Medicines Safety

This page will bring together all the PrescQIPP Medicines Safety resources. Each set of resources includes tools that can be adapted for local use before implementation.

If you have resources, you would like to share with the PrescQIPP community then please get in touch.

General resources

B260: Acute Kidney Injury (AKI) - Sick day guidance

This bulletin provides information on offering individualised sick day guidance to patients when they are well, so that they are able to proactively manage medication known to impair renal function during illness or fever and reduce the risk of AKI.

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B248: Amiodarone and Dronedarone

This resource supports the implementation of the NHS England items which should not routinely be prescribed in primary care guidance.

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B253. Anticholinergic burden

This bulletin discusses the review of treatment with anticholinergic drugs and the different scales available to support review. Support materials are available to identify the risk in patients and support appropriate action to reduce anticholinergic burden.

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B242 : Appropriately switching anti epileptic drugs

This is an updated bulletin which includes new information on patient factors to consider before switching antiepileptic drugs, updated cost comparison charts and switch savings.

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B172: Care homes Safeguarding and medicines

This bulletin discusses the issues around safeguarding in relation to medicines which could include: the deliberate withholding of medicine without a valid reason and incorrect use of medicines,

B194: Co-proxamol

This bulletin discusses the use of co-proxamol and supports reviewing and discontinuing prescribing in patients still taking this unlicensed medicine.

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B256: Dependence forming medications

The dependence forming medicines (DFMs) resources provide an overview of DFMs and signpost to PrescQIPP resources which support medicines optimisation projects in this area.

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B228: Emollients, paraffin content and fire risk

This bulletin aims to highlight the fire risk associated with emollient products and measures which need to be taken to reduce this risk.

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B132: Fentanyl

This bulletin which is a DROP-List support bulletin will focus on fentanyl immediate-release formulations which has a NICE do not do as a first line treatment for breakthrough pain.

B258: Hypnotics

This bulletin offers advice on managing new patients with insomnia, recommends cost-effective prescribing choices, and encourages you to review chronic hypnotic users with a view to helping them withdraw from treatment.

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B281: Implementing NICE guidance in CKD and AKI

Part 1 of this two part bulletin covers the assessment and management of chronic kidney disease (CKD) in line with NICE NG203 and drugs which are likely to cause kidney damage.

Part 2 covers the current advice prevention, detection and management of acute kidney injury (AKI) in line with NICE NG148.

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B252: Medicines without harm

These resources support the implementation of local campaigns for the World Health Organisation (WHO) global patient safety challenge, medication without harm.

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B245: Melatonin

This bulletin focuses on melatonin and provides information on ensuring that prescribing is appropriate, reviewing ongoing prescribing and deprescribing melatonin.

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B250: Modafinil

This bulletin and supporting materials review the place in therapy for modafinil in light of the MHRA restrictions on prescribing indications due to safety concerns.

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B265: NSAIDs

These resources look at the safety implications of long term treatment with NSAIDs and support treatment initiation and review.

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B267: PPIs - Long term safety and gastroprotection

This bulletin and implementation resources focus on reducing PPI prescribing for safety reasons by reviewing the continued need and stepping down or deprescribing where appropriate in line with current guidance.

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B288: Medicines safety

This bulletin offers guidance and background information on medicines safety. This includes the role of the Medicines Safety Officer (MSO) and the Medical Devices Safety Officer (MDSO).

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Webinars

Developing pragmatic, evidence based strategies to help people safely and calmly taper off and stop antidepressant therapy

We welcomed Dr Mike Scanlan, who aimed to equip participants with a range of applicable and common sense approaches and tools that can help patients to manage anxiety, cope with physical discomfort, and maintain psychological wellbeing whilst coming off medication.

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GRASP suite introduction and GRASP AF

As part of our tools and systems CCGs use series the PRIMIS team from Nottingham University will be showcasing three of their GRASP tools over the course of three webinars. In this first webinar, they will be showcasing GRASP suite introduction and GRASP AF.

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GRASP Heart failure

This webinar was presented by Alan McGurk from the PRIMIS team. As part of our tools and systems CCGs use series the PRIMIS team from Nottingham University will be showcasing three of their GRASP tools over the course of three webinars. In this final webinar, they showcased GRASP heart failure.

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GRASP COPD webinar

As part of our tools and systems CCGs use series the PRIMIS team from Nottingham University will be showcasing three of their GRASP tools over the course of three webinars. In this second webinar, they showcased GRASP COPD.

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Me & My Medicines - Overcoming the medicines challenges

We welcomed Graham Prestwich, Public and Patient Engagement Lead from Yorkshire & Humber AHSN, who explored from a patient and carer perspective ways the collaboration which can be improved and how better outcomes can and will become much more likely.

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Safe and appropriate medicines use

This webinar discussed the rationale and evidence behind the Safe and Appropriate Medicine Use document, as well as the importance of this work and its practical implementation within the care home setting.

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Patient centred approaches to medicines adherence

Nina Barnett, from the NHS Specialist Pharmacy Service Medicines Use and Safety team presented their work on patient centred approaches to medicines adherence.

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PINCER - A proven pharmacist-led IT-based intervention to reduce clinically important medication errors in primary care

We welcomed Sarah Rodgers, PINCER National Programme Manager, who presented on PINCER.

PINCER is a proven pharmacist-led IT-based intervention to reduce clinically important medication errors in primary care.

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Webinar to showcase STOMPLD

We welcomed David Branford and Anne Webster, who provided the background to the ‘Stopping Over-medication of People with Learning Disabilities’ programme and further encouraged CCGs, GP practices and other organisations to take forward the STOMP message.

Shared good practice - Award winning project webinars

Shared good practice - Other projects

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