Medications Future State Validation

Medications Future State Validation

11th December 2015

This week saw a successful Maternal & Newborn Clinical Management System medications Future State Validation Event hosted in the National Maternity Hospital. The key objective of this event was to demonstrate how the system will work at go live hospitals, improving medication use processes in maternal and newborn care. Over two days a collaborative multidisciplinary team outlined the framework for electronic prescribing and demonstrated workflows and system design to end users. Medication safety, simplification and standardisation of the medication use process for both maternal and newborn care were key themes that ran throughout the two day event.

Noel Carberry, National Project Manager and Brian Cleary, Medications Workstream Clinical Lead opened the Future State Validation. The introductory session outlined the medication safety challenges and potential benefits associated with the use of an electronic health record with electronic prescribing functionality.

The first day continued with the maternity patient journey which was demonstrated by Informatics Pharmacists, Midwives and Obstetricians. Topics covered included:

  • Antenatal booking visit including recording medication history
  • Outpatient prescribing
  • Medication reconciliation on admission
  • Inpatient prescribing incorporating antihypertensives, insulin, epidural and oxytocin
  • Postnatal medications including thromboprophylaxis, pain relief and as required medications
  • Use of the drug chart to record medicines administration
  • Generation of discharge prescriptions

The second day focused on neonatal care with workflows demonstrating the patient journey for the well baby and for a sick premature baby. Topics covered included:

  • Reviewing maternal medications used during pregnancy
  • Prescribing and administration of routine medications to the well baby e.g. vitamin k and vaccines
  • Prescribing and administration of continuous infusions and weight based dosing for sick babies in a Neonatal Intensive Care Unit setting
  • Clinical decision support including age and weight appropriate order sentences and dose range checking
  • Ordering of neonatal patient specific and stock parenteral nutrition
  • Generation of discharge prescriptions

Both days ended with positive feedback from participants on the system design and use of system functionality and design decisions to ensure that the new medication use process is as safe as possible for patients.