Review: PrISMS launch


The launch for Practices Improving the Safety of Medicines in Salford (PrISMS) took place on 24 September 2015 at Worsley Court House. View the photo gallery here and download the presentations here.

PrISMS is a primary care collaborative by Salford Clinical Commissioning Group aiming to improve medicines safety in Salford. The main aim of the event was to outline the plans for the collaborative to the eight PrISMS teams and build relationships between the faculty and teams.

The day was jointly chaired by Haelo’s Director, Penny Martin and Kirstine Farrer, Head of Innovation and Research, Salford Clinical Commissioning Group.

Penny welcomed delegates into the room and introduced the teams to each other and the faculty, Kirstine outlined the work that Salford CCG do in innovation and improvement and explained how PrISMS links in with this.

Dr Neil Houston, GP in central Scotland and Clinical Lead for the Scottish Patient Safety Programme, was involved in running a national collaborative tackling similar issues to PrISMS. Neil is a member of the expert faculty and although he could not attend the launch event he sent a recorded video call which tackled some of the issues PrISMS face.

Communication is key

The issues highlighted by Neil sparked great discussions between the teams about the key themes in improving medicines safety. Improving communication between the members of the different teams involved in the prescribing process was a recurring theme amongst the teams and one that will be tackled during the programme.

Following the group discussions Dr Mhairi Yates, St Andrews Medical Practice, presented to delegates on ‘Why medicines safety?’. Mhairi began by picking out some key figures both nationally and locally:

  • In 2011 over 1billion prescriptions dispensed at cost of over £8.8billion
  • 59% of drug-related hospital admissions preventable
  • This equates to 4% of all hospital admissions in Salford

Mhairi went on to say that at times clinicians can be “their own worst enemies” by ignoring alerts but added that “more alerts may lead to reduced safety.” One of the issues that PrISMS will be aiming to tackle as part of the collaborative work is alert fatigue.

As part of Mhairi’s session the teams discussed the collaborative measures and how they link in with both the Salford Standard and Greater Manchester wide standards around medicines safety.

The roadmap for change

PrISMS will follow the IHI’s Breakthrough Series Collaborative model and use a driver diagram as a roadmap for change. Abigail Harrison, Haelo’s Associate Director of Measurement and Innovation, introduced the collaborative driver diagram to the delegates.

Abigail built the driver diagram up, explaining each section and discussing whether the teams thought they were correct or if tweaks were needed.

Data and searches

Jude Owens, Medicines Optimisation Practice Pharmacist & Non-Medical Prescribing Lead, Salford Clinical Commissioning Group was next to present to the PrISMS teams.

Jude outlined the work that she had already done creating searches for the teams. This searches will be run in practices to pull the data needed for the PrISMS measures.

Jude discussed the challenges of building the searches and collecting data but explained that the practices would get a lot of support from the Medicines Optimisation team as well as the Salford CCG and Haelo faculty members.

Next steps 

Kirstine Farrer closed the day by outlining the next steps for PrISMS teams. The teams were asked to:

  • Form practice teams
  • Share the information with the non-attending team members
  • Review data

Kirstine discussed the support that teams would get including faculty members dedicated to each team and regular practice visits.

PrISMS Learning Session 1 takes place on 17 November 2015.

What do you think?

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