Pharmacy - Concord
The investigational drugs unit is staffed by Lucy Nigro, Marian Kow and Katina Bilbilis. The unit is currently responsible for administration and dispensing of over 100 drug clinical trials. Most trial activity is in the areas of Haematology, Gastroenterology and Respiration. Approximately 30% of studies are investigator initiated, group studies or local in-house studies. In addition the unit is responsible for the procurement of investigational drugs under the Special Access Scheme.
The Investigational Drugs Unit is responsible for administrative procedures associated with the setting-up of a Clinical Drug Trial. This includes drug accountability, temperature monitoring, development of randomisation schedules, preparation of placebos and aseptic reconstitution as needed.
A comparison of pharmacist led medications reconciliation before and after eMeds. This compared the rates of medication reconciliation during August 2014 with August 2015 (eMeds) in 370 patients. The proportion of patients with recorded MedRec within 24 hours of weekday admission (median 1.0 day pre- and post-implementation), or 48-72 hours of weekend admission (median 3.5 and 1.5 days pre- and post -implementation, respectively), increased from 47% pre-eMMs to 84% post-eMMs.
Elisa Moldenhauer, Fiona F Doukas, Nicole Wong Doo, Thilo Bertsche and Andrew J McLachlan. Antimicrobial prophylaxis in patients with haematological malignancies.
Natalie Kahwajy, Fiona F. Doukas, Rosalba Cross and Andrew J McLachlan. Investigating the documentation of antimicrobial medicines in patients transferred from ICU/HDU to inpatients wards.
Concord Centre for Mental Health Pharmacy Department is committed to quality improvement. As such, in 2015 an audit was carried out to evaluate Clozapine initiation Monitoring Documentation. Given the high risk nature of this drug and the extensive baseline and ongoing clinical monitoring requirements, patients commenced on clozapine during a one year period were audited retrospectively to see how much of the requirements had evidence of completion. The outcomes of this audit were presented to medical staff and quality improvement strategies were implemented as a result.
NSW Minister for Health Innovation Award. ‘eMeds Implementation’ awarded to Concord Hospital and eMeds
SLHD Quality Awards: Local Solutions Category and Overall Category: awarded to Concord Hospital and eMeds team.
'Pride of Concord’: awarded to Rosemary Burke, Director of Pharmacy.
SLHD Education and Training award nomination: Tracey Leung, Clinical Pharmacist, Concord Hospital for eMeds project
NSW Minister for Health Innovation Award. eMeds implementation awarded to Concord Hospital, SLHD Quality Awards (eMeds) won category plus overall for eMeds implementation Rosemary Burke Director of Pharmacy 'Pride of Concord winner' 2015. Tracey Leung eMeds Clinical Pharmacist. Nominated for SLHD
- Ms. Fiona Doukas, Antimicrobial Stewardship Pharmacist
Publications and Presentations
- Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite, Burke R, Conn C, Day RO. What are incident reports telling us? A comparative study at two Australian Hospitals of Medication errors identified at audit, detected by staff and reported to am incident system. International Journal for Quality in Health Care, 2015;1-9.
National and International:
- Fiona F. Doukas, Jade A. Fox, Thomas Gottlieb, Andrew J.McLachlan, MaryLouise McLaws. Surgical Antibiotic Prophylaxis in a University teaching hospital: A retrospective study investigating prescribing according to national guidelines. SHPA Medicines Management, Melbourne, December 2015.
- Patients' perspectives on managing medicines at hospital discharge. Josephine Touma, The University of Sydney; Centre for Education and Research in Ageing, Concord Repatriation General Hospital, NSW. Presented at SHPA Federal Conference 2015. Work undertaken at CRGH during 2014. Won Best Paper by a First time presenter.
Amy Stashynsky. Poster Presentation 'Clozapine Initiation Monitoring Documentation Audit - As per Hospital Clinical Guideline and Clopine Central Protocol.' Oral presentation- Society of Hospital Pharmacists Australia Medicines Management Conference 2015.
Clozapine Monitoring Audit (Amy Stashynsky) and Medication Committee Report(Seniha Karacete and Dr Jeff Snars). Mental Health Grand Rounds, October 2015.
Contact details for department
Head of Department: Miss Rosemary Burke
Department/Unit: Pharmacy - Concord
Telephone: (02) 9767 6480
Facsimile: (02) 9767 7826