All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
We have Micromedex as well. We discovered that a lot depends on your infrastructure and how well connected your PC is to the network. Also, my PC is not scheduled to receive updates while the suspense file is creating. I always upload from the desktop. I have told Meditech that we need a validation tool to verify that all files where uploaded properly before filing. Is there a DTS for this now? It could be the PC you are using also and the version of the windows workstation that could be playing a role. Meditech recommends uploading the files in two separate batches and this enables a faster upload. We used a computer in IS, just outside the network room, and the files loaded in about 16 hours doing it this way. From my PC, typically it does take about 24-32 hours to upload a suspense file and about 1 hour to file all the run drugs. I upload into Test first, file and then check. Then I upload the suspense into LIVE. I just discovered in TEST, that the Generic name dictionary filed all generic names in the FS into TEST. Luckily, nothing happened in LIVE but there is a DTS to fix this. It affects 5.4 SR2 only apparently. I don't delete the file run because it automatically purges the interactions index. You may also need to look at the amount of space on your machine as this is probably causing an issue. We are getting our own machine soon and I can't wait. I am looking at adding the dose range checking to TEST. I wanted to do Max dose first but it doesn't seem to work in Test. Does anyone know if we need to add dose range checking in order to get maximum dose? Thanks, Ed Edward Lanoue, RPh Pharmacy Information Systems Southwestern Vt Medical Center 100 Hospital Drive East Bennington, VT 05201 phone: 802-447-5370 mailto:[EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of McBride, Ronald Sent: Wednesday, May 24, 2006 1:52 PM To: Terry Crissman Cc: Meditech L (E-mail) Subject: RE: [MEDITECH-L] Micromedex vs First DataBank All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== thanks Terry, Wow, I was thinking that our run time seemed very long..... have you had problems with interaction checking not working when you delete the last run. When are you deleting it? Only after a successful file , I would imagine.... I don't know that we have had this problem with the monographs......... I will check Ron -----Original Message----- From: Terry Crissman [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 24, 2006 11:47 AM To: McBride, Ronald Subject: RE: [MEDITECH-L] Micromedex vs First DataBank Ron, Perhaps there are more issues that I'm aware of. The allergy checking seems to work well with Micromedex for us while I've seen complaints on the list about FDB not screening well. Within the last few weeks we've sent numerous dose range corrections/suggestions to Micromedex for editing. Micromedex has been responsive in editing those where we have shown good documentation. I think the dose/range feature has/is problematic for all vendors. We recently submitted a request to Micromedex because of the lack of a therapeutic dup alert for a COX2 and Naproxen. Micromedex suggested we had some flag set in Meditech blocking this, which isn't the case at all. I asked them to look at it gain. It takes our system about 36 to 48 hours to process a "run" which sure seems like a long time and if something interrupts the process, we get to start all over again (power flicker, etc). If I don't delete the last run, our Monographs don't populate the data fields and we can't print them. That is why I always delete the previous run. Terry -----Original Message----- From: McBride, Ronald [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 24, 2006 11:26 AM To: Terry Crissman Cc: Schmoll, Lois; Darger, Dana Subject: RE: [MEDITECH-L] Micromedex vs First DataBank Hi Terry, We have a number of issues, the most critical are: One of the problems was because of a buffer overflow that occurred while loading file 42 of the 53 files into the system. We did not get any warning or any indication that the upload did not complete properly nor do we have any way to determine if all the files uploaded successfully. I believe that we have a DTS now that has fixed this. We have had issues with duplicates not flagging and interaction checking on IV's not working. The recommended updating process of Micromedex from Meditech leaves the Pharmacy without interaction checking for the majority of the hours it takes to upload and file . Meditech recommends deleting the old run as the first step to the formulary upload process and it should not affect interaction checking. The fact is that it indeed does leave the pharmacy without interaction checking. We have changed this process so they are without interaction checking only for a brief period by never deleting the run files. Do you have any of the above issues?? thanks, Ron McBride RN Clinical Analyst Meditech Workgroup Rapid City Regional Hospital 353 Fairmont Blvd Rapid City, SD 57701 Phone: 605-719-8032 Fax: 605-719-4693 Email: [EMAIL PROTECTED] -----Original Message----- From: Terry Crissman [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 24, 2006 9:10 AM To: McBride, Ronald Subject: RE: [MEDITECH-L] Micromedex vs First DataBank Ron, We are Magic Meditech 5.5 and have Micromedex/Ultimedex. Can you mention what your issues are? We're having a few with erroneous dose range alerts. Terry -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of McBride, Ronald Sent: Tuesday, May 23, 2006 4:37 PM To: Meditech L (E-mail) Subject: [MEDITECH-L] Micromedex vs First DataBank All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Hello, We are Magic 5.4.2 and are looking at switching from Micromedex to some other Formulary service such as First DataBank. Is there anyone out there using First Databank? I would be interested to know what your experience has been. We have had a number of issues with Micromedex. any help would be appreciated. thanks, Ron McBride RN Clinical Analyst Meditech Workgroup Rapid City Regional Hospital 353 Fairmont Blvd Rapid City, SD 57701 Phone: 605-719-8032 Fax: 605-719-4693 Email: [EMAIL PROTECTED] _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l DISCLAIMER: The information contained in this electronic message is legally privileged and confidential under applicable law and is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Southwestern VT Health Care Corporation immediately by return email reply to ([EMAIL PROTECTED]), and immediately delete the transmittal and any attachments without making any copy or distribution. Thank you. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
