PBS hospital medication chart development and background

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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