The State Hospitals Board for Scotland

2 Summary of Core Activity for the last 12 months The Committee’s work plan has three main areas: Clinical Quality, Medicines Management and Safe Use of Medicines. Continuous review and monitoring in all three areas is integral to delivering safe, effective and patient centred care. [...] This remains a Safe Use of Medicines priority for patient care, and will ensure maximum benefit achieved from the HEPMA system. [...] 5.2 Clinical Quality 5.2.1 Clinical Audit Projects Acknowledgement must be given to trainee medics and clinical quality staff who undertake the majority of data collection for these projects. Local The following medicines audits took place in 2022/23: Clozapine, Medicines Fridges, Medication Trolley, T2/T3, PRN Spot Check and 8 rights, with improvements noted at re-audits. Nati [...] The funding, co-ordination and data input of the projects sits with the State Hospital. [...] Monitoring of patients prescribed lithium data was collected March - April 2023 and the report was published in September 2023. [...] 5.3 Implementation of National Clinical Guidelines & Standards Over the last review period (1 April 2023 to 31 March 2024), there were 88 guidelines and standards reviewed by the Medicines Committee. [...] Pharmacy staff review the data from the Non-administered doses report on a daily basis, checking the reason charted for non-administration and feeding back to nursing staff in real time about medicines availability and importance of charting accurately. [...] The weekly top-up of prescribed medicines continues with extra checks now in place thanks to the HEPMA reporting functionality. [...] The daily reports and checks significantly reduce the risk of medicines being unavailable at ward level. [...] Medicines Incident Procedure drafted to support managers and staff involved in medicines incidents, for review/approval by the Committee in May 2024.