Susan,
Do you mean you're being flagged for duplicates with in the Order Set or with 
what the patient is already on?  I would think you would want to know if the 
patient was already on a drug and it was going to be entered again via an order 
set.  If you mean it's flagging duplicates within an Order Set I can't believe 
that's working as designed.  I would go over the head of the consultant that 
told you that.  We have the 'Override Interaction Checking' set to 'Y' and it 
works perfectly.  We are C/S and can set the flags that your users see, and do, 
 within the Access dictionary.  We have always done tech order entry however, 
our pharmacists enter the order sets because it's faster that way.
Valerie

-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] Behalf Of Charlie Downs
Sent: Friday, March 09, 2007 2:56 PM
To: Makara, Susan; meditech-l@MTUsers.com
Subject: Re: [MEDITECH-L] PHARMACY VERIFICATION


Susan - Another case of " working as designed". Meditech fails to acknowledge 
that it is a poor design. This is one of the reasons that pharmacists enter all 
of our orders; it is faster than the verification process and frees up a tech. 
Plus, we have a fairly high turnover rate with techs, and so it eliminates a 
lot of extra training. We only have to train the pharmacists, they pick it up 
much faster, and our pharmacists staff is much more stable.
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904

----- Original Message ----- 
From: Makara, Susan <mailto:[EMAIL PROTECTED]>  
To: meditech-l@mtusers.com 
Sent: Wednesday, March 07, 2007 1:09 PM
Subject: [MEDITECH-L] PHARMACY VERIFICATION


Hi all: 

We have recently started using the verification process in pharmacy to verify 
tech orders (previously they entered verified and we used a printed report 
which was used to check the order entry).

Our largest facility in the health region just started the verify process last 
week.   This extremely busy pharmacy uses pharmacy order sets extensively.   We 
have numerous order sets where we have checked off the "override interaction 
checking" box in the order set dictionary because we are entering meds with 
various routes of administration so do not need to receive the duplicate flags.

When the techs do the order entry, they do not receive these flags.    However, 
when the pharmacists verify the orders, the duplicates are all flagged and it 
is causing a huge workload for the pharmacists to have to override all these 
duplicate screens when they verify.

Meditech says "working as designed".    I am saying, if the flag is not there 
on order entry by the techs, then it should not be there when the pharmacists 
verify.   They should only see the flags that the technician saw during the 
order entry process.

Has anyone else experienced this issue and how did you handle it?   Right now 
the pharmacists are telling the techs, if the orders are to be entered using a 
multiple-med set, to simply give to the pharmacists and they will enter as it 
is quicker/easier than receiving all the duplicate flags. 

Any thoughts around this issue would be appreciated. 


Susan 

Susan Makara, B.Sc.(Pharm)
Coordinator Pharmacy Information Systems 
Interior Health   2355 Acland Rd., Kelowna, B.C.  V1X 7X9
* 250-491-6756     * [EMAIL PROTECTED]
Fax: 250-491-6710 

"Information for Live: Excellence in Service, Excellence in Information, 
Excellence in Health" 




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