Study Set Content:
A CPOE system for medications that is integrated with diet orders and diagnosis can alert providers of dangerously () ordering scenarios such as ordering insulin for an NPO patient or teratogenic drugs in a pregnant woman
incongruent
requires the prescriber to use a computer system that is compliant with standardized eRx features that interface with pharmacy computerized systems.
Electronic prescribin
Electronic prescribing (also called
eRx)
Through eRx, the patient’s name, the medication name, and dosage are far more likely to be
correct
Electronic prescribing ▪ Commonly defined as
ambulatory CPOE
A prescription is not an ePrescription unless it is transmitted() in a standard format.
electronically
Studies have shown that undecipherable or unclear prescriptions result in more than 150 million calls from pharmacists to physicians fo
clarification
It is believed that ePrescribing systems will significantly impact () to select less costly therapy and prevent errors before a prescription is sent to the pharmacy
prescribers
BENEFITS OF ELECTRONIC PRESCRIBING
ePrescribing can reduce errors caused by illegible handwriting, inaccessible medication histories and inaccessibility of drug information.
▪ Increased patient compliance is expected with ePrescribing through better prescription tracking and a more efficient refill process.
▪ The ePrescribing software also functions to support generic substitution for brand name prescribing.
A set of tools that facilitate the decision making capabilities of the prescriber
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
Ranges from a simple reminder to complex algorithms to recommend or change therapy. ▪ Functions include checking allergies, duplicate-therapies, drug interactions and abnormal dosage ranges.
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
Today, prescribers can benefit from CDSS which provide information to guide () treatment options, including appropriate medication dosing and information on cost of therapy and institutional formularies
diagnosis and recommend evidence-based
is used in many industries to prevent human errors of recording and calculation and to ensure proper identification.
Bar coding
A process that incorporates a bar code scanning functionality into the medication administration phase of medication use
BAR CODE MEDICATION ADMINISTRATION (BCMA) TECHNOLOGY
BCMA consists of a()check of the nurse, medication, and patient at the bedside, whereby the technology checks scanned bar codes on the nurse’s identification badge , the dose of the medication, and the patient’s identification wristband
three-way
Also called computerized infusion pumps ▪ Programmed to allow infusion of several medications simultaneously and assist with complex dose calculations.
SMART PUMP TECHNOLOGY
Devices can signal alerts when air is detected within the infusion line.
SMART PUMP TECHNOLOGY
Smart pumps take IV medication infusion safety a step further than manual pumps by performing CDS at the point of care. ▪ A nurse can program a pump at the bedside and the pump will automatically check the programmed doses are within acceptable ranges established by the pump’s drug library
SMART PUMP TECHNOLOGY
The cabinet drawer locks is controlled by a computer and electromechanical system that is able to open drawers, indicate the location of the medication within the drawer, sense the return of the drawer to a closed position, and record the entire dispensing transaction including a date and time stamp and identification of the practitioner (usually a nurse), patient, and medication dispensed
AUTOMATED DISPENSING CABINETS (ADC)
Additional medication safety enhancements include
rules and alerts
