Jeff may be too humble to announce that he's offering a presentation on this
topic at the 2007 International MUSE Conference in San Diego. See the
abstract below...

Alan Sherbinin
MUSE Executive Director
[EMAIL PROTECTED]
877-491-4703



Don't Be Allergic to the New MAGIC Allergy Model
Presenter:  Jeff Thompson, R.Ph.
Organization:  Newman Regional Health, Emporia, Kansas

Abstract:  The new MEDITECH MAGIC Allergy Model 1B provides many benefits in
ease of use to the end users and in safety to patients.  The conversion
process for a hospital using the earlier allergy model can appear to be
intimidating.  This presentation will provide an overview of the whole
process and then describe each step of the process in detail as it was
implemented at Newman Regional Health in Emporia, Kansas.  Screen shots and
lessons learned will be provided, along with a list of changes that were
required within all modules for the implementation to be successful.

Jeff Thompson, R.Ph. is a Pharmacy Project Manager / Pharmacy Informatics /
Staff Pharmacist at Newman Regional Health, Emporia, Kansas. He has been in
that position since June 2005.  He is currently Project Manager for the
hospital-wide bedside medication verification system, laboratory collection
system, blood transfusion system and vital sign collection system.
Previously, he was a Director of Pharmacy for 13 years at a small rural
hospital in Kansas.

 

-----Original Message-----
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf Of
Thompson, Jeff
Sent: March 26, 2007 5:44 AM
To: Castillo, Cristina; meditech-l@mtusers.com
Subject: RE: [MEDITECH-L] Allergy Alert

Move to the new MAGIC 1B allergy model.  There is no more class/generic/drug
allergies.  There is one dictionary in MIS that would have caught it. We
moved to it last fall and it is so much easier to use.  Another bonus is
that Nursing and PHA and ER can share the same database.  Call if you have
questions.

As an aside, we are 5.5.2 and I don't know if 5.4 can move to it but you
might check.


Jeff Thompson, R.Ph.
Pharmacy Informatics
Newman Regional Health
Emporia, KS 66801
Direct: 620-340-6150

-----Original Message-----
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf Of
Castillo, Cristina
Sent: Friday, March 23, 2007 3:32 PM
To: meditech-l@mtusers.com
Subject: [MEDITECH-L] Allergy Alert

Hello Lr's,
We have a scenario where one of the patient allergies is Morphine HCL.
During order entry, the pharmacist enters an order of Morphine sulfate but
she did not get flagged at all. The allergy was entered as a Generic. I
checked the drug dictionary for MSO4, obviously the Ingredient is Morphine
and on the Ingredient Allergy field, one of them is Morphine (F05). I called
MEDITECH and asked them how come we did not get the alert. This was their
response:

Pellerin,Tracie (MEDITECH) - Mar 22, 2007 - 2004 EDT:  The generic
associated as an allergy is not the one associated to the drug MORP0050 that
was ordered.  If you would like to capture all allergies associated with
Morphine, the allergy should be entered as a class allergy rather than a
generic.

Our Director of Pharmacy does not fully agree with MEDITECH. She believes
that the user should still have gotten the flag as Morphine (regardless of
how the allergy was entered, generic vs class) is clearly the main
Ingredient and is also defined in the Ingred Allergy. If Pharmacy goes by
Class Allergy, it's good in a way that it checks everything but at the same
time they would get unnecessary alerts which can de-sensitize the user of
these flags. Most of our pharmacists select the generic allergy.

I have emailed MEDITECH again about how our pharmacy feels but hasn't gotten
any response yet. Has this happened to you? How did you resolve the
situation? How do you enter the allergy, generic or class? 

We are Magic 5.4 and we have First Data Bank. 
Cristina C. Kimball, BSN, RN
Manager, Clinical Informatics
Pacific Alliance Medical Center
531 W. College St.
Los Angeles, Ca 90012
Ph: (213) 437-4214
Fax: (213) 617-9203
Email: [EMAIL PROTECTED]
This electronic message is intended only for the individual or entity to
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unlawful. If you have received this communication in error, please destroy
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