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We went with putting out our own Dose Range checking also.  We took it
in small chunks (so it is still not completely finished).  For our go
live, we took the top 200 drugs that are ordered in the hospital, we sat
down groups of physicians from each unit (they had to donate 2 hours
each to IS), and they went through the list with us.  We told them what
the formulary said, they told us what was truly acceptable in their
practice.  The pharmacist sat with us the entire time.  They argued and
hashed out what they wanted and IS programmed it for them.  The
physicians are still not happy with the pop ups, but we remind them that
this was in agreement with help from them.  We are now going to redo the
list again and start back at the drugs we didn't do the first time.  
It's an ongoing process. . .as Kevin said.
Cathy

>>> <[EMAIL PROTECTED]> 4/19/2006 8:11:44 AM >>>
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Hi Myla-
Dose Range checking is a sore topic with many of us, mainly because of
the
"data" we purchase from the 3rd party Formulary Service Vendors (FSV)
and
the enormous amount of time it takes to validate that data.  If you
have an
FSV your Pharmacy department will understand - the number of "pop-ups"
during order entry with regards to dose range checking can be a
nuisance.
As a Clinical Pharmacist and end user myself, one would hope that the
pop-ups we see are valid and noteworthy to act on.  As with the
allergy/duplicate pop-ups, that just isn't the case.  The addition of
AOM/POM brings on the next level of frustration - the "non-PHA" user.
Unfortunately the PHA users are accustom to the pop-ups, others are not
and
will question the system integrity...especially physicians - as well
they
should.

My recommendation is to turn off the dose range checks (there's a
Knowledge
Base Article on that topic), develop your know "Dose Types", edit the
existing dictionary and then re-introduce the ones after editing. 
Start
with the high-alert meds (narrow therapeutic index drugs) and go class
by
class.  Plan on hundreds of man-hours to accomplish this task.

Of course if you do not use an FSV you will have to develop your own
Dose
Range Dictionary from scratch...which sometimes isn't a bad thing!

Best of luck - Kevin.


 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED] 
www.RPhInformatics.com 
 
 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] 
On Behalf Of Hopkins, Myla
Sent: Tuesday, April 18, 2006 2:21 PM
To: '[email protected]'
Subject: [MEDITECH-L] Does Range Checking

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Hello fellow Meditech Users!

We are a C/S site at 5.5 SR 2 and are embarking upon the utilization
of
POM/AOM within Meditech.  With this, there have been some concerns
raised
from our pharmacy director on dose range checking.  I know this
functionality is available within the Formulary dictionary but we are
not
currently using it.  Have there been any sites out there that have
utilized
this particular functionality within the Pharmacy? Within the Pharmacy
and
are already live with POM/AOM?  We'd love to hear from you and how this
has
worked at your facility.

Thanks in advance for any feedback!

_________________________________________
Myla W. Hopkins
Johnston Memorial Hospital
MIS Clinical Applications System Specialist
(Phone) 919-938-7592
(Pager) 919-713-1464



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