The total time per home per day spent giving medicines varied from 2.5 to 5.8 hours. A summary of medication activities at Table 1: Summary of medication-related activities and interruptions aggregated from four care homes Med. Round Residents (n) Time (mins) Interruptions (n) Doses administered (n) Mean no. doses per resident Mean no. interruptions per 100 doses Mean

no. interruptions per hour of med. round P *Mean was calculated only for 3 homes because consent from residents in one home was restricted to observing medicine rounds only – i.e. not for reviewing individual medication administration records. An average rate of Belnacasan in vivo one interruption every 12 minutes during medicine rounds seems alarmingly high considering the potential for making a mistake is greater when being distracted. However, carers may consider personal care and social interaction to be equally important to residents and therefore accept interruptions during medicine rounds as being a normal part of their caring role. In stark contrast with evidence cited in the CHUMS report, care staff subjectively believed that the risk of making an error was low

which may result in errors remaining undetected. However, some staff in our study experienced considerable anxiety over the possibility of making a mistake with medication. A worthy subject for future research would therefore be to appraise what is considered to be an appropriate balance between avoiding medication Ixazomib concentration errors whilst taking into account the competing social care priorities that are important in care however homes. 1. Alldred DP et al (2009). Care Home Use of Medicines Study (CHUMS)). Medication errors in nursing and residential care homes – prevalence, consequences, causes and solutions. Universities of London, Leeds

and Surrey. Pamela Mills1,2, Anita Weidmann2, Derek Stewart2 1NHS Ayrshire and Arran, Ayrshire, UK, 2Robert Gordon University, Aberdeen, UK Semi-structured interviews were conducted with key hospital staff regarding their experiences of paper based prescribing systems and future expectations of electronic prescribing Multiple concerns and bad experiences were reported at every stage of the patient journey by all professional staff groups. The implementation of hospital electronic prescribing and medicine administration (HEPMA) was eagerly anticipated as a patient safety solution although many were cautious about impending changes to familiar practices. Hospital electronic prescribing and medicine administration (HEPMA) has been implemented into several UK hospitals with a lack of published formal evaluation. A recent systematic review advocates further research of information technology (IT) communication systems versus traditional, paper based systems, advising that organisations implementing such systems undertake formal research evaluation1.