The Healthcare Safety Investigation Branch (HSIB) has released an interim bulletin relating to the investigation into electronic prescribing and medicines administration systems and safe discharge.
The HSIB investigation is exploring the risks around the discharge process when using electronic prescribing and medicines administration (EPMA) systems, in the context of the availability of support services in trusts at weekends.
The investigation focuses on the case of a 75 year-old woman who was admitted to hospital with a history of dysphagia (difficulty swallowing), vomiting and worsening shortness of breath. The key areas we’re looking at are EPMA systems; the primary/secondary care interface; and the potential impact on services at weekends.
The HSIB investigation will continue to explore the identified safety issues and welcomes further information that may be relevant, regardless of source.
The HSIB will report any significant developments as the investigation progresses. Interim bulletins are released to share further details of each investigation, including how it’s met HSIB criteria, the history of the event it relates to, the national context and any identified safety issues.