Thanks, it looks like we could do it with rules and or attributes
attached to drug cds's or a parameter cds?

-----Original Message-----
From: Makara, Susan [mailto:[EMAIL PROTECTED] 
Sent: Thursday, May 31, 2007 1:47 PM
To: Bill Mullins; Kimberly Frick; Horsley, Randi - CRH;
meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

The below is NOT a DTS.  It is a rule that you need to set up in your
rules dictionary.  I have it working and it works well.
 
Also, regarding the verbiage for the variance:   we had a priority pack
7 for test for 5.61 ring release done on may 9th.
 
Much to my surprise and delight, they automatically included a change in
how the variance is displayed:
 
Warning:  this administration is 3 hrs 12 mins LATE   (or EARLY).
Continue?
 

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" 

 

________________________________

From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Bill Mullins
Sent: Tuesday, May 29, 2007 10:12 AM
To: Kimberly Frick; Horsley, Randi - CRH; meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances



Your welcome, I have not tried this, just say it on their web site.

 

Good Luck,

 

________________________________

From: Kimberly Frick [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, May 29, 2007 7:59 AM
To: Bill Mullins; Horsley, Randi - CRH; meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

 

Thanks, Bill. When I asked my Meditech BMV consultant if there was any
way to flag a prn as too soon, he said no. I'll request this DTS. 

 


Kim Frick, RN 
Project Coordinator 
Licking Memorial Health Systems 
Phone: 740-348-4114 
Fax: 740-348-4769 
[EMAIL PROTECTED] 
www.LMHealth.org 
  

        -----Original Message-----
        From: Bill Mullins [mailto:[EMAIL PROTECTED]
        Sent: Friday, May 25, 2007 7:14 PM
        To: Kimberly Frick; Horsley, Randi - CRH; meditech-l@MTUsers.com
        Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

        Article ID: 26372
        Date: 12/19/2006
        Published: 1/31/2007

                Application: PHA
        Subject: Rules and Attributes
        Platform: MAGIC

                

        eMAR Rules: Flag for PRN too soon from last dose

        PHA DTS 6369 gives the ability to create eMAR rules that can be
evaluated for MAR DOSE and MAR ADMIN.

        Many sites would like to create a rule to flag nusing users if
they give a PRN medication too close to the last dose given.  The
following is an example of a MAR ADMIN rule that will flag users if they
try to give a medication with the direction of PRN/Q4H more then once
within 4 hours from the other dose:

        Direction: PRN/Q4H

        Rule: 

         [f z last admin],[f z today/now in sec]^NOW,
         NOW-ADMINSEC^TS,
         "It has not been 2 hrs since this med was last
administered"^MSG,
         IF{([f rx sig]="PRN/Q4H")&(TS<7200) [f rx err msg](MSG);1};

        Below is the information on how to build the custom keywods "z
last admin" and "z today/now in sec"  :

         z last admin
        Active: Y   Assign to Group: Z
        Name: last administration time
        Multiple Output Lines?: N
        Execute at Translation?: N

        Code:
        ""^END,
        DO{(@Last(admin.q)^admin.q)&(END_.=.)
@admin.seconds^ADMINSEC,1^END}

        z today/now in sec
        Active: Y   Assign to Group: Z
        Name: today/now in seconds
        Multiple Output Lines?: N
        Execute at Translation?: N

        Code:
        %Z.date.clinical(@.today)*86400+%Z.time.in(@.now)

                

         

         

        ________________________________

                From: meditech-l@MTUsers.com
[mailto:[EMAIL PROTECTED] On Behalf Of Kimberly Frick
        Sent: Friday, May 25, 2007 7:32 AM
        To: Horsley, Randi - CRH; meditech-l@MTUsers.com
        Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

         

        Yes, this was an issue for us too. We had to really explain the
message in training because our users found it confusing. Our previous
barcoded medication administration system had separate parameters to
warn the user if a med was too early or too late. The warning message
stated "too early" or "too late". We could even set a prn parameter that
warned if the med was "too close". I would like to see Meditech change
their time variance to separate customer-defined parameters like we had
with our other system.

         

        
        Kim Frick, RN 
        Project Coordinator 
        Licking Memorial Health Systems 
        Phone: 740-348-4114 
        Fax: 740-348-4769 
        [EMAIL PROTECTED] 
        www.LMHealth.org 
          

                -----Original Message-----
                From: meditech-l@MTUsers.com
[mailto:[EMAIL PROTECTED] Behalf Of Horsley, Randi - CRH
                Sent: Thursday, May 24, 2007 10:52 AM
                To: meditech-l@MTUsers.com
                Subject: [MEDITECH-L] Issues with new eMAR verbiage re:
time variances

                Dear L'rs - We recently upgraded to 5.6 and are
experiencing a great deal of confusion with the verbiage Meditech chose
to display related to time variance warnings. In short, the wording
makes many of our staff think they are choosing a time ahead (when it is
really late) and vice verse, unless they really read and analyze the
message. 

                Anyone else encountering issues with this with their
end-users? We are considering asking Meditech for a custom if that is
the only way to resolve, but would love to hear from other sites about
their experience. TIA!

                Randi L. Horsley, MSN, RN 
                Project Manager, Clinical Informatics 
                CHW AZ - East Valley market 
                475 S. Dobson Rd. 
                Chandler, Arizona 85224 
                480-728-3757 office, 602-656-1225 pager 

        
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