Cumbria Partnership Foundation Trust: Clozapine clinic patient safety improvement initiative
With analysis suggesting that 67 per cent of prescriptions for the trust’s clozapine clinic were inaccurate, incomplete or out of date – and that monitoring of patients on the anti-psychotic drug was sometimes lacking, particularly when it came to physical health – staff launched a project to eliminate errors and ensure consistent monitoring.
The trust medical director commissioned a four day rapid process improvement workshop. Run by the Cumbria Learning and Improvement Initiative, it was attended by staff in primary care and community pharmacy as well as those within the trust, and by a patient and carer.
Workshop attendees identified a number of important changes to process, which are said to have freed up time for both clinic staff and for pharmacists.
As a result, all prescriptions for the clozapine clinic are now accurate, complete and timely; all patients receive physical observations when they attend the clinic; and all are now invited to an annual physical health check.
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HSJ Patient Safety Awards 2018: Improving Safety in Medicines Management