Improving quality and safety in healthcare: medicines management


Case studies on improving arrangements for managing medicines safely including obtaining, prescribing, recording, handling, storage and security, dispensing, safe administration and disposal.

Cornwall Partnership NHS Foundation Trust

Case study: Implementing support for self-administration of medicines PDF, 169.5 KB

Outlines how the trust is safely preparing service users for transition to the community by implementing support for self-administration of medicines.

Procedure for self medication PDF, 231.4 KB

How the trust prepares clients to manage their medication.

Self-medication flowchart PDF, 307.1 KB

A flowchart for supporting self-medication of patients on the Fettle Ward.

Central Manchester University Hospitals NHS Foundation Trust

Case study: Using effective governance to ensure safe use of patient group directions and improve timely access to medicines PDF, 189.9 KB

Implementing patient group directions (PGDs) effectively to support services such as reproductive and sexual health, paediatric emergency medicine and the emergency eye centre, without compromising safety.

North West Boroughs Healthcare NHS Foundation Trust

Case study: Ensuring medicines are stored under appropriate environmental conditions PDF, 179.5 KB

Using technology for real-time monitoring of fridge and room temperatures, improving reporting of temperature excursions and developing appropriate interventions to protect medications.

University Hospitals Birmingham NHS Foundation Trust

Case study 1: Improving compliance with prescription and administration of deep vein thrombosis prophylaxis PDF, 171.3 KB

Using automated data collection from electronic prescribing software, to ensure that junior doctors comply both with DVT risk assessment and with prescribing of appropriate prophylactic treatment.

Case study 2: Halving the number of missed medication doses by focusing on ‘what isn’t being done’ as much as what is PDF, 190.8 KB

Using data on 'omitted' doses of prescribed medication as a guide to improve prescribing practice and access to medicines and appropriate dispensing equipment.

As a learning organisation, we would be grateful for feedback, as well as suggestions of local good practice that could complement our case studies. Please email any feedback and examples through to using the subject line 'safety case studies'. 

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