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Related Experiment Videos

Completing the clinical audit cycle: discharge medication.

S Anderson1

  • 1St George's Hospital, London, UK.

International Journal of Health Care Quality Assurance
|December 9, 1993
PubMed
Summary
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A clinical audit revealed initial issues with a new hospital discharge policy, leading to more pharmacy visits and complaints. Subsequent interventions improved medication discharge processes, significantly reducing these problems.

Area of Science:

  • Healthcare Management
  • Clinical Pharmacy
  • Patient Safety

Background:

  • A revised hospital discharge policy was implemented.
  • Effective discharge medication management is crucial for patient continuity of care.
  • Clinical audits are essential for evaluating policy effectiveness.

Purpose of the Study:

  • To audit the impact of a new discharge policy on medication services.
  • To identify key performance indicators for hospital discharge medication supply.
  • To assess the effectiveness of an intervention to improve the discharge process.

Main Methods:

  • A clinical audit was conducted before and after policy implementation.
  • Key indicators measured: pharmacy visits by staff/patients, pharmacy calls for prescriptions, and patient complaints.

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  • An intervention focused on behavioral change among healthcare professionals and patients.

    • Main Results:

    • Significant increases in pharmacy visits, calls, and complaints were observed post-policy implementation.
    • Following the intervention, all three indicators showed substantial reductions.
    • The revised policy initially exacerbated, then improved, discharge medication processes.

    Conclusions:

    • The initial implementation of the revised discharge policy negatively impacted medication services.
    • Targeted behavioral interventions are effective in optimizing hospital discharge medication processes.
    • Continuous clinical auditing is vital for refining healthcare policies and improving patient outcomes.