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  • Close Loop Medication Management

    Transféré par

    fathul jannah
    44 vues25 pages
    This document discusses close loop medication management (CLMM) systems. It begins by noting that pharmacy services in Indonesia lagged 25 years behind the UK in 2000. It then provides objectives, definitions, components, and workflows for CLMM. Key points include that CLMM aims to ensure correct ordering, reviewing, dispensing, and administration of drugs. Components include electronic prescribing, clinical decision support, automated dispensing cabinets, and barcode administration. Studies discussed found CLMM reduced medication errors and adverse drug reactions by over 50% while improving staff satisfaction with medication management. The document advocates for continued development of CLMM systems to improve patient safety.

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    Management

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    This document discusses close loop medication management (CLMM) systems. It begins by noting that pharmacy services in Indonesia lagged 25 years behind the UK in 2000. It then provides objectives, definitions, components, and workflows for CLMM. Key points include that CLMM aims to ensure correct ordering, reviewing, dispensing, and administration of drugs. Components include electronic prescribing, clinical decision support, automated dispensing cabinets, and barcode administration. Studies discussed found CLMM reduced medication errors and adverse drug reactions by over 50% while improving staff satisfaction with medication management. The document advocates for continued development of CLMM systems to improve patient safety.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    44 vues25 pages

    Close Loop Medication Management

    Transféré par

    fathul jannah
    This document discusses close loop medication management (CLMM) systems. It begins by noting that pharmacy services in Indonesia lagged 25 years behind the UK in 2000. It then provides objectives, definitions, components, and workflows for CLMM. Key points include that CLMM aims to ensure correct ordering, reviewing, dispensing, and administration of drugs. Components include electronic prescribing, clinical decision support, automated dispensing cabinets, and barcode administration. Studies discussed found CLMM reduced medication errors and adverse drug reactions by over 50% while improving staff satisfaction with medication management. The document advocates for continued development of CLMM systems to improve patient safety.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 25

    Tahun Pelayanan Farmasi

    2000
    Klinik Indonesia
    tertinggal 25 th dari UK
    Close Loop Medication
    Management
    (CLMM)
    PE Wardani
    PT Multi Sinar Adamar
    Learning Objectives

    Understand CLMM

    How to Perform CLMM in Indonesia

    Result when Implement CLMM- Literature study


    Never Ending Process

    Germany: € 1 billion/years
    What is CLMM?

    CLMM is a process to ensure drugs are:


    • Ordered correctly and appropriately
    • Reviewed (may result in intervention if
    necessary)
    • Dispensed correctly
    • Served to the right patient

    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    CLMM
    Outcomes Desired Singapore
    2011

    Prescription:
     Clinical decision support-reduction
    prescription errors
     No more illegible handwriting
     More drug reviews by pharmacists in timely
    manner

    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    CLMM
    Outcomes Desired..cont Singapore
    2011
    Transcription
     No more manual transcribing medication
    order on paper into pharmacy system
    Dispensing
     No more manual packing of drugs
    Administration
     Right drug for the right patient at the right
    time with the right dosage (4R)

    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    Component of CLMM System
    Electronic Inpatient Medication Recording
    System
     Patient’s medication prescription
    Clinical Decision Support System (CDSS)
     Enterprise-Wide Business Intelligence to
    support clinical care
    Packaging Robot
     Unit dose packaging

    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    Component of CLMM System

    Automated Dispensing Cabinet


     Ward level medication cabinet
    Medication Administration System
     Bar-code medication technology to
    serve medicine correctly

    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    How does CLMM Work?

    Based on: Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013


    RESULT
    Result
    Staff Other
    ADR/ME
    satisfaction Benefits
    improved accuracy
    ADR: 56 in identification of
    %reduction medication patients,
    medications, doses
    management
    improved with
    increased
    ME-Harm: 10 % perceptions of easily accessible
    decrease information
    the system's
    ability to
    improve
    patient safety.
    ME Administering: reduced redundant
    45 % reduction data entry

    www.ahrg.org
    Effect of automated drug distribution
    system on medication error rate
    Obat dlm ADM:
    • UDD: 66,2%
    • WFS: 13,7%
    • Total: 79,9%
    Effect of automated drug distribution
    system on medication error rate

    53%
    Effect of automated drug distribution
    system on medication error rate

    93,7%
    79,1%

    Wrong drug

    Wrong dose
    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013
    Khai Leng HO, MBA BSc CPHIMS-IHIS Singapore,2013
    2007

    Before After
    • SDM: • SDM
    – 4 technician (= 28-32 jam – Filling 14-16 jam
    kerja/hr) filling – Checking 3 jam
    – 1 Apoteker (= 7-8 jam – Stl 6 bulan, checking step
    kerja/hr) checking disetujui dihapus  Apt >>
    waktu pelayanan klinis
    • Missing dose: nurse call • Penurunan 70%
    Evaluasi 4 bulan
    implementasi Pill Pick

    Catt: Minus data obat tidak terpakai


    PENUTUP
    Pengembangan CLMM
    “The world is a dangerous place to
    live; not because of the people
    who are evil, but because of the
    people who don't do anything
    about it."
    (Albert Einstein)

    We Earn Your Trust


    We accompany
    your hospital
    during the
    Automation
    journey
    We Earn Your Trust

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