PBS hospital medication chart development and background

Assessment to the NSQHS Standards
- The Impact of the NSQHS Standards
- National Standards Program updates and consultations
- NSQHS Standards (second edition)
  - Request for NSQHS Standards (second edition) commercial design files
  - Assessor Orientation Course Enrolment Form
- Information for health service organisations undergoing assessment to the NSQHS Standards
  - Steps for implementing the NSQHS Standards
- Information for dental practices undergoing assessment to the NSQHS Standards
- Information for accrediting agencies
- Resources to implement the NSQHS Standards (first edition)
  - Logo and icons request form
- NSQHS Standards Advisories (first edition)
- Australian Health Service Safety and Quality Accreditation Scheme
- Improving care for Aboriginal and Torres Strait Islander People
Clinical Care Standards
- Overview of the Clinical Care Standards
  - Clinical Care Standards Advisory Committee
- Current consultation
- Acute Coronary Syndromes Clinical Care Standard
  - Project Information
  - Endorsements
- Acute Stroke Clinical Care Standard
  - Project Information
  - Endorsements
- Antimicrobial Stewardship Clinical Care Standard
  - Project Information
  - Endorsements
- Cataract Clinical Care Standard
  - Project Information
- Colonoscopy Clinical Care Standard
  - Topic working group and endorsements
- Delirium Clinical Care Standard
  - Project Information
  - Endorsements
- Heavy Menstrual Bleeding Clinical Care Standard
  - Project Information
  - Endorsements
- Hip Fracture Care Clinical Care Standard
  - Project Information
- Osteoarthritis of the Knee
  - Project Information
  - Endorsements
- Venous Thromboembolism Prevention Clinical Care Standard
  - Topic working group and endorsements
Clinical Communications
- Clinical Handover
- Patient-Clinician Communication
- Resources
  - External Links
  - Clinical Handover Presentations
Clinical Trials
- Clinical Trials Consultation
- Project Information
- Resources
Safe and high-quality care for patients with cognitive impairment
- Caring for Cognitive Impairment campaign
- A better way to care: Safe and high-quality care for patients with cognitive impairment (dementia and delirium) in hospital
Credentialing of clinicians
Colonoscopy Safety and Quality
Comprehensive Care
- Comprehensive Care Standard
- Conceptual model for Comprehensive Care
- Comprehensive Care Resources
End-of-Life Care
- Information for patients, families and carers
- Tools and resources for health services
- End-of-life care projects across Australia
Falls Prevention
- Falls prevention resources
- Latest falls prevention research and practice
General Practice accreditation
- Accrediting agencies assessing general practices
Healthcare Associated Infection
- Infection Prevention and Control Online Modules
- Antimicrobial Stewardship (AMS) and Healthcare Associated Infection (HAI) resources and links
- Antimicrobial Stewardship
- Infection Prevention and Control Signage
- CPE Guide
- National Hand Hygiene Initiative
  - Hand Hygiene Australia
- National Infection Control Guidelines
- National Surveillance Initiative
- Clostridium difficile infection
Indicators of Safety and Quality
- Avoidable Hospital Readmissions
- Potentially preventable hospitalisations and potentially avoidable deaths in Australia
- Patient-Reported Outcome Measures
- Classification of Hospital Acquired Diagnoses
- Hospital-acquired complications
- Australian Sentinel Events List
- Core, Hospital-based Outcome Indicators
- Australian Hospital Patient Experience Question Set (AHPEQS)
  - Review of patient experience and its measurement in Australian hospitals
- Practice-level indicators of safety and quality for primary health care
  - Practice-level indicators of safety and quality for primary health care consultation – Written Submissions
Information Strategy
- National arrangements for clinical quality registries
  - Testing and validating the Draft Operating Principles and Technical Standards
- Health Information Standards for Safety and Quality
Knee Pain
Medication Safety
- Safer medicines administration
- Paediatric prescribing positioning statement
- High Risk Medicines
- NSMC audit system
- National Standard Medication Chart (NSMC) auditing
- NIMC National Audit Reports
- Medication charts
- NIMC VTE Prophylaxis Section
- Medication reconciliation
- Safer naming, labelling and packaging of medicines
- Electronic medication management
- Quality use of medicines in hospitals
  - Hospital QUM individual indicators
- Medication Safety Tools and Resources
- National Residential Medication Chart
- Paediatric National Inpatient Medication Charts
  - Paediatric NIMC Seminar 7 May 2009: Report
- NIMC Private Hospital and Private Hospital Day Surgery Versions
Mental Health
- National Standards in Mental Health Services
- National Safety and Quality Health Service Standards user guide for health services providing care for people with mental health issues
- Recognising and responding to clinical deterioration
- Medication Safety in Mental Health
- Mental Health Advisory Group
- Emergency mental health contact details
Mental Health
Open Disclosure
- The Australian Open Disclosure Framework
- Implementing the Open Disclosure Framework
- Open disclosure programs, policies and information
  - Open disclosure at Mater Health Services, Brisbane
- Open Disclosure projects and priorities
Patients and Carers
- Be aware of button batteries
Patient and Consumer Centred Care
- Person-centred healthcare organisations
- National Safety and Quality Health Service Standard 2: Partnering with Consumers
- Health Literacy
- Useful resources
Patient Identification
- Patient / Procedure Matching Protocols
- Specification for a standard patient identification band
Primary Health Care
- Written submissions on patient safety and quality improvement in primary care
Safety in e-Health
- My Health Record clinical safety program
- My Health Record in Emergency Departments Project
- Electronic discharge summary (EDS) systems
- Safety Issues at Transitions of Care: Pain points relating to clinical systems
- Cumulative hospital-level antibiogram
- Structured microbiology requests and reports for healthcare-associated infections
Prioritising clinical practice guideline development
Recognising and Responding to Clinical Deterioration
- Training and Competencies
- Recognising and Responding to Deterioration in Mental State
- Implementing Recognition and Response Systems
- Evaluating Recognition and Response Systems
  - Audit Tools and Quality Measures for Recognition and Response Systems
- Observation and Response Charts
- Tools and Resources to Support Implementation of the National Consensus Statement
- Past events
Shared Decision Making
- Webinars on Shared Decision Making
- Patient Decision Aids
- Resources and publications
Transvaginal Mesh
- Resources for consumers, clinicians and health service organisations – Transvaginal mesh
- Senate Inquiry
- States, territories and private health services
- TGA Transvaginal Mesh Information Hub
- Consumer forums to discuss transvaginal mesh

