Posted by: Brendan Fraser1 APR 2013
Closing the gap between primary and secondary care is a difficult task. For care to be seamless, it would require effective communication, collaboration and organisation. This may seem obvious but in the real world, this is a lot more complicated. I find it sad sometimes that when a patient is discharged from a hospital, the amount of input the patient has received from the multi-disciplinary team is not recorded and relayed to the patient's General Practitioner. To overcome this a national patient medical record system could alleviate communication problems. However, this idea is a pipe dream. Despite information technology demonstrating improved quality, a national patient medical system is fantasy. Even basic consideration of the idea leads to a number of varying factors and problems. Cost would be a huge factor, risk of over complication, user-friendliness, how to store the information maintaining confidentiality etc. Why I'm even considering this problem is beyond me. But it's one of the them things that's been rattling my mind recently. I suppose it's more of a governmental policy rather than an idea from a pre-registration pharmacist... Something else I was thinking about recently was the 'A Spoonful of Sugar Medicines Management in NHS Hospitals' document. The document is brilliant and contains vast amount of ideas/data regarding medicines management. It's on my personal pharmacy recommended reading list! Under computer technology it states 'It is one of the biggest challenges currently facing the NHS'. I don't think that has changed. A lot of the report is still relevant today - OK, maybe not the staff shortages part. It's worth checking out. On a pre-reg note, things are going OK. The plan is to organise a revision timetable using the syllabus tomorrow. I have lots of work to do. Definitely need to focus on the exam now, because that's what it's all about. Right? Recent Reading / General Interests:
- Chaudhry, B. Wang, J. Wu, S. Maglione, M. Mojica, W. Roth, E. Morton, SC. Shekelle, PG. (2006). Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care. Annals of Internal Medicine. 144 (10), p724-752.
- 'Patients First and Foremost The Initial Government Response to the Report of The Mid Staffordshire NHS Foundation Trust Public Inquiry'
- Colquhoun, A. (2013). What the pharmacy profession can learn from Mid Staffordshire’s failings. Pharmaceutical Journal. 290:170.