HIQA Publishes reports on medication safety in HSE hospitals- Flags variance and resource issues

Create: 03/01/2017 - 13:42
HIQA Medicines Safety Reports

HIQA Publishes first reports on medication safety in HSE hospitals

HIQA finds effective governance essential in first medication safety inspections
Date of publication: Monday, 27 February, 2017
The first inspection reports on medication safety in public acute hospitals have been published today by the Health Information and Quality Authority (HIQA). Inspections found that where effective medication safety governance arrangements were in place, patients were better protected from potential harm related to medication use.

HIQA’s medication safety monitoring programme, which commenced in November 2016, aims to examine and positively influence the adoption and implementation of evidence-based practice in public acute hospitals regarding medication safety. HIQA monitors medication safety against the National Standards for Safer Better Healthcare. HIQA’s Guide to the Health Information and Quality Authority’s Medication Safety Monitoring Programme in Public Acute Hospitals outlines the requirements for service providers under phase one of the inspection programme.

Sean Egan, HIQA’s Acting Head of Healthcare Regulation, said: “Error associated with medication use constitutes one of the major causes of patient harm in hospital. Medication safety should be a priority area for all acute hospitals as they seek to ensure a high-quality and safe service for patients.”

The seven inspections were carried out between November and December 2016 in the following hospitals: Bantry General Hospital, Connolly Hospital, Naas General Hospital, Nenagh Hospital, Mater Misericordiae University Hospital, Sligo University Hospital and University Hospital Waterford. HIQA found a wide variation in the medication safety arrangements in place across the seven hospitals.

Sean Egan continued: “These inspections found that while all hospitals have some scope for further improvement, some hospitals were well organised to ensure safer use of medicines for patients, and had good arrangements in place to monitor, identify and manage risk associated with medicines use.”

A number of examples of good practice in relation to medication safety were found during these inspections. For example in Naas General Hospital, the Mater Misericordiae University Hospital and Sligo University Hospital HIQA found that; medication safety was effectively supported by senior management in the hospitals, a formal and structured medication safety programme was established, an open incident and near-miss reporting culture was promoted and a process was in a place for learning from medication-related incidents, medication safety audits were carried out and learning was shared with all staff, up-to-date medication policies were in place, and good leadership was shown from key clinical staff to support medication safety.

“However, these inspections also found that learning from hospitals that have more advanced medication safety programmes in place should be shared nationally, as more needed to be done in other hospitals to better promote safer use of medicines. A key building block for any medication safety programme is the presence of an effective governance committee – usually known as a Drugs and Therapeutics Committee – which oversees how the hospital anticipates, monitors, identifies and responds to risk related to medicines use. As a first step, poorer performing hospitals in these inspections need to improve the functioning of these committees and, where possible, look to link in with other hospitals to benefit from their experience. Some hospitals also lack some necessary resources which would assist in promoting greater safety in the use of medicines, and further support in this regard may help to assist in improving medication safety.”

Read the reports for Bantry General Hospital, Connolly Hospital, Naas General Hospital, Nenagh Hospital, Mater Misericordiae University Hospital, Sligo University Hospital and University Hospital Waterford on www.hiqa.ie.

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