A key milestone in the adoption of security measures into medicines supply occurred with the publication of the Aitken report in 1958, which recommended practices that are still followed today.
History
A key milestone in
the adoption of security measures into medicines supply occurred with the
publication of the Aitken report in 1958, which recommended practices that are
still followed today. However, the key driver in the development of systems has
been the desire to improve medication safety. This was recognised as a major
cause for concern during the 1960s and resulted in the introduction of new
prescribing and administration recording systems, which form the basis for
those in use, even today. Many hospital organisations are using prescription
forms which have changed little in 20 years (an example is given in Chapter 9).
Most hospitals
operated a ‘stock’ and ‘non-stock’ system for medicines on their wards, though
few still operate this system. Stock medicines were those that were in routine
use on that particular ward and specialty. ‘Non-stock items’ were supplied
individually for those medicines that were not routinely used on that
particular ward. This also applied to medicines that the hospital wanted to
restrict or monitor. More recently, with the advent of payment by results, as
mentioned in Chapter 1, English trusts may wish to issue medicines which are
excluded from the regular tariff payment scheme to individual patients, so that
dispensing data can be interrogated to ascertain which patients have received
which medicines and, in some cases, for what purpose. It may be used to promote
return to pharmacy of unused, less common medicines when the patient is
discharged.
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