Responses

Download PDFPDF

What is involved in medicines management across care boundaries? A qualitative study of healthcare practitioners' experiences in the case of acute kidney injury
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • 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...

    Show More
    Conflict of Interest:
    None declared.