Streamlining the process of ordering, collecting and recording MDA drugs in Cork University Hospital.

Study completed by an MSc pharmacy student in 2012, on changing the MDA ordering, dispensing and distribution process in CUH

The goal of the project was to design and implement a new,

more efficient MDA ordering, dispensing and distribution service.

Aims: efficiency of process user-friendliness record-keeping patient care Safety

Existing

process MDA’s order in Register

Register and balance of

ordered MDA stock taken

to pharmacy at collection

time

MDA’s dispensed by

pharmacist

New MDA stock balances

checked and confirmed by

pharmacist and RN

On return to ward MDA’s

checked and balances

confirmed by two RN’s

New

process MDA’s ordered in

separate order book

Order book taken to

pharmacy by porter by

10am

MDA order prepared in

advance by pharmacist

Dedicated collection time

for MDA’s 3-4pm

Check numbered security

seal and security number

in order book correspond

and sign ‘accept for

delivery’

On return to ward. MDA’s

‘received by’ signed by

RN and balances checked

and confirmed by two

RN’s

Outcome: Successfully piloted and implemented on one ward.

Goal: Implement this innovation hospital wide

Use of new Order Book

Redesign layout of register

Index page New format for administration page Record of disposal of opiates page Count page

Rollout –hospital wide Development of Information Leaflets Staff education sessions Transfer of balances

Numbered security seal attaches to the zip of transport bag.

Numbered security seal corresponds to ‘security’ number in order book

Snaps off to open bag

Unused/no longer required MDA stock counted at ward level and returned by pharmacist.

“One of the best initiatives at ward level for patient care in a long time! Well done!”

“Very satisfactory at ward level to manage collection of MDA’s”

Aims: efficiency of process Time saving – nursing & pharmacy

user-friendliness Single book for all MDA records

record-keeping MDA records and balance checks at shift change all in same

book

patient care Register remains on ward

Safety No unnecessary transport of MDA’s to pharmacy Sealed and tagged transport bag on return from pharmacy

“Innovation is about executing new ideas to create value”. Tim Kastelle