Re: [MEDITECH-L] M 5.5 Sr1 - Formulary policies, generics and allergies

[Charlie Downs]

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Title: M 5.5 Sr1 - Formulary policies, generics and allergies

Michelle - Meditech is moving to MIS allergens. We have FDB and if you pick a drug, the allergy checking happens in the background based on what FDB has linked allergen wise to that drug. Not fool-proof but better than generic, class, and ingredient. I don't know how long it is going to take Meditech to go with the allergens for Medispan and Micromedex though. So far, they have only done it for FDB. Charlie Charles R. Downs Pharm.D. Washington County Hospital 251 E. Antietam Street Hagerstown, MD, 21740 301-790-8904 [EMAIL PROTECTED] ----- Original Message ----- From: Pivonka, Michelle To: Meditech-L List Sent: Tuesday, May 30, 2006 5:25 PM Subject: [MEDITECH-L] M 5.5 Sr1 - Formulary policies, generics and allergies All messages should be posted in plain text.  HTML will be converted to attachments.    The meditech-l web site is MTUsers.com ====================================== Hello L-land, I am hoping that someone out there has run into a similar situation. One of our patients almost received a dose of a med he was allergic to. The RPH was not stopped for allergy checking (although the screen did appear – she just hit enter too quickly), even though allergy override comments ARE required, and Allergy checking is done. Obviously, we can’t let this happen again. So, in checking into why this happened, I noticed that the patient only had coded ingredient allergies, not generic. Apparently, whoever added the coded allergies did not pick the “right” ingredient for that particular drug, so it wasn’t recognized as an allergy. Obviously, we have a problem in how things are built. Hoping to prevent any further med errors: 1) What are your hospital’s policies for adding drugs, generics and ingredients? 2) What is your hospital’s policy for coding allergies? 3) Is there a “right” way to do this (so that you work with the system as much as possible, lessen the amount of work for the RPH and clinical support, and use the FSV (we use Micromedex) to the utmost, but at the same time cover all the bases as far as allergies go)???? Again, thanks in advance for your responses. It is much appreciated. Michelle Pivonka, RN Systems Analyst Information Services Sinai Health System (773) 257-6020 [EMAIL PROTECTED] www.sinai.org "People think of the inventor as a screwball, but no one asks the inventor what he thinks of other people." - Charles K. Kettering (1876-1958) American Engineer, Inventor _______________________________________________ meditech-l mailing list meditech-l@MTUsers.com http://mtusers.com/mailman/listinfo/meditech-l ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system.

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