SCRIPT medicines management e-learning

Creation
Pending
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Approved
Case Study Summary
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Overview summary:
Capitalising on a successful e-learning programme, we are developing SCRIPT for nurses. SCRIPT is a suite of 15 modules aimed at developing and maintaining professional knowledge and competence relating to medicines. The platform is generating a significant amount of interest and support.
Challenge identified and actions taken :
Medicines are the most common intervention in the NHS, but evidence suggests that the use of medicines in the NHS is often sub-optimal. Medication errors account for 10–20% of all adverse events in the NHS and preventable harm from medicines costs more than £750 million each year. Ten days after starting a new medicine, nearly a third of patients are non-adherent. To address the training needs relating to medicines management/optimisation, SCRIPT is an established suite of web-based e-learning 15 modules, aimed at developing and maintaining professional knowledge and competence relating to medicines. The modules, agreed as a result of feedback at WMAHSN events, have been authored by specialist physicians, nurses and pharmacists in the region and six modules are currently in final production ready for launch. Planned outcomes were a suite of modules to develop and maintain the professional knowledge and competence of qualified nursing staff relating to the safer use of medicines. This work builds on the established SCRIPT e-learning programme available for junior doctors (www.safeprescriber.org). The modules were scoped and developed as part of a collaboration between Coventry and Warwickshire NHS Partnership Trust, the University of Birmingham and OCB Media. 
Impacts / outcomes:
  • The scale of delivery has already increased from the original proposal, from nine modules to 15 module categories finalised
  • Specialist physicians, nurses and pharmacists in the region have been involved in the authoring of modules
  • Six modules have been launched (UK Medicines Policy, Evidence-Based Practice, Introduction to Pain Management, Pharmacological Pain Management, and Adverse Drug Reactions, Anticoagulation Part 1)
  • Two modules are currently undergoing final edit (Anticoagulation Part 2 and Medicines Management in Care Homes)
  • One module with author for final review (Respiratory)
  • Two modules currently undergoing edit (Dosing and Calculation and Advanced Pain Management)
  • Nursing SCRIPT User Guide drafted
  • The e-learning platform is available online at www.saferuseofmedicines.org
  • As this e-learning will be available to all nurses across the healthcare sector, it is generating a significant amount of interest and support. In addition, interest is being received from academic institutions in the West Midlands that train nurses at undergraduate level as they are keen to ensure that nursing competencies with regards to medication administration are gained prior to entry in clinical practice
  • Working in collaboration with a number of authors from various backgrounds and trusts across the region, SCRIPT has not only built a network of clients but a wider regional interest in drug safety.
Supporting quote for the innovation from key stakeholders:
Dr Jamie Coleman, Professor of Clinical Pharmacology and Medical Education, University of Birmingham: “The administration of medicines occurs in all areas of health and social care, many of which are given by nurses and professional carers. Errors that occur at the administration stage are often not intercepted by others, unless the patient notices an error, and therefore this is an important focus for education and training. The SCRIPT project team are excited to be working on new e-learning modules to provide for the Safer Use of Medicines for the region.” 
Which local or national clinical or policy priorities does this innovation address:
From the NHS Five Year Forward View: • As the ‘stock’ of population health risk gets worse, the ‘flow’ of costly NHS treatments increases as a consequence • Future models will expand the leadership of primary care to include nurses, therapists and other community based professionals. It could also offer some care in fundamentally different ways, making fuller use of digital technologies, new skills and roles, and offering greater convenience for patients • access to GPs or nurses working from community bases equipped to provide a much greater range of tests and treatments. In partnership with local authority social services departments, and using the opportunity created by the establishment of the Better Care Fund, we will work with the NHS locally and the care home sector to develop new shared models of in-reach support, including medical reviews, medication reviews and rehab services. NICE guidance on medicines management, adherence and optimisation.
Plans for the future:
  • Completion of remaining modules
  • The e-learning platform will be promoted regionally in the first instance, with the ability to expand the scope nationally
  • The first six modules will be officially launched by March 2016.
Contact for further information:
Prof Jamie Coleman 
j.j.coleman@bham.ac.uk 
0121 414 3778
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