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What is involved in medicines management across care boundaries? A qualitative study of healthcare practitioners' experiences in the case of acute kidney injury
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  • Published on:
    Medicines management across care boundaries
    • Michael Wilcock, Pharmacist Royal Cornwall Hospitals NHS Trust
    • Other Contributors:
      • Sally Miles, Pharmacist
      • Pollyanna Hart, Pharmacist

    Phipps and colleagues examine how the work of medicines management during actual or suspected AKI is achieved in practice, especially when patient care crosses care boundaries. We note that there study was undertaken in 2014, which predates the AKI CQUIN introduced for hospital trusts in March 2015. (1) This CQUIN sought to improve the follow up and recovery for individuals who have sustained AKI, reducing the risks of readmission, re-establishing medication for other long term conditions and improving follow up of episodes of AKI.
    As a result of implementing this CQUIN we would argue that some of the challenges they describe can be overcome. As well as our hospital using an electronic prescribing system, we also have access via GURU and the summary care record to assist with medicines reconciliation at admission. This is one of the interventions mentioned by the authors - the provision of shared access between primary and secondary care professionals to a patient record. Patients admitted with suspected AKI now have documented the stage of AKI, evidence of medicines review having been undertaken, and frequency and type of blood tests required on discharge. These tasks are undertaken by the pharmacists. This information, plus additional information on changes to medication, is contemporaneously captured in the patient’s electronic record. When the patient is discharged, this information is assimilated into the e-discharge for the patient’s GP. The additional infor...

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    Conflict of Interest:
    None declared.