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"The LifeOPD" is a patient management system which is used to control by HMS, OPD, Diagnostics, Dialysis, Poly Clinic, Pharmacy, Reception, etc.
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Reducingerrorinprescriptionuploaded 151001084307-lva1-app6892
- 3. 3 THE COSTLIESTPRESCRIPTONERROR o Wysolone • 50mg oncedailyx1week • 40mg dailyx1 week • 30mg dailyx1 week o Inj.'Depomedrol' • 80mg IM twicedailyx2 days • Then40 mgIM twicex days Dr.Sukumar Mukherjee Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006 www.indiankanoon.org www.thelifeopd.