The Royal Victorian Eye and Ear Hospital was the first hospital in Australia to adopt the Pharmacist Shared Medicines List, the Australian Digital Health Agency’s latest medicines safety initiative.
Based on a press release, the PMSL is a consolidated list of a consumer’s prescription and over-the-counter medications, uploaded to My Health Record. It also includes why a clinician prescribes medications and how and when patients should take them.
The list can only be created by pharmacists after performing a pharmacy medication review and by pharmacists preparing a dosing aid. Hospital pharmacies can also produce the list of discharged patients.
ADHA CEO Amanda Cattermole said she is working closely with Victoria’s Department of Health to further roll out PSML to other providers across the state.
WHY IS IT IMPORTANT
The ADHA said the PSML was developed to help patients and providers safely manage medications from the time a patient is discharged or sent to an aged care facility. It also helps them avoid medicine-related accidents. In Australia, around 250,000 annual hospitalizations are drug-related and cost the healthcare system around 1.4 billion Australian dollars ($1.04 billion). A recent study noted that two-thirds of these cases are “potentially preventable”.
The list is more beneficial for patients with a complex illness or chronic illness who are taking multiple medications, the agency added.
Additionally, the list highlights changes made to a patient’s usual medications during their hospital stay, showing GPs and community pharmacists “all medications that have been stopped; the instructions and doses that have changed; new prescriptions; and the reasons for each medication use and medication changes,” said Catherine Rokahr, director of pharmacy at the Royal Victorian Eye and Ear Hospital.
THE GREAT TREND
To prepare pharmacists to generate and upload a PSML, the Pharmaceutical Society of Australia updated its My Health Record guidelines in 2019.
The Australian government has also embarked on an initiative to establish nationwide real-time prescription monitoring systems in an effort to reduce drug abuse and misuse in the country. The Australian Capital Territory is the latest state to adopt the system, locally called Canberra Script. New South Wales is on track to complete SafeScript NSW rollout by May, while the Northern Territory is set to begin NTScript implementation this month.