’s health and quality of life. The focus is on achieving positive outcomes

28. Reference Sallie-Anne Pearson, Nicole Pratt, Juliana de Oliveira Costa, Helga Zoega, Tracey-Lea Laba, Christopher Etherton-Beer, Frank M Sanfilippo, Alice Morgan, Lisa Kalisch Ellett, Claudia Bruno; Generating Real-World Evidence on the Quality Use, Benefits and Safety of Medicines in Australia: History, Challenges and a Roadmap for the. Future Int J Environ Res Public Health. 2021 Dec 18;18(24):13345. David Dam, Prachi Singh & Shamika Ravi; Medicines in India: Accessibility, affordability and quality; March 3, 2020 Mirza Rafiullah Baig, Yaser Mohammed Al-Worafi, Wafa Mohammed Alseragi, Long Chiau Ming, Abubakar Siddique; Chapter 25 - Drug safety in India. 2020, Pages 327-334 Arpit Parmar, Venkata Lakshmi Narasimha and Santanu Nath National Drug Laws, Policies, and Programs in India: A Narrative Review; June 11, 2023, Volume 46, Issue 1 https://www.safetyandquality.gov.au/our-work/medication-safety/quality-use-medicines QUM In Various Settings 28

29. Thank you “While access to affordable medicines is important, the quality of medicines is essential to achieve desired curative outcomes”