Education toolkits for general practice

Digital initiatives to support medicines safety

2. Real Time Prescription Monitoring

Last revised: 29 May 2024

2. Real Time Prescription Monitoring

Definition

The term ‘Real Time Prescription Monitoring’ or RTPM refers to a digital system which provides up-to-date information about a patient’s use of monitored medicines to the prescribing doctor and dispensing pharmacist at the point of decision, and to state and territory regulators.

One aim of RTPM is to provide real-time information that will support doctors and pharmacists to make a choice about whether to prescribe or dispense a monitored medicine to a particular patient.

Benefits

  • Identifies patients who are at risk of harm due to misuse of monitored medicines
  • Identifies patients who might be diverting these medicines
  • Reduces doctor-shopping
  • Provide regulators with data to detect prescribers not complying with regulations.

Process

A National Data Exchange (NDE) gathers data from state and territory regulatory systems, prescribing and dispensing software, and other data sources. The NDE records which monitored medicine/s are prescribed to a particular patient, the date of prescription, the amount prescribed, some information about dispensing, and relevant information about prescribers and dispensers.

State and Territory-based systems

Each State and Territory has their own system and regulatory frameworks for RTPM. In some states/territories, prescribers are required to check the RTPM system before prescribing monitored medicines.

State  System  Mandatory 
Australian Capital Territory  Canberra Script  No 
New South Wales  SafeScript NSW  No 
Northern Territory  NTScript  Yes 
Queensland  QScript  Yes 
South Australia  ScriptCheckSA Yes 
Tasmania  TasScript Yes
Victoria  SafeScript  Yes 
Western Australia  ScriptCheckWA  Yes 
 
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