A case was referred to the HSIB involving a 75 year-old woman who was admitted to hospital with a history of dysphagia (difficulty swallowing), vomiting and worsening shortness of breath. The investigation continues to explore electronic prescribing and medicines administration (EPMA) systems; the primary/secondary care interface; and the potential impact on services at weekends.

Related downloads

Interim bulletin: electronic prescribing and medicines administration systems and safe discharge

Download and read the bulletin below