Hi all:

We have recently started using the verification process in pharmacy to verify 
tech orders (previously they entered verified and we used a printed report 
which was used to check the order entry).

Our largest facility in the health region just started the verify process last 
week.   This extremely busy pharmacy uses pharmacy order sets extensively.   We 
have numerous order sets where we have checked off the "override interaction 
checking" box in the order set dictionary because we are entering meds with 
various routes of administration so do not need to receive the duplicate flags.

When the techs do the order entry, they do not receive these flags.    However, 
when the pharmacists verify the orders, the duplicates are all flagged and it 
is causing a huge workload for the pharmacists to have to override all these 
duplicate screens when they verify.

Meditech says "working as designed".    I am saying, if the flag is not there 
on order entry by the techs, then it should not be there when the pharmacists 
verify.   They should only see the flags that the technician saw during the 
order entry process.

Has anyone else experienced this issue and how did you handle it?   Right now 
the pharmacists are telling the techs, if the orders are to be entered using a 
multiple-med set, to simply give to the pharmacists and they will enter as it 
is quicker/easier than receiving all the duplicate flags. 

Any thoughts around this issue would be appreciated. 


Susan 

Susan Makara, B.Sc.(Pharm) 
Coordinator Pharmacy Information Systems  
Interior Health   2355 Acland Rd., Kelowna, B.C.  V1X 7X9 
* 250-491-6756     * [EMAIL PROTECTED] 
Fax: 250-491-6710 

"Information for Live: Excellence in Service, Excellence in Information, 
Excellence in Health"


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