> Dear List, > > In our attempt at perfection (or at least having the patient's > medication list correct in Clinical Review), we have come across an > issue when Pharmacy needs to add a medication that is not currently in > our system (typically a non-formulary med). We were using a quick add > non-formulary routine, but this does not allow for entry of an EMR ID. > > > So to add a "new" medication (like a non-formulary) into our > dictionary, we are trying to switch from the quick add NF method to > the longer method (N=Non Formulary Item) at the time of order entry. > Using this method, there are many more fields that need to be entered > correctly and quickly. Also, if there is a not a generic name for the > medication that is being added, the pharmacist has to go into the > generic dictionary to build one with an EMR ID. > > To say the least, maintaining the integrity of the medication list > within Clinical Review using this more complicated method has a huge > impact on workflow and, until we have it worked out, it is a stopper. > I would like to know from other sites that have RXM and Clinical > Review - what are you doing to resolve this issue? Any helpful hints? > > Also, for inpatient pharmacies open 24 hours, how do you handle > loading RXM updates into LIVE when new generic names come across into > the LIVE PHA environment, but EMR IDs have not been attached to those > generic names yet? > > > > > Michael Gay, RN, BSN, MS > Clinical Analyst > Frederick Memorial Healthcare System > (240) 566-3201 > >
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