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Darren Larsen

Darren Larsencreated the topic: Getting to Population Health: What Must We Do?

Primary Care is changing, and so is the role of the physician. We are starting to consider the health of our patients in a more global way by considering the broader (e.g., social, socio-economic) factors and conditions that impact health, often in a …

6 months ago

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  • Leah WillemseHi there,

    Thanks for your comments about the impact that the social determinants can have on health.

    At the North Lambton Community Health Centre, we have been involved in a research project - EQUIP Health Care, that has been studying interventions aimed at equipping healthcare providers with equity-oriented tools: https://equiphealthcare.ca/

    There is a toolkit and several resources on their website aimed at sharing knowledge about equity-oriented care with health care providers and organizations, to support them to adopt equity-oriented practices. The project has been very helpful for us in terms of organizational and staff development to improve care for the people we serve. I would encourage others to check out their website! 5 months ago
  • Darren LarsenLeah, that is amazing! Thanks so much for sharing with us!
    D5 months ago
Darren Larsen

Darren Larsencreated the topic: Keeping our Patients Safe: Prescribing in the Digital Era

According to a recent study, poison control centres in the US receive a call about medication errors every 13 seconds, and that rate has doubled in the past 12 years (1). Doctors, nurses and nurse-practitioners prescribe medications (and more recently …

11 months ago

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  • Darren Larsen@Suzanne Singh Totally! Thanks for those great comments Suzanne!11 months ago
  • Lisa SeverDr. Larsen,
    Thank you for the excellent overview of how the continued integration of technology will improve medication safety.

    I have a few additional thoughts to share. I finished your article and had this overwhelming feeling that the onus is on primary care providers solely managing patient’s medications. This is not the case. Technology integration is the time to bring the team together, delineating the best professional for each job and ensuring they have the tools to efficiently and effectively intervene and communicate.

    I agree - having an accurate medication list is vital information for the prescriber – but better yet is an accurate medication list that highlights the deviations; with documented usage patterns, challenges and problems identified (with recommendations included). Key healthcare professionals, i.e. pharmacists can have this information collated and prioritized for the prescriber to assess at the patient appointment.

    A pharmacist from a family health team, home care team, ambulatory clinic or community pharmacy, if supported by integrated technology, would effectively communicate up to date medication usage and issues identified. This would alleviate workload for primary care providers. When medication reconciliation is performed by pharmacists – you get the added bonus of a medication review (because we love to identify drug therapy problems).

    A solution would be to redesign the currently funded MedsCheck program (paper based and restrictive (only billable by pharmacists working in a pharmacy)) – and make it a MedRec focus (especially helpful for transitions of care), that enables pharmacists (in any domain as above) to use a well-designed electronic solution which can integrate with EMR’s and other electronic drug information sources.

    There are lots of advances with MedRec and technology (e.g., check out Twinlist https://www.y ...11 months ago
  • kathy kastnerThanks for right-on and thought-provoking article, Darren. Always appreciate your take. One factor not sufficiently acknowledged, in my humble opinion: the role that patients can (and should) play in our own medication safety. We should ask, question and double check Rx, administration dose, timing and interactions. Having said this, in the hospital environment that can be seen as patients taking responsibility /being partners in our health, or being labelled difficult. Perhaps of interest, a video produced in collaboration with a hospital, educating patients towards protecting themselves via being aware of :'right time, right dose, right route, right meds, right patient' https://youtu.be/kcFxlT19l6k11 months ago
Suzanne Singh

Suzanne Singh

This is a great post on prescribing in the digital age. I'm a pharmacist working at a Family Health Team. We also have a provincial network of pharmacists who are integrated in primary care teams (e.g. CHCs, NP-led clinics) that connect around topics such as medication safety. This article highlight a real challenge and opportunity with modern prescribing in the digital age, and the complexities of pharmacotherapy, and patient health conditions. We need to adopt a collaborative approach to safe prescribing. As much faith as I have in EMR tools - they are not going to be the salvation for the crisis of medication safety concerns we have. A global lens on clinic processes, and enablers and facilitators of effective prescribing needs to be considered. It is rather complex! I am going to fully and proudly state my bias - it is critical that conservations around how to optimize prescribing include pharmacists. It is important that pharmacists are included in every funded primary care team in Ontario to have a lens of medication safety. This role is different than the role of community pharmacists - but complementary. Patients deserve being on medications that are necessary, safe and effective, and there needs to be a mechanism for ongoing review of medications - pharmacists integrated in primary care teams are key to this strategy!

11 months ago

Darren Larsen

Darren Larsencreated the topic: It's Time for an Integrated Disruption in Transitions in Care!

Last month I wrote about Transitions in Care from the lens of quality, published in early April both here and on my personal blog. The article described what prevents transitions from happening smoothly, and highlighted some solutions, both technical …

1 year ago

Darren Larsen

Darren Larsencreated the topic: Why are transitions so difficult?

F or patients , caregivers and providers alike , a transition in care is often a frustrating experience. When looking at why , many problems are uncovered . A transition occurs when care is handed off from one environment to …

1 year ago

Renee Desjardins

Renee Desjardins

Hey Darren! Welcome to Quorum!

1 year ago