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It explains key priorities adapted from the WHO, including medicines reconciliation, collaboration with patients and caregivers, targeting high-risk patients, medicines optimisation, and improving medication information. The guide supports teams to understand the local discharge medicines system, identify problems, define improvement projects, measure medication safety, and implement sustainable interventions using practical QI tools and PDSA cycles.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medication-safety-at-hospital-discharge-improvement-guide-and-resource/665403/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medication-safety-at-hospital-discharge-improvement-guide-and-resource/665403.png","ImageObject",300,407,{"name":92,"@type":93},"Syukur Setiap Hari","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of this medication safety at hospital discharge guide?","Question",{"text":112,"@type":113},"To raise awareness and help organisations implement improvement projects that reduce medication-related harm when patients leave hospital, using a structured QI journey informed by WHO priorities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What framework does the guide use to guide quality improvement?",{"text":117,"@type":113},"It uses the Model for Improvement and recommends applying QI tools in a logical order, alongside whichever QI approaches an organisation prefers.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the guide suggest teams measure medication safety?",{"text":121,"@type":113},"It emphasises measuring for improvement, including examples of potential measures for medication safety at hospital discharge so effects can be monitored.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},665403,1793302400,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144},962093541965,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","1  \nMedication safety at hospital discharge  \nImprovement guide and resource  \nContents Page  \nOverview 3  \n\n| How to use this guide | 4 |\n| --- | --- |\n| Section 1: Introduction | 5 |\n| Section 2 Identifying the problems\u003Cbr>Identifying your stakeholders and their roles in the project and defining the discharge medicines system | 8 |\n| Section 3: Measuring medication safety at hospital discharge\u003Cbr>Measuring for improvement, including examples of ways to measure medication safety at hospital discharge | 15 |\n| Section 4: Defining the project\u003Cbr>Guiding you to define the scope of your project, the issue you’refocusing on and your improvement interventions | 18 |\n| Section 5: Implementing your improvements\u003Cbr>Implementing your improvement ideas using appropriate tools and ensuring sustainability | 27 |\n| Appendices | 31 |\n\nThis resource has been endorsed by the Royal College of Nursing until 30 October 2024. Endorsement only applies to the professional content of the resource.  \nDeclaration  \nFinancial support for the development of this guide was provided as an Educational Grant by Pfizer Limited. However, Pfizer Limited have had no input or involvement in the design, development and content.  \nCopyright © Royal College of Physicians 2021  \nReview date: November 2024  \nOverview  \nMedication safety and hospital discharge  \nWhen a patient moves between physical locations for the purpose of receiving healthcare, or their care provider changes, we call this a transition of care – a well-known risk factor for medicationrelated harm.1 As part of their global patient safety challenge, Medication Without Harm, the World Health Organization (WHO) have identified transitions of care as a key action area to reduce harm.1  \nThe WHO have identified five key priorities for improving medication safety at transitions of care, which we have adapted for the hospital discharge transition and have used to inform the suggested areas for improvement within this guide:1  \n> Implementing formal structured processes for medicines reconciliation when patients are being discharged from hospital.  \n> Partnering between patients, caregivers and healthcare professionals at hospital discharge.> Prioritising patients at high risk of medication-related harm around hospital discharge.  \n> Implementing collaborative medicines optimisation at hospital discharge.  \n> Improving the quality and availability of medication-related information at hospital discharge.  \nThe Royal College of Physicians (RCP) has previously published learning resources around the topic of medication safety and hospital discharge2 and the aim of this guide is to further raise awareness and to help organisations implement improvement projects, with input from patients, carers and colleagues from across health and social care sectors. The guide is aimed primarily at project team leaders but will be a useful resource for the rest of the team.  \nWhat does this guide do?  \nThis guide has been created from a combination of expert opinion, review of the literature and the author’s and contributors’ own experiences. Many NHS trusts (see Acknowledgements) volunteered to be involved in the pilot phase, where they tested and provided feedback on this resource.  \nIt explores the quality improvement (QI) journey, using the Model for Improvement3 – a QI approach commonly used in healthcare. There are many other QI approaches available, however, and this guide can be used alongside whichever you and your organisation prefer. This guide has been structured in a logical order to support the delivery of your project and we have hand-picked the QI tools we think will be most helpful. We have included quotes from the RCP’s Patient and Carer Network that highlight issues relating to medication safety at hospital discharge.  \nIt is important to fully understand the discharge medicines system, diagnose any problems and identify the impact of potential improvements before trying to make any changes. This guide tak","cbCaitj0gZD7UirX","https://ap.wps.com/l/cbCaitj0gZD7UirX","pdf",1478367,44,"English","# Overview\n## How to use this guide\n# Section 1: Introduction\n## Who is this guide for?\n# Section 2: Identifying the problems\n## Identifying your stakeholders and their roles\n# Section 3: Measuring medication safety at hospital discharge\n## Measuring for improvement\n# Section 4: Defining the project\n## Defining scope and improvement focus\n# Section 5: Implementing your improvements\n## Implementing improvements and ensuring sustainability\n# Appendices","[{\"question\":\"What is the purpose of this medication safety at hospital discharge guide?\",\"answer\":\"To raise awareness and help organisations implement improvement projects that reduce medication-related harm when patients leave hospital, using a structured QI journey informed by WHO priorities.\"},{\"question\":\"What framework does the guide use to guide quality improvement?\",\"answer\":\"It uses the Model for Improvement and recommends applying QI tools in a logical order, alongside whichever QI approaches an organisation prefers.\"},{\"question\":\"How does the guide suggest teams measure medication safety?\",\"answer\":\"It emphasises measuring for improvement, including examples of potential measures for medication safety at hospital discharge so effects can be monitored.\"}]","Medication safety at hospital discharge - Improvement guide and resource | PDF",111]