Safety and Quality > Our Work > Medication Safety > Medication charts > Background and development of medication charts > PBS hospital medication chart development and background

The PBS HMC is an evidence-based chart that builds on the national inpatient medication chart (NIMC). It was trialled in public and private hospitals across Australia.

Healthcare services are expected to demonstrate the use of a compliant standardised chart for accreditation against National Safety and Quality Health Service (NSQHS) Standard 4: Medication Safety. The PBS HMC is a compliant standardised chart.

Only the PBS HMC can be used for PBS claiming. Noncompliant charts:

Are not reflected in any nationally maintained support materials, including education resources
May create medico-legal risks for health service organisations in the event of patient harm related to medication misadventure.

Benefits of the PBS HMC

Reduces the regulatory and administrative burden for health professionals
Improves efficiency and streamline processes for PBS prescribing, dispensing and claiming
Improves medication safety by reducing medicine transcription errors
Improves the quality use of medicines, including PBS medicines prescribed, dispensed and administered to patients in acute care settings
Improves workflow for healthcare providers.

Developing the PBS HMC

The Australian Government Department of Health appointed the Commission to develop the PBS HMC for use in public and private hospitals, and to test its safety and effectiveness. The aim was to reduce the administrative prescribing, dispensing and claiming for PBS medicines in hospitals.

A hospital trial assessed:

Safety and quality of the PBS HMC compared with the NIMC
Compliance with regulatory requirements for PBS data fields
Financial advantages to the hospital
Workflow utility and efficiencies for hospitals, clinicians and pharmacies.

The hospital trial found the safety performance of the PBS HMC compared favourably with the existing medication charts used at the trial sites. This finding was supported by chart audits and site reports. There were no medication incidents associated with the PBS HMC, and using the chart reduced medication transcription errors.

Additional details of the trial can be found in PBS Hospital Medication Chart (PBS HMC) project. Development, trial and evaluation of the PBS HMC in public and private hospitals: phase 1 summary evaluation report