06
Nov 2025
Australia Launches National Framework to Cut Medication Errors in Hospitals
Published in General on November 06, 2025
Australia’s hospitals are taking a major step toward safer patient care with the release of the Medication Management at Transitions of Care Stewardship Framework by the Australian Commission on Safety and Quality in Health Care (ACSQHC). The new framework provides hospitals and health services across the country with a clear strategy to reduce the risk of medication errors when patients move between care settings — from hospital to home, or hospital to aged care.
Every year, around 250,000 hospital admissions in Australia are linked to medication-related errors, costing the health system an estimated $1.4 billion. More than half of these incidents occur during transitions of care, when communication gaps, changing prescriptions, and unclear instructions can create serious risks for patients.
The Framework marks the first nationwide effort to address these issues systematically — with hospitals such as Royal Melbourne Hospital and Townsville University Hospital expected to play leading roles in implementing the recommendations.
Why Medication Transitions Matter
Transitions of care are among the most vulnerable moments in a patient’s healthcare journey. When someone is admitted to or discharged from a hospital, their list of medications can change dramatically. This is particularly true for older patients or those managing multiple chronic conditions.
Dr Phoebe Holdenson Kimura, Medical Advisor to the ACSQHC, said, “The Framework is designed to enhance medication governance, improve communication, and facilitate collaborative post-discharge medication reviews — especially for high-risk and vulnerable patients.”
By introducing standardised procedures across all Australian hospitals, the Framework aims to close long-standing gaps that lead to confusion, duplication, or dangerous omissions in medication management.
The Key Goals of the Framework
The new national model focuses on accountability, communication, and patient-centred care during transitions. Its main objectives include:
- Identifying high-risk patients — particularly those aged 65 and over, or taking five or more medications.
- Medication reconciliation — ensuring every medication is accurately documented at admission, during hospitalisation, and at discharge.
- Early discharge planning — improving communication between hospital teams, GPs, pharmacists, and aged-care providers before a patient leaves the hospital.
- Digital integration — encouraging hospitals to adopt interoperable digital systems to share medication lists securely and efficiently.
- Stewardship and governance — making medication safety a shared responsibility across clinical, pharmacy, and administrative teams.
The Framework moves beyond simply preventing errors — it establishes stewardship as an ongoing process embedded within the culture and systems of each hospital.
Putting It into Practice
For hospitals such as Royal Melbourne Hospital, implementation will involve reviewing existing medication procedures and aligning them with the new national standards. This may include training staff in medication reconciliation, improving discharge communication templates, and ensuring follow-up with community care providers.
Patients, in turn, should experience a smoother and safer journey as they transition out of the hospital. For example, under the new system, hospital pharmacists may contact a patient’s GP directly before discharge to confirm medication changes and schedule a follow-up consultation.
Hospitals are also encouraged to take advantage of digital health technologies that can automatically share updated medication lists with GPs and pharmacies — reducing the risk of lost paperwork or transcription errors.
Benefits for Patients and the Health System
By improving coordination and accountability, the Framework aims to achieve several measurable outcomes:
- Fewer hospital readmissions caused by medication-related problems.
- Lower healthcare costs ease financial pressure on the public system.
- Better patient outcomes through safer, more consistent care.
- Improved communication between hospitals, GPs, and aged-care providers.
- Enhanced patient trust in hospital safety and transparency.
Hospitals such as Townsville University Hospital have already introduced integrated pharmacy programs that reconcile medications at every stage of a patient’s stay, setting a strong example of the kind of innovation the Framework is designed to encourage.
The Challenges Ahead
Rolling out a national standard across Australia’s vast and varied healthcare landscape will take time. Rural and regional hospitals may face additional hurdles, such as staffing shortages or limited access to digital infrastructure.
Inter-hospital communication also remains inconsistent. While some major city hospitals operate fully electronic systems, smaller facilities still rely heavily on manual processes or faxed documentation — creating barriers to seamless transitions of care.
To succeed, each hospital will need to:
- Appoint clear medication safety leaders or committees.
- Invest in technology that supports accurate data sharing.
- Train staff in the new reconciliation and discharge processes.
- Evaluate outcomes regularly to measure impact and identify gaps.
The ACSQHC will continue to provide guidance, templates, and reporting frameworks to help hospitals benchmark their progress.
Why This Matters Now
Australia’s population is ageing rapidly, and with that comes an increasing number of patients taking multiple medications. According to national data, almost 25% of people aged over 70 are prescribed five or more medications — often by different specialists.
This “polypharmacy” increases the likelihood of dangerous interactions, side effects, and confusion, particularly when patients move between care settings.
The new Framework addresses these risks by introducing a proactive approach: managing medication transitions as a system-wide responsibility, not an individual oversight.
Hospitals that integrate these standards early — like Royal Melbourne Hospital and Townsville University Hospital — are expected to set the benchmark for safety and collaboration across Australia’s healthcare network.
Building Confidence Through Safer Systems
For patients and their families, the new approach offers greater reassurance that their medication information will travel safely with them throughout their healthcare journey. It also signals a cultural shift within hospitals: one that prioritises open communication, shared accountability, and patient involvement.
For those browsing our Hospital Stays Directory, this initiative highlights why Australia’s hospitals continue to evolve. Facilities implementing the new medication stewardship practices demonstrate a commitment not only to medical excellence but also to transparency and safety — key factors to consider when choosing a hospital.
Looking Ahead
The Medication Management at Transitions of Care Stewardship Framework is a turning point in how Australia approaches hospital safety. It reflects a growing understanding that health outcomes depend on what happens beyond the hospital stay — in the communication, follow-up, and continuity of care that come afterwards.
By embedding stewardship, accountability, and collaboration into every transition, the Framework sets a new national standard for safety.
Hospitals such as Royal Melbourne Hospital and Townsville University Hospital are already leading the way — showing that a safer, more connected healthcare system is not only possible but already in motion.
In summary, Australia’s hospitals are embracing a new era of medication safety. Through stronger collaboration and shared accountability, this national initiative ensures that patients across the country — whether in a metropolitan centre or a regional community — can experience safer, more coordinated transitions of care.