Upload
philip-odonnell
View
213
Download
0
Embed Size (px)
Citation preview
Prescription Errors
A PresentationFor
Tim Delaney
byPhilip O’Donnell
What the patient expected
What the patient received
Let’s confuse the patient
Consequences• Medication cannot be re-used.• Patients may take the wrong medication.• Causing additional visits to the GP.• More trips to casualty • More pressure on hospital beds • Some patients die.
Why does this happen?GMS and LTI
Prescriptions are issued by:• Multiple GPs• Locums• Out of hours Doc• A & E Doctors• Multiple Consultants
Most Doctors and Pharmacies have computersYet we still use paper
Therefore we create human error
How do you solve this?
Use Cloud Technology
Reduce Human Error
Cloud Technology
Prescription Database
G.P. Pharmacy
Patient
Cloud Technology
Prescription Database
G.P.
Nursing Homes
A & E or Hospital
Pharmacy
H.S.E.
Patient
Out of hours Doc
1st Consultant
2nd Consultant
2nd Pharmacy
American View of Prescription
National Data Analysis Potential
• < 50% of chronic patients continue to take their medication.
• Incidences of illness by area
• Relative use of generic v Rx products.
• HSE purchasing power
• Feedback to doctors
• NCPE
• Harold Shipman would have been stopped before he killed up to 200 people.
Non Capital Health Expenditure
Source: CSO http://www.cso.ie/statistics/non_cap_health_expend.htm
GMS Payments to Pharmacists, Doctors & Dentists
Source: CSO http://www.cso.ie/statistics/non_cap_health_expend.htm
Primary Care Reimbursement Service
Cost of MRPs(Medication Related Problems)
Tangible
• My example cost €230 What if that was Anti-TNF therapy?
What If that was every 3 months to medical card patients?
• 25,000 patients = €23m• 100,000 patients = €92m• 200,000 patients = €184m
• It was actually every month
Intangible
• A & E trolleys occupied• Hospital beds occupied• Additional cost of treatment• Deaths• Legal claims• Psychiatrists
• Prescription drug errors injure over 1.5 million patients each year in the U.S.(Source: MSNBC.com)
• In 1994 one University Hospital in the U.S. had 1911 MRPs at a cost of $1.5m. Source: American Journal of Health-System Pharmacy.
• Tallaght Hospital reported 290 incidents between Oct and Dec 2004.Source: OECD Report by Tim Delaney FPSI AMNCH Tallaght
The Detractors will say• We are working on that. No they are not!
• Pharmacists won’t like it. In times of austerity pharmacists need to be seen to be acting in the public
interest.
• We need a unique patient code. You already have one.
• Pharmaceutical companies won’t approve But remember that as you get better patient compliance the usage of drugs will
increase and that is in the industries interest since sales will increase.
• Doctors won’t like patient access.• That is already being done in the United States.
• What about existing systems?• What about Patient Data Security?• It will be too expensive.• However the real reason is?
Resistance to change
Against1. Cost2. Pharmacists.3. Resistance to change.4. Resistance to new IT solutions.
For1. Reduce A & E. chaos. 2. Reduce pressure on hospital beds.3. Limit Legal claims.4. Save Lives.5. €184 million every year.
Why should you force change?
What will it cost?• E Tender €8m - €10m and 3 - 4 Years
• In House €1m - €1.5m 12 - 18 months
• Who owns the IP Export potential
Win - Win