NHS Greater Glasgow and Clyde is the largest health board in the UK—it serves a population of 1.2 million people and employs 38,000 staff. The Board consists of six acute sites, one of which is the recently opened at the Queen Elizabeth University Hospital. The QEUH and Royal Hospital for Children is one of the largest hospital complexes in Europe with a bed capacity of greater than 1,300 inpatient beds.
NHS Greater Glasgow and Clyde faces many of the same challenges as the rest of Scotland including an ageing population with complex multiple long term health conditions which require care and support, as well as personal lifestyles which lead to poorer health outcomes. Medication is by far the most common healthcare intervention with four out of five people aged over 75 years taking a prescription medicine with 36 per cent taking four or more, according to recent government figures. Research has demonstrated that patients on multiple medications are more likely to suffer drug side effects.
The creation of the Queen Elizabeth University Hospital, which involved moving four hospitals into one, was one of the largest operations of its kind ever undertaken in Britain. A key challenge was unifying the way pharmacists practice, enabling them to work across different wards.
At the Queen Elizabeth University Hospital inpatient beds are in single rooms which has meant a new way of working for staff providing healthcare and treating patients. Pharmacists need timely access to clinical information, close to the patient, to improve the delivery of pharmaceutical care and help maintain continuity of care as the patient moves through the hospital.
Prior to implementing PharmacyView, pharmacists did not have electronic access to patient clinical information and prioritisation status, at the bedside. Furthermore, when a patient moved location within the hospital, pharmacy-relevant information was not always efficiently transferred, leading to potential duplication of triage and care planning.
PharmacyView provides a real-time view of every patient’s pharmacy service requirements within a specialty or hospital. The PharmacyView application seamlessly integrates with WardView, the Nugensis ward management system. It is a web-based application that is available on touchscreens, desktops, laptops and handheld mobile devices.
PharmacyView has now been rolled out across six of the major acute hospitals in NHS Greater Glasgow and Clyde. Pharmacists can now more easily plan their workload based on patient need, rather than location in the hospital.
PharmacyView will enable NHS Greater Glasgow and Clyde to improve our workforce planning and prioritise the quality of care we give our patients Angela Munday Lead Pharmacist, Patient Services, NHS Greater Glasgow and Clyde
PharmacyView enables pharmacists and technicians to record and view pharmacy-referrals from ward staff, patient triage status and the progress of immediate discharge letters in real-time. All ward and pharmacy staff now have the ability to see who is due for discharge and when drugs are ready for discharge. This helps senior charge nurses and bed managers plan more effectively, as they can see when immediate discharge letters have been completed, reducing the number of phone calls they need to make to pharmacy staff.
Many of the changes are designed to free up hospital pharmacists time to focus more on the delivery of clinical care. Everything is now time and date stamped and this can be used to electronically generate key performance indicators for the service which can be used to improve quality.