Western Australia

1
Australian Medication Safety Status2006
Northern Territory
Queensland
Western Australia
SouthAustralia
New South Wales
? Sydney
ACT
Canberra ?
? Melbourne
Tasmania
Population 20M
2
The Australian Healthcare System Models Funding

• Australia has six States and two Territories
• - New South Wales - Victoria
• - Queensland - Western Australia
• - Tasmania (island State) - South Australia
• - Australian Capital Territory (Canberra) -
  Northern Territory
• Commonwealth Government funds
• Community Private Health (directly via
  Medicare)
• State governments (indirectly) to provide public
  hospital care
• Australia has two hospital systems running in
  parallel
• - Public and Private
  

3
In the absence of a formal branch of ISMP .

• Australian Safety Quality Commission (SQC)
• Consumer involvement ADE reporting
• National alert program Potassium, Vincristine
• National in-patient medication chart by Jan 1
  2007
• Medication reconciliation
• Pharmaceutical review
• National eHeatlh Transition Authority, (NeHTA)
  Australian medicines terminology GTIN
• HealthConnect

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5
State Initiatives

• ISMP Medication Safety Assessment Tool local
  version prepared and piloted.
• NSW Therapeutic Advisory Group (TAG) SAFER
  working party with support of the NSW Clinical
  Excellence Commission (CEC), to be launched early
  2007
• Medication line route of administration
  labeling project IV, NG lines etc. NSW TAG
  SAFER
• Oral syringe widespread promotion
• Safe use of medication in transdermal patch form

6
Medicine patches are not band-aids!
X

• Dont let kids in your
• house copy you
• by sticking these on ..
• The dose in this patch
• can kill a child.
• Dispose of patches safely.

7
Personal initiatives

• Medication Safety series edited Journal of
  Pharmacy Practice and Research (JPPR) the
  Society of Hospital Pharmacists of Australia
  (SHPA)
• Incident reporting based on ISMP Medication
  Safety Alert! plus informal SHPA network own
  hospital incidents.
• Incident Information Management System (IIMS)
  efforts to obtain State-wide incident data as
  source of medication alerts
• managed by the CEC, NSW

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International prospects ?

• Global initiatives
• Efficiency
• Consistency
• ISO initiatives input in med safety
• Globalised industrial lobby
• Pharmaceutical industry
• Medical device industry