Re: [MT-L] Medispan Dose Range Checking
HIT Project - Izilna Collins
We have switched off dose range checking in Pharmacy module, but we do
use Interaction, duplicate and Allergy check.
There were too many pop ups for dose range checking, as you mention, a
lot of them because either route is not appropriate / diagnosis not
entered etc etc.
We are currently in process of implementing POM / AOM and we would have
to decide if we would switch it back on for these users.
I am wondering:
- how many people are actually using dose check range for CPOE?
- as Andrea has also asked, are you building your own into the system? -
it looks a bit technical to me!
- then how many of you are building dosing sets? I have asked Meditech
if they know of any software to load dosing set information, but without
any luck. Does anyone have info in this regard?
We use FDB by the way, and are a C/S 5.6.4 site.
Thank you
Izilna Collins
HIT Pharmacist
American Hospital Dubai
Dubai
-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Stephen MIS Costa
Sent: Thursday, June 16, 2011 10:55 PM
To: medit...@mtusers.com; Andrea Connors
Subject: Re: [MT-L] Medispan Dose Range Checking
Hi Andrea,
We just went LIVE with Medispan's dose ranges and have also received
many complaints from providers about the over-abundance of pop-up
warnings that don't really tell you anything. Two warnings that were
particularly annoying are the 'no LABs currently available' and 'no
creatinine threshold available'. There are some settings on page 2 of
the MIS Interaction/Conflict dictionary that allow you to stop these
warnings. FYI, the Interaction/Conflict group is attached to users via
the OE Access dictionary. These settings apply to POM/CPOE users
only...not PHA users.
Steve Costa
Sr. Programmer/Analyst
Southcoast Health Systems
cos...@southcoast.org
>>> Andrea Connors <andr...@yahoo.com> 6/16/2011 2:16 PM >>>
Hi All,
Question regarding the loading of the Dose Ranges from the Formulary
Service
Vendor. Are you all loading this into your formulary or opting not to?
If you
are loading, does anyone have huge complaints regarding how this works?
It seems
that every medication shows a dosage warning on medications when
ordering via
POM. It's a huge annoyance to our physicians especially since the
messages
really aren't that meaningful. Do folks use their own custom defined
dose ranges
instead? Is there a way to turn these off for triggering in POM without
having
to remove the entries that are linked to the Drugs in Pharmacy?
I have not done much research on this(yet), but wanted to throw out
there to see
what others have to say. Thank you.
~Andrea
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Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.
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Bill Bowen
This wouldn't protect from a hugely overdosed onetime order would it?
Bill Bowen RPh
Clinical Analyst
Bill....@flaglerhospital.org
904-819-4404 ext 1334
-----Original Message-----
From: Terry Lehmann [mailto:tleh...@healthtech.ca]
Sent: Friday, June 17, 2011 3:22 PM
To: Bill Bowen; 'Charle...@meritushealth.com'; 'andr...@yahoo.com'; 'medit...@MTUsers.com'
Subject: Re: [MT-L] Medispan Dose Range Checking
Have you added all the filters in the CDP. I restrict Dose Range checking to .MAINTENANCE type for SCH med only and this seems much more acceptable to the users
Terry Lehmann
Senior Consultant
Healthtech Consultants
144 Front Street West, Suite 300
Toronto, ON M5J 2L7
T:416-483-5974 ext 38
F:416-483-9197
E: tleh...@healthtech.ca
W:www.healthtech.ca
This brief message sent via Blackberry.
----- Original Message -----
From: meditech-...@mtusers.com <meditech-...@mtusers.com>
To: Charles Downs <Charle...@meritushealth.com>; Andrea Connors <andr...@yahoo.com>; medit...@mtusers.com <medit...@mtusers.com>
Sent: Fri Jun 17 15:18:20 2011
Subject: Re: [MT-L] Medispan Dose Range Checking
Déjà vu. Just testing this today. All sorts of meaningless messages on almost every drug order.
Here are sample warnings when trying to enter a simple Aspirin order:
Type: FLAGLER STANDARD DOSE TYPE 0 Warnings
Type: .INITIAL DOSE Range: FDB-ASPI325T
Condition: ALL COMMON INDICATIONS
Renal The Patient's GFR is 104.5, no threshold available.
Type: .INITIAL DOSE Range: FDB-ASPI325T
Condition: ALL COMMON INDICATIONS
Renal The Patient's GFR is 104.5, no threshold available.
Type: Range: FDB-ASPI325T
Condition: ALL COMMON INDICATIONS
Renal The Patient's GFR is 104.5, no threshold available.
Type: Range: FDB-ASPI325T
Condition: ALL COMMON INDICATIONS
Renal The Patient's GFR is 104.5, no threshold available.
If I wanted a threshold for the med, I would enter one!
Seems like we should be able to take advantage of our FDB dose ranges, rather than to have to manually build and maintain them ourselves.
Bill
Bill Bowen RPh
Clinical Analyst
Bill....@flaglerhospital.org
904-819-4404 ext 1334
-----Original Message-----
From: Charles Downs [mailto:Charle...@meritushealth.com]
Sent: Thursday, June 16, 2011 2:21 PM
To: Andrea Connors; medit...@mtusers.com
Subject: Re: [MT-L] Medispan Dose Range Checking
We use FDB, same results. We are only live in the ED, but never turned on dose range checking because of way too many alerts. Way too many "can't check the dose range" and other worthless messages. I would encourage everyone to contact Meditech and ask them to fix this. I'm on the pharmacy advisory committee and have asked them if we could work on this.
Charlie
Charles Downs PharmD
Information Services Pharmacist
Meritus Health, Inc.
11116 Medical Campus Road
Hagerstown, MD, 21742
301-790-8904
-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Andrea Connors
Sent: Thursday, June 16, 2011 2:17 PM
To: medit...@mtusers.com
Subject: [MT-L] Medispan Dose Range Checking
Hi All,
Question regarding the loading of the Dose Ranges from the Formulary Service
Vendor. Are you all loading this into your formulary or opting not to? If you
are loading, does anyone have huge complaints regarding how this works? It seems
that every medication shows a dosage warning on medications when ordering via
POM. It's a huge annoyance to our physicians especially since the messages
really aren't that meaningful. Do folks use their own custom defined dose ranges
instead? Is there a way to turn these off for triggering in POM without having
to remove the entries that are linked to the Drugs in Pharmacy?
I have not done much research on this(yet), but wanted to throw out there to see
what others have to say. Thank you.
~Andrea
====================================
Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.
To UNSUBSCRIBE or to SUBSCRIBE, go to http://MTUsers.net for information.
You can locate the:
1) meditech-l archives
2) NPR/Magic/CS tips
3) job opportunities in the Meditech community
http://mtusers.net
Do NOT send email to meditech...@MTUsers.com. This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email lo...@MTUsers.com or ju...@MTUsers.net. Both of these people help manage the meditech-l, so they are your best resource.
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