Could you please post any ideas to the "L" Thanks -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Gay, Michael C. Sent: Wednesday, May 09, 2007 8:10 AM To: [email protected] Subject: [MEDITECH-L] Clinical Review, RXM and adding non dictionary meds with EMR IDs
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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