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Title: Dose Checking for Chemo Drugs
I noticed that Meditech has a online seminar on this issue on March 23rd at 2:00 PM. this might help. Here is the info:
 
Event: 816327 - 5.5 Dose Range Checking  
Date and Time: Thursday, March 23, 2006
2:00 pm, Eastern Standard Time (GMT -05:00, New York) Change time zone
Panelist(s) Info:
Duration: 2 hours
Description:
Conference cost = $170.00
An enrollment identification number is required to enter the actual event. This identification number will be sent to you by email 15 minutes after completing the enrollment form, if not call 888-793-6118. Please be sure to retain the identification number for conference entry.
Event Materials:
None
 
PHA - Irene Mijal
(781) 774-4359
[EMAIL PROTECTED]
 

Fariborz Peyjam
Senior Systems Analyst - Clinical
Information Services
Sinai Health system
Phone: (773) 257-5257
Fax:     (773) 257-2268
[EMAIL PROTECTED]

                               
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kevin McConnell
Sent: Thursday, March 09, 2006 7:53 AM
To: 'Soreth, Jane'; 'Meditech L (E-mail) (E-mail)'
Subject: RE: [MEDITECH-L] Dose Checking for Chemo Drugs

Hi Jane-

Dose Range checking is a life long problem for almost all of us.  I will say that I have found the best answer is to build your own dictionary…which is obviously lots of man-hours.  The good news is that once it’s done – it’s done.  Maintenance of the dictionary would be the responsibility of a Pharmacist, mainly for new entries – not many changes occur to the data in that dictionary.  If you start small and work you way into an “expanding database”, it’s most likely a less cumbersome task.  For example, start with the narrow therapeutic agents and chemo’s – or a pediatric facility might start with a separate group all together.  For the sites that are currently using an FSV database and not happy with the pop-ups, or lack thereof (which again is going to be most of us), I recommend the following:

First turn off the dose range checking (there’s a KBA out there to explain, but it’s accomplished by the “Restrict to Dose Type” in your CDP).  Next, download that file, and it’s a big one, to Excel.  At that point, a Pharmacist can manipulate the data and either make the changes directly in the dictionary (remember, TEST and LIVE), or in the Excel spreadsheet to be scripted back into MT.  The catch is that a new Drug Type will need to be assigned to the entries you desire and then those added to the “Restrict to Dose Type” in your CDP.

 

It has been my experience that this time very well spent.  Most facilities are only affected by PHA order entry at this point – when you hit POM, those same databases are utilized by physicians and others during their OE process…usually very squeaky wheels!

 

Best of luck – Kevin.

 

 

 

 

Kevin McConnell, PharmD.

Clinical Consultant

(713)480-6810

 

 


From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Soreth, Jane
Sent: Wednesday, March 08, 2006 12:36 PM
To: Meditech L (E-mail) (E-mail)
Subject: [MEDITECH-L] Dose Checking for Chemo Drugs

 

Hi there,

We have Micromedix formulary and do not receive any dose checking info for Chemo Drugs.  How are other Pharmacies handling this?  Ie. Are pharmacists entering the information into the dictionary, are techs or IS support responsible, is there a web site (ie Micromedix – to obtain the information), how often do you check, etc., etc.

Thanks,

Jane T. Soreth

Sr. Systems Analyst

Burdette Tomlin Memorial Hospital

Two Stone Harbor Boulevard

CapeMayCourtHouse, New Jersey 08210

609-463-2728            609-463-2297 (Fax)

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