Hello, Our Pharmacy department has created a MIX request, and is hoping to get other Meditech PHA users to join us to convince Meditech that this is something we need them to look at. Here is our request;
Brief Description/Synopsis of Request When selecting a Drug, we would like the lowest strength to be the first selection. How are you currently handling this now? We have no workaround. What problem will be resolved? Our system has the potential to contribute to a similar error like the one below that happened at another hospital; In an outpatient pharmacy located in a hospital, a prescription for SINEQUAN (doxepin) 100 mg was entered into the computer and dispensed instead of the correct strength of 10 mg. Neither the technician who pulled the 100 mg strength from the shelf nor the verifying pharmacist caught the error. The patient took 500 mg of doxepin daily for one month before the error was corrected. The error was discovered when the prescription was transferred to another pharmacy and the receiving pharmacist expressed concern about the high dosage. Since the error, the patient has been experiencing residual drowsiness and fatigue. The physician is now slowly decreasing the dosage. The pharmacy software system may have played a role in the error. Upon entering Sinequan on the product line, the list of matching results placed Sinequan 100 mg on the first line followed by Sinequan 10 mg. It is believed that the sequential listing of both strengths, with a ten-fold difference, contributed to the selection of the wrong strength, as did the listing of the higher strength first. Proposed Solution Describe in detail how you think the system could be changed, considering Dictionaries Parameters, Input and Output Screens, and Reports. When selecting a Drug, we would like the lowest strength to be the first selection. System Impact Describe why this enhancement is important. How does it improve the MEDITECH system? What impact will it have on users? It will lessen the impact of user error. Although neither is acceptable, user error is inevitable and the thought process is that underdosing is less dangerous than overdosing. Lori Howes Business Systems Analyst - Clinical Support Niagara Health System - Cecil G Shaver Data Centre 541 Glenridge Avenue St. Catharines, ON L2T 4C2 905-378-4647 X44857 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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