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More info, this one on Medispan..........

-----Original Message-----
From: Terry Lehmann [mailto:[EMAIL PROTECTED]
Sent: Tuesday, May 30, 2006 6:17 AM
To: McBride, Ronald; Terry Crissman
Cc: Meditech L (E-mail)
Subject: RE: [MEDITECH-L] Micromedex vs First DataBank


I beleice the issue is similar to the difference between Medispan and
FDB. Medispan too takes a long time but not as long as you are
reporting. 
The issue is that Medispan deletes re-creates all the files whereas FDB
just checks for updates to the existing files.

Terry


Terry Lehmann B.S.P.
Consultant
Healthtech Inc.
Email: [EMAIL PROTECTED]
Phone: 416.483.5974 ext.38
Fax: 416.221.3002
http://www.healthtech.on.ca
This e-mail and any attachments may contain confidential and privileged
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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of McBride, Ronald
Sent: Friday, May 26, 2006 12:07 PM
To: Terry Crissman
Cc: Meditech L (E-mail)
Subject: RE: [MEDITECH-L] Micromedex vs First DataBank

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thanks Terry,
we have found that if we don't delete the previous run we avoid the
problem of not having interaction checking during the two day run
process. I still am wondering why these run times are so long as
compared to FDB.

Ron

-----Original Message-----
From: Terry Crissman [mailto:[EMAIL PROTECTED]
Sent: Wednesday, May 24, 2006 11:55 AM
To: McBride, Ronald
Subject: RE: [MEDITECH-L] Micromedex vs First DataBank


Ron,

I'm not sure if our interaction checking is disabled after the run is
deleted.  I would not think this would delete interaction checking
because the generic codes,etc should remain attached to your drugs.
Meditech has been looking at the length of time it takes to process the
Micromedex files for 6 months or longer...before the 5.4 downgrade :),
it only took about 12 hours to process a run.

Terry

-----Original Message-----
From: McBride, Ronald [mailto:[EMAIL PROTECTED]
Sent: Wednesday, May 24, 2006 12:52 PM
To: Terry Crissman
Cc: Meditech L (E-mail)
Subject: RE: [MEDITECH-L] Micromedex vs First DataBank


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


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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]

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