Medicines Safety Assurance Tool
The Medicines Safety Assurance Tool (MSAT) is provided as a PDF document for reference. To request the spreadsheet solution of this safety tool, or for more information about this tool, to make a comment, or share a safety issue please contact mlcsu.medicines-safety@nhs.net.
The MSAT was developed to improve the management of medicines related risk to patients. It is intended to provide commissioners with a systematic way of identifying and analysing emerging medicines safety issues and engage with providers to reduce medicines related harm.
Documents
ADRENALINE auto-injectors
Date Posted: 31 - Jan - 2019
Body System:
Respiratory system
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Advice for healthcare professionals:
- Ensure the patient or carer, or both, are trained and understand optimal use of their adrenaline auto injector device.
- Advise the patient or carer, or both, to carry two adrenaline auto injectors at all times.
CODEINE: USE IN CHILDREN
Date Posted: 29 - Nov - 2017
Body System:
Nervous system
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Codeine is contraindicated in all children aged 0-18 years who undergo tonsillectomy or adenoidectomy (or both) for obstructive sleep apnoea. Codeine is restricted to children over 12 years of age and only if the benefit outweighs the risks.
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DOMPERIDONE: updated indications, dose and contraindications
Date Posted: 29 - Nov - 2017
Body System:
Gastro-intestinal system
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Domperidone is restricted to short term use in the relief of nausea and vomiting. The maximum recommended dose is 30 milligrams daily for one week. Contraindications include cardiac disorders, hepatic impairment, and concomitant QT prolonging or CYP3A4 inhibiting drugs.
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METHOTREXATE: safe prescribing and dispensing
Date Posted: 27 - Jun - 2018
Body System:
Musculoskeletal system
Skin
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The Pan Mersey Area Prescribing Committee recommends:
- All specialities, including haematology, should prescribe the methotrexate dose in multiples of 2.5mg tablets and the total dose in milligrams must also be included. For example, “Three 2.5mg tablets (7.5 milligrams)”;
- Methotrexate 10mg tablets MUST NOT be prescribed or supplied;
- Prescription and the dispensing label must clearly show the dose in milligram and the number of tablets to be taken and the frequency as “ONCE a week on the same day each week”;
- prescribing of methotrexate with co-trimoxazole or trimethoprim is an ABSOLUTE CONTRAINDICATION and MUST NOT occur under any circumstances*. This contraindication applies to people that have recently taken methotrexate.
PARAFFIN-BASED EMOLLIENTS: fire risk
Date Posted: 27 - Mar - 2019
Body System:
Skin
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The Pan Mersey Area Prescribing Committee recommends that the risk of fire should be considered when issuing paraffin-based emollient preparations.
SUMMARY CARE RECORD: minimising harm from missing data
Date Posted: 01 - Aug - 2019
Body System:
General prescribing advice
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The Pan Mersey Area Prescribing Committee recommends that ALL clinicians have a responsibility in ensuring that Drugs Prescribed Elsewhere are updated in the patients’ electronic medical records in order to ensure the accuracy of the Summary Care Record.
