Evidence into Practice – Implementing Partnered Pharmacist Medication Charting: a South Australian Experience
Sharon Goldsworthy1, Caroline Earley1, Karen Macolino1 1SA Pharmacy, South Australia, Australia
Abstract
Background
Partnered Pharmacist Medication Charting (PPMC) is a patient-centric, inter-professional model of medication management. On admission, a credentialled pharmacist undertakes a medication history and engages the patient in a discussion about their medication related goals. Following a clinical discussion with the treating medical officer, the pharmacist documents the agreed medication management plan and charts medicines accordingly, for medical officer activation. SA Pharmacy piloted the model in three local health networks in 2022.
Method
SA Pharmacy sought advice, guidance and training tools from researchers who had developed and implemented the model in Victoria, Tasmania and Western Australia. SA Pharmacy Education and Clinical leadership groups developed a credentialling procedure using Entrustable Professional Activities and inter-professional supervision, and a SA Pharmacy charting procedure.
Results
Six pharmacists were initially credentialled through a model of multi-disciplinary observation of practice, provision of feedback through to sustained evidence of competence. These staff worked with medical officers to implement the workflow within three local health networks emergency departments. The feedback from nursing and medical staff indicates the change in workflow to assist patient flow and support quality and safety of care. Time critical medication histories and charting are achieved on average 10.9 hours earlier in admission.
Discussion
Further study is underway to measure patient outcomes and seek patient feedback on their experience. A time in motion study is underway to understand the impact on health care professionals aiming to optimise efficiencies which support patient flow.
Biography
Sharon is the SA Pharmacy Workforce Portfolio Lead and a trained Facilitator. She undertook a Pharmacy degree at the South Australian Institute of Technology and Clinical Pharmacy Masters Degree at the University of South Australia. She is a Fellow of the Society of Hospital Pharmacists of Australia. Sharon is passionate about workforce wellbeing and supporting staff to work to full scope of practice.