Derby trust first to implement NHS closed-loop medication supply solution

Dedalus platform uses FHIR standards to improve safety and speed of hospital pharmacy processes

University Hospitals of Derby and Burton NHS Foundation Trust and Dedalus have announced a major integration milestone for the trust’s CareSuite Electronic Patient Record (EPR) solution, following the successful integration between the Electronic Prescribing Medicines Administration (EPMA) module and the trust’s pharmacy stock control system.

Traditionally, and with potential risks, medication requests are manually copied from printed or handwritten paper documents. And this resulted in a lengthy transcribing process for the pharmacy team when entering data into the electronic stock control systems.

The integration between the CareSuite EPR and the pharmacy department creates a ‘closed-loop medication supply’ process which significantly improves clinical safety and operational efficiency.

The new digitised process enables a clinician to electronically prescribe the medication, which is automatically routed to the pharmacist for checking and then passed on to the trust’s dispensing system to issue the medicine.

“Being able to support our clinical teams with these developments is not only rewarding for those using the system, but ultimately provides a better service for our patients

The solution has a positive impact on both pharmacy and nursing staff on wards.

Within the pharmacy stock control system the team is provided with a safe and refined list of options for each medication request, speeding up the dispensing process, and nursing staff can quickly and easily see when the medication has been issued.

The closed-loop supply process at Derby provides an end-to-end process, making use of a dispensing robot to ensure the correct physical medication is always picked.

Once double checked, the medication is then sent to the ward, labelled for the specific patient.

Debbie Loke, interim director of IT/CIO at the trust, said: “Implementing a new ePR is always a challenge, as processes change and cognitive load adds additional burden to our clinical and administrative teams.

Digitising the process through the EPR provides the trust with the ability to dispense faster, which is particularly beneficial when hospitals are under significant pressure

“Being able to support our clinical teams with these developments is not only rewarding for those using the system, but ultimately provides a better service for our patients, getting them quicker access to their drugs in order that they can return to their homes and families.

“This is a great example of partnership working with system suppliers and clinical teams that improves care.”

Clive Newman, chief pharmacist, added: “Our clinicians and pharmacy team are benefitting from a much-more-automated, efficient, and accurate process.

“It reduces delays in treatment and, most significantly, reduces dispensing errors resulting from manual transcription.”

The electronic process is underpinned by the use of recognised healthcare standards, including structured FHIR-based messaging and SNOMED CT drug terminology.

Dedalus is the first EPR system vendor in the UK market to use the NHS strategic FHIR interoperability standards to deliver this in a live setting.

Colin Henderson, regional general manager at Dedalus Group, said: “We are proud to be working with Derby and Burton to enhance patient safety through its EPR and provide a seamless, digital solution starting from prescribing through to medication dispensing.

“Digitising the process through the EPR provides the trust with the ability to dispense faster, which is particularly beneficial when hospitals are under significant pressure.”

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