The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are.

Slides:

Advertisements

Similar presentations

Medication Management

Advertisements

Copyright © 2012 Siemens Medical Solutions USA, Inc. All rights reserved. Innovations ‘11 A914CX-HS C1-4A00.

Setting The Stage for MEDITECH POM/CPOE & Zynx The IN Group, Inc Bruce Matthias Penny Hilton July 2010.

INTRO TO MEDICAL INFORMATICS: TUTORIAL

Pharmacy department Configuring drug : drug interactions – don’t assume…. Anna Bunch IM&T and ePrescribing Pharmacist Lead 15 th October 2014.

Decision Support for Quality Improvement

THE INAPPROPRIATE SALE OF MEDICATION FOR PEDIATRIC USE IN SIEM REAP PROVINCE, KINGDOM OF CAMBODIA AUTHORS: Sothearith Tiv Ph., Rathi Guhadasan MBBS MRCP.

Unit 6c: Alerts and Clinical Reminders Decision Support for Quality Improvement This material was developed by Johns Hopkins University, funded by the.

RATIONAL Prescribing & Prescription Writing Dr Arif Hashmi.

Drug Utilization Review (DUR)

Learning objectives:- 1. Introduction. 2. Define health record. 3. Explain types of health record. 4. Mention purposes of health record. 5. List general.

GOOD PHARMACY PRACTICE

Clinical Pharmacist Intervention in Cardiac Patients With Renal Impairment Elham Al-Shammari, B.Sc. Pharm. Hisham Abou-Auda, Ph. D. Meshal Al-Mutairi,

OPTIMISING MEDICINES USE GRAHAM DAVIES Professor of Clinical Pharmacy & Therapeutics Institute of Pharmaceutical Science King’s College London.

Medical Reports Dr. Nasser Al - Jarallah.

Medication History: Keeping our patients safe. How do we get all of the correct details?

Medical Records Office Management.

Safe Prescribing PHCL 492. Safe Prescribing  Key issues for safe prescribing  Ordering Medications  Reducing Prescribing Errors.

Clinical pharmacy Dr. Mohammed Al-Rekabi Lecture One First Semester.

EPrescript Presentation : Presentation : Bernard Wathelet - MediBRIDGE.

Pharmacy Services.

 Definitions  Goals of automation in pharmacy  Advantages/disadvantages of automation  Application of automation to the medication use process  Clinical.

© Synovate Ltd. All rights reserved. The concepts and ideas submitted to you herein are the intellectual property of Synovate Ltd. They are strictly.

CPOE: Solving Old Problems; Creating New Ones Ronald E. Lay, M.S., R.Ph. Pharmacy Supervisor The Penn State Milton S. Hershey Medical Center

Preventing Surgical Complications Prevent Harm from High Alert Medication- Anticoagulants in Primary Care Insert Date here Presenter:

So You Want to Do CDS A C-Level Introduction to Clinical Decision Support.

Florida Agency for Health Care Administration Florida Center for Health Information and Policy Analysis Florida Public Health Association - Medical Director’s.

Introduction to Prescription Analysis & Methodology

DISTRICT MEDICATION RECONCILIATION AND ADMINISTRATION Adapted from Medication Reconciliation from the QSEN website Originally developed by Judy Young,

Medication Use Process Part One, Lecture # 5 PHCL 498 Amar Hijazi, Majed Alameel, Mona AlMehaid.

Safe and Effective Prescribing 2014 Senior Medics Training Pharmacy Department.

Author Name: Kannika Inpra Presenter Name: Kannika Inpra Authors: Inpra K., Suwankesawong W., Kaewvichit S. Institution: Phrae.

PDL eTechnology Update ePocrates and Web PA Overview for PDLIAG Implementation Advisory Group June 22, 2004.

Social Pharmacy Lecture no. 6 Rational use of drugs Dr. Padma GM Rao

Toujeo® and it’s Place in Therapy

05 Pharmaceutical Care Drug Related Problems Prepared by Refaa AlAjmi Identify the drug related problem in the following case.

Health Management Information Systems

New Zealand Pharmacy Services Andi Shirtcliffe B. Pharm, PG Dip (Clin) Pharm, Reg Pharm NZ Chief Advisor – Pharmacy, New Zealand Ministry of Health.

 the study of the rightness or wrongness of human conduct.  In any situation involving two or more individuals, values may come into conflict and ethical.

The Importance of Local Records in Improving Patient Outcomes – the Wirral Example Patrick Reed, Director of Informatics Wirral Health Informatics Service.

Determinants of Rational Use of Medicines Dr A K Sharma Prof & Head Dept of Pharmacology AFMC, Pune.

AFAMS EO ANA Formulary (Dari) 01/09/2013. AFAMS Importance of Lesson (Dari) Previous lessons made students aware of the Laws, Regulations, and.

Promoting Rational Use of ARVs in HIV/AIDS Clinics in Tanzania Presented by Salama Mwakisu -MSH.

Focus Area 17: Medical Product Safety Progress Review November 5, 2003.

2015/16 NHS Pre-registration Trainee Pharmacist Programme Proposed Themes The Programme will consist of 4 interconnecting themes with emphasis on direct.

Quality Education for a Healthier Scotland Pharmacy Pharmaceutical Care Planning Vocational Training Scheme: Level = Stage 2 Arlene Shaw Specialist Clinical.

How to Prescribe an Antibiotic Berny Baretto (Antibiotic Pharmacist) 11 th February 2011.

Preventing Errors in Medicine

General Regulatory Issues in the Development of Drugs Intended for Treatment of Chronic Illness Sharon Hertz, M.D. Medical Officer Division of Anesthetic,

Questions to Committee about Potential Cancer Risk with Use of Topical Immunosuppressants (Calcineurin Inhibitors) Question 1: Messages about Risk A. Based.

Technology, Information Systems and Reporting in Pharmacy Benefit Management Presentation Developed for the Academy of Managed Care Pharmacy Updated: February.

Moving Toward HITECH Healthcare EHR Adoption at the Dawn of a New Era

V April 2016 Training Guide 1 NOTE: All screen shots from Communicare indicate PCEHR. Any reference to the PCEHR or the My Health Record within this.

Drug Utilization Review & Drug Utilization Evaluation: An Overview

Drug Orders & Prescriptions

Medication Reconciliation using Web OMR

PHARMACIST : A HEALTH CARE PROFESSIONAL

Patient Centered Medical Home

FDB (First Databank, Inc.)

Discussion Guidelines

EHR System Function and Information Model (EHR-S FIM is based on EHR-S FM R2.0) CP.1.3 Manage Medication List aka DC in EHR-S FM

Medication Safety Dr. Kanar Hidayat

Chapter 4 Clinical decision making in drug therapy

Rational use of the drugs based on P-drug selection

Medication Safety Dr. Kanar Hidayat

Principles and Methods of Drug Administration

Pharmaceutical care plans Ola Ali Nassr

COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)

CPOE Medication errors resulting in preventable ADEs most commonly occur at the prescribing stage. Bobb A, et al. The epidemiology of prescribing errors:

Presentation transcript:

The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are submitted to you under the understanding that they are to be considered by you in the strictest of confidence and that no use shall be made of the said concepts and ideas, including communication to any third party without MEDITECH’s express prior consent and/or payment of related professional services fees in full. © MEDITECH SA (Pty) Ltd. All rights reserved. Prepared by: Nevika Krishinchand Date : 12 September 2013 iMix 2013 Integrated and Informative Decision Support for Health Care Providers across Pharmacy and CPOE

© MEDITECH SA (Pty) Ltd. All rights reserved. Introduction Decision Support Mechanisms Monographs Interactions Drug-Drug Food Allergy Warnings Order Sets Suggested Orders Rules Dose Range Checking Notices Lab Tests Linked to Drugs and Orders Lab Test Results on Patient Profile Dosing Sets Agenda

© MEDITECH SA (Pty) Ltd. All rights reserved. WHO estimates that more that half of all medicines are prescribed, dispensed of sold inappropriately Some examples of irrational use of medicines include Poly pharmacy Inappropriate use of antimicrobials Overuse of injections when oral formulations would be more appropriate Failure to prescribe in accordance with clinical guidelines MEDITECH Decision Support Introduction

© MEDITECH SA (Pty) Ltd. All rights reserved. 5 Rights of Medication Management Right Patient Right Medication Right Dosage Right Route Right Time Dictionaries that support this Decision Support: Order Management Pharmacy MIS MEDITECH Decision Support Introduction

© MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 1 Patient Helen Mercier 60 year old female Diabetic since 2005 Severe allergy to Macrolides Maintained at home on Furosemide Enalapril Glyburide Metformin Reason for Admission Pneumonia

© MEDITECH SA (Pty) Ltd. All rights reserved. Scenario 1 MEDITECH Decision Support

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Orders Reconcile….Monographs Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Monographs Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Orders Reconcile..Check for Conflicts Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Drug Interaction Conflict Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Override Interaction Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Order Sets Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Allergy Conflict Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Food Interaction Conflict Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Suggested Orders Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Rules Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Dose Range Checking Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. PHA Dose Range Dictionary Scenario 1 Defined for a condition, age range and route Daily Low Daily High Daily Max Max Single Dose Low, High and Max Duration Low, High and Max Frequency Are Renal and Hepatic assessment indicators to be checked?

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Conflict Check on File Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Notices Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop -> New Activity Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile->Allergy Warning Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile->Rules Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Verify -> Interaction Checking Scenario 1

© MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 2 Ebrahim Mohammed 75 year old male Hypertensive since 1990 Maintained at home on Furosemide Enalapril Lipid profile ordered on previous visit

© MEDITECH SA (Pty) Ltd. All rights reserved. Scenario 2

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Lab Results Linked to Orders Scenario 2

© MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy -> Lab Results Linked to Drugs Scenario 2

© MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 3 Johan Smith 4 year old male Admitted for a severe allergic reaction

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing -> Dosing Set Dictionary Scenario 3

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing Scenario 3

© MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing -> Dosing Sets Scenario 3

© MEDITECH SA (Pty) Ltd. All rights reserved. Conclusion MEDITECH Decision Support Provide clinicians with instant access to evidence based medicine to help guide their decision making Establish Best Practices Promote Rational Drug Use Flag potential medical errors before they occur Decrease patient length of stay.....lower costs How can MEDITECH’s Decision Support Tools Benefit the end user? How can MEDITECH’s Decision Support Tools Benefit the patient? Enhances patient care Reduce patient complications Improve Patient Safety

Thank you