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The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are.

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Presentation on theme: "The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are."— Presentation transcript:

1 The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are submitted to you under the understanding that they are to be considered by you in the strictest of confidence and that no use shall be made of the said concepts and ideas, including communication to any third party without MEDITECH’s express prior consent and/or payment of related professional services fees in full. © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Prepared by: Nevika Krishinchand Date : 12 September 2013 iMix 2013 Integrated and Informative Decision Support for Health Care Providers across Pharmacy and CPOE

2 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Introduction Decision Support Mechanisms Monographs Interactions Drug-Drug Food Allergy Warnings Order Sets Suggested Orders Rules Dose Range Checking Notices Lab Tests Linked to Drugs and Orders Lab Test Results on Patient Profile Dosing Sets Agenda

3 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. WHO estimates that more that half of all medicines are prescribed, dispensed of sold inappropriately Some examples of irrational use of medicines include Poly pharmacy Inappropriate use of antimicrobials Overuse of injections when oral formulations would be more appropriate Failure to prescribe in accordance with clinical guidelines MEDITECH Decision Support Introduction

4 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. 5 Rights of Medication Management Right Patient Right Medication Right Dosage Right Route Right Time Dictionaries that support this Decision Support: Order Management Pharmacy MIS MEDITECH Decision Support Introduction

5 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 1 Patient Helen Mercier 60 year old female Diabetic since 2005 Severe allergy to Macrolides Maintained at home on Furosemide Enalapril Glyburide Metformin Reason for Admission Pneumonia

6 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Scenario 1 MEDITECH Decision Support

7 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Orders Reconcile….Monographs Scenario 1

8 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Monographs Scenario 1

9 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Orders Reconcile..Check for Conflicts Scenario 1

10 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Drug Interaction Conflict Scenario 1

11 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Override Interaction Scenario 1

12 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Order Sets Scenario 1

13 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Allergy Conflict Scenario 1

14 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Food Interaction Conflict Scenario 1

15 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Suggested Orders Scenario 1

16 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Rules Scenario 1

17 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Dose Range Checking Scenario 1

18 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. PHA Dose Range Dictionary Scenario 1 Defined for a condition, age range and route Daily Low Daily High Daily Max Max Single Dose Low, High and Max Duration Low, High and Max Frequency Are Renal and Hepatic assessment indicators to be checked?

19 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Conflict Check on File Scenario 1

20 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Notices Scenario 1

21 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop -> New Activity Scenario 1

22 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile->Allergy Warning Scenario 1

23 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile Scenario 1

24 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Patient Profile->Rules Scenario 1

25 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy Desktop->Verify -> Interaction Checking Scenario 1

26 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 2 Ebrahim Mohammed 75 year old male Hypertensive since 1990 Maintained at home on Furosemide Enalapril Lipid profile ordered on previous visit

27 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Scenario 2

28 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Lab Results Linked to Orders Scenario 2

29 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Pharmacy -> Lab Results Linked to Drugs Scenario 2

30 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. MEDITECH Decision Support Scenario 3 Johan Smith 4 year old male Admitted for a severe allergic reaction

31 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing -> Dosing Set Dictionary Scenario 3

32 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing Scenario 3

33 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. OM Weight Based Dosing -> Dosing Sets Scenario 3

34 © 2012. MEDITECH SA (Pty) Ltd. All rights reserved. Conclusion MEDITECH Decision Support Provide clinicians with instant access to evidence based medicine to help guide their decision making Establish Best Practices Promote Rational Drug Use Flag potential medical errors before they occur Decrease patient length of stay.....lower costs How can MEDITECH’s Decision Support Tools Benefit the end user? How can MEDITECH’s Decision Support Tools Benefit the patient? Enhances patient care Reduce patient complications Improve Patient Safety

35 Thank you


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