Background With the introduction of the Patient Safety Incident Response Framework (PSIRF) (NHS England. Patient Safety Incident Response Framework [Internet]) in 2022, we as hospices recognised the value of this approach to patient safety incidents, in particular the two principles of a system-based approach to learning and working collaboratively. Collaborative practice improves patient safety and is synonymous with quality healthcare (Pfaff, Markaki. BMC Palliat Care. 2017;16, 65).

In 2023, a collaboration between two hospices formed a joint Medicines Optimisation Group (MOG). Hospice collaboration is proven as effective in providing: external scrutiny and assurance; efficient use of resources (Scott-Ralphs, Glackin, Clarke. BMJ Support Palliat Care. 2021;11:A4) and sharing best practice (Stevens, Sweeting, Marshall, et al. BMJ Support Palliat Care. 2021;11:A85.)

Aim Our mission was to develop shared learning opportunities, audits, project work and enhance the safety of patients through medicines optimisation.

Method Joint MOG was an interdisciplinary staff approach by applying the principles of PSIRF to guide our work:

• Identifying alignment of best practices.

• Standardising medication charts.

• Task and finish groups for specific projects.

• Identifying joint audits.

• Identifying shared learning from incidents.

• Quarterly meetings, jointly chaired.

Results Joint MOG allowed both hospices to embrace an open culture and joint working to improve practices, which included discussing lessons learnt from a significant incident in April 2023. Shared learning led to a joint medication awareness poster being implemented, which resulted in a reduction in documentation and prescribing errors across both hospices. Following the significant incident a monthly Controlled Drug (CD) audit was introduced in both hospices and compliance improved to over 95%, therefore the audits were changed to quarterly. The Hospice UK CD audit was undertaken in both hospices by members of the other hospice, providing external scrutiny and both hospices scored 100%. The next audit planned is the Hospice UK General Medicines audit using the same process.

Conclusion Effective sharing of best practice in medicines management has enhanced both hospices’ patient safety. Our work on audits and staff development has led to joint Quality Improvement Priorities with a PSIRF focus.