White Paper on Physician Order Entry
with Decision Support |
98,000 Americans die each year as a result of medical mistakes
Institutes Of Medicine
MDPad provides many critical benefits to the ordering process so as to
minimize the risk of medical mistake.
Formulary
Compliance clear information at the time of prescribing of alternate
products on the patients formulary and consistent with the provider
groups formulary can dramatically increase compliance.
Errors
of Communication illegible orders, orders not transmitted to appropriate
parties, duplicate administration of medications.
Best
Clinical Practices - e.g. CAD? Aspirin saves lives to patient
on a statin but not on an aspirin, "CHF? ACE-I save lives" to
patient being given a CHF med but not on an ACE-I. Each piece also includes
a focused and concise discussion of the pertinent medical literature with
references as well as next step orders.
Drug-Drug
Interactions - e.g. Bactrim & Coumadin, Amikacin & Ceftriaxone,
Amiodarone & Fentanyl, Nardil & Meridia, Quinidine & Ciprofloxacin,
Coumarin & Amiodarone. Each piece with next step orders such as Check
PT (INR) in 3 days or Alternate Antibiotics by Indication
for Coumarins & Sulfonamides => bleeding.
Cross-Allergy
Warnings e.g. amoxicillin to patient allergic to ampicillin, sulfa allergies
with next step orders.
Dosage
Guidelines maximum dosage, minimum dosage by indication, adjustment
for renal and hepatic insufficiency.
Therapeutic
Duplication - e.g. lisinopril to patient on enalapril.
Managed
Prior Authorization Information - e.g. requirements for a new start patient
on COX-2 with ability to produce authorization letters.
Drug
Utilization Review - e.g. Prilosec being prescribed to a patient who has
not tried Zantac.
Alternate
Therapeutics - e.g. "ACE-I intolerant? Role of ARBs" to patients
who are allergic to or were previously on an ACE-I but not on an ARB.
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