[MEDITECH-L] Flagging High Risk Medications in PHA
Dana Olson
Looking for a hand in finding a solution. We are C/S 5.55. Can some of you tell me how you are flagging high risk medications for Pharmacy?? Our Pharmacist would like to find a way to flag certain drugs in the dictionary, that would allow tracking when ordered on a patient. Any ideas would be greatly appreciated. Thanks much
Dana L Olson, RN
Clinical Systems Coordinator
Southwest Medical Center
PO Box 1340
Liberal, KS 67905
620-629-6338, Fax 620-629-6352
dol...@swmedcenter.com
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Joe Cocuzzo
If you want an alert to display when the drug is selected in PHA, you could actually have the rule display some kind of message, at MED or DOSE.
Joe Cocuzzo
Vice President
NPR Services
Iatric Systems, Inc.
Phone/Fax: (978) 805-4115
Email: mailto:Joe.C...@iatric.com
Web: http://www.iatric.com/
Iatric Systems is a leading provider of integrated software applications, interfaces and reporting solutions for hospitals and healthcare systems.
__________
Roger Beverly
drug dictionary. The one thing that we have done is use the Extemp Prep
Code (which we have never used for any other purpose) on page one of the
dictionary to flag Sound alike/Look alike meds. I then have a rule that
automatically adds a label comment to orders when they are keyed if the
Extemp Prep code is SALA.
Roger
Roger Beverly
It is easy to set an RX Comment - there is a Meditech field which will
do that - [f rx set rx comment]("MESSAGE HERE"). I do not like to use
those because we have eMAR and the Rx Comments are now readily visible
in eMAR. We use label comments instead.
In order to set a value as a label comment, you are going to have to use
a keyword in a rule to do a program call to a macro. Something like:
IF{[q PHA.SALA]="Y" [f z.sala.lbl.cmt],1;1};
If the query PHA.SALA is answered yes, then call the custom keyword
z.sala.cmt.
The keyword must be setup first, and it simply calls an NPR report which
has several macros attached, one being sala.lc. Here is the keyword
definition.
%PHA.RX.zcus.rb.rules.M.sala.lc(/urn)X
Here is the macro content with some explanation. (Herb B. gave me the
basic idea of how to add label comments.) The top portion is just
copied from a rule in the PHA.RX.zcus.rx.rule macros. (This is where all
the translated pharmacy rules live.)
;Look at the total number of comments, then add one to each.
;Set the label comment as the sala confused med
;THIS IS THE STANDARD RULE STUFF
/.EMAR.FN^FN,
IF{/RULE.EVAL$3'="MAR"
"";FN="FD"!(FN="ED")!(FN="QD")!(FN="BD")!(FN="SM") 1;""}^FN,
IF{/RULE.EVAL="REFILL"!(/RULE.EVAL="TXN")!(/RULE.EVAL="DUE")!FN
^?;^/}^q,
@Chg.prefix(PHA.RX,?,[q]),
IF{/RULE.EVAL="REFILL"!(/RULE.EVAL="TXN")!(/RULE.EVAL="DUE")!FN
^:;^/}^c,
@Chg.prefix(PHA.RX,:,[c]),
/patient^patient,/urn^urn,
/PHA.REF.urn^PHA.REF.urn,/med^med,@t.med.rule^med.rule,/txn.date^txn.dat
e,/txn.q^txn.q,
;HERE IS THE ACTUAL RULE BEGINNING
/med^PHA.DRUG.mnemonic,
;THIS STATEMENT STOPS THE RULE IF A COPY EDIT FUNCTION IS BEING USED
IF{/.PHA.RX.NUMBER;
;ADDED SOME ECLUSIONS - ONLY INPT ORDERS, QUERY = Y
@PHA.RX.ord.rx.pt.type'="IN";
@PHA.DRUG.query.response["PHA.SALA"]="Y" 1,
;BELOW IS THE TEXT I'M ADDING AS THE LABEL COMMENT
"(SALA) Caution Sound-alike / Look-alike med"^CONF,
;GET THE LAST COMMENT LINE NUMBER
@Last(label.comment.q)^/CT^LLC,
""^LCQ^DONE,
;CHECKING TO SEE IF THE ABOVE COMMENT IS ALREADY THERE SO I DON'T
DUPLICATE
;BY LOOPING THROUGH LABEL COMMENTS AND LOOKING FOR SALA AS FIRST WORD
DO{+/TR[urn]CM[LCQ]^LCQ IF{@label.comment[LCQ]$5="(SALA" 1^DONE}},
IF{'DONE /CT+1^/CT,
;ADD COMMENT TO CURRENT QUEUE + 1 - AT THE BOTTOM OF LIST
CONF^/TR[urn]CM[/CT]^/IAT[/CT],""^DONE,
;IF YOU WANT TO SEE THE CHANGE, YOU HAVE TO ENTER THE LABEL CMT EDITOR
;OR USE THE BELOW code TO REPRINT THE SCREEN IN THAT AREA.
;HAVE TO ELIMINATE EVERYTHING EXCEPT MED ORDER ENTRY SCREEN
IF{@PHA.RX.order.type's.type="IV";
;ALSO ELIMIATE ORDER SETS FR0M UPDATING - DON'T SEE THE CMT BOX
@ee.so.start.time_"."="." IF{@PHA.PARAM.med.comment.length;60}^LEN,
ZZ%OP(!S,"P"),
%Z.text.ed.shell(^/IAT,24+LLC,27,LEN,0,"D","PHA.RX","comment"),
C(!U)}}};
Hope that gets you started.
Roger
-----Original Message-----
From: Terry Crissman [mailto:Terry.C...@duncanregional.com]
Sent: Thursday, January 28, 2010 11:51 AM
To: Roger Beverly
Subject: RE: [MEDITECH-L] Flagging High Risk Medications in PHA
Roger,
Could you post a template for sending comments to the label comments?
thanks
Terry Crissman DPh
Director of Pharmacy
Duncan Regional Hospital
Duncan,OK 73533
terry.c...@duncanregional.com
Roger
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