WHO Global Challenge Technical Documents

WHO Global Challenge Technical Documents

In 2017 the World Health Organisation (WHO) launched the third Global Safety Challenge; Medication without harm with the goal of reducing severe avoidable medication-related harm by 50%. Today they have released three technical documents to facilitate early priority actions and planning to address this challenge. Professor Michael Scott Director of MOIC is committed to this challenge and he is a reviewer and contributor all three of the technical documents.

WHO asked countries and key stakeholders to prioritize three areas for strong commitment, early action and effective management to protect patients from harm while maximizing the benefit from medication, namely:

• medication safety in high-risk situations,
• medication safety in polypharmacy,
• medication safety in transitions of care

Medication Safety in high Risk Situations
High-risk situations are more often associated with significant harm due to unsafe medication practices or medication errors. This report outlines three main factors contributing to high-risk situations: i) medications, particularly high-risk (high-alert) medications, ii) provider/ patient factors, and iii) systems factors (work environment). One or more of these factors, acting alone or in combination may trigger unsafe medication practices or medication error.

Medication safety in polypharmacy
As the population ages more people are likely to suffer from multiple long term illness and take multiple medications. It is essential to therefore take a person-centred approach to ensure that the medications are appropriate for the individual to gain the most benefits without any harm. This reports highlights importance of leadership in nurturing a culture that priorities safety and quality of prescribing.

Medication Safety in Transitions of Care
Medication discrepancies impact almost every patient that moves across transitions of care, e.g. admission to or discharge from hospital. WHO urges countries to prioritise early and sustained action to reduce medication-related harm arising at transitions. This report outlines why improving medication safety in transitions of care is a priority and outlines what has been done to date and what needs to be done.

Speaking about the documents Professor Scott stated: “It is great to see the release of these technical documents, with the significant input from expert contributors globally, and they represent a very valuable resource in terms of meeting the challenge  -and  a very big thanks to the main authors”

Read the full report here.

Antrim Area hospital welcomes SILCC fellow

Antrim Area hospital welcomes SILCC fellow

The European Statements of Hospital Pharmacy, adopted  by the European Association of Hospital Pharmacists (EAHP) in 2014, express commonly agreed objectives which every European health system should aim for in the delivery of hospital pharmacy services. There are 44 statements in total divided into 6 main categories.

http://statements.eahp.eu/statements/european-statements-hospital-pharmacy

As part of its Statement Implementation project EAHP launched the Statement Implementation Learning Collaborative programme (SILCC). This programme allows hospital pharmacists (SILCC Fellows) to visit hospitals (SILCC hosts) from other EAHP member countries to learn about pharmacy procedures linked to the European Statements of Hospital Pharmacy. All hospitals applying to become a SILCC Hosts are required to assess their pharmacy using the EAHP Self-assessment tool. As part of this assessment they have to identify up to 5 Statements where the hospital can provide training on.

In July 2018 Antrim Area hospital was successful in their application to become a SILCC host and is currently one of only two hosts based in the UK.

In April 2019 Antrim Area hospital became the first host to welcome a SILCC fellow. Väinö Vähämäki arrived from Turku City Hospital in Finland.

During his two week visit Väinö had the opportunity to observe how clinical pharmacy is practiced in Antrim. He viewed medicines reconciliation at admission and discharge, how prescribing has developed the pharmacists role and the important and expanding role of the clinical pharmacy technician. He also viewed some of the enabling technology developed in Antrim and had the opportunity to meet with our Medical Director and the Lead Pharmacist for the Medicines Governance team in Northern Ireland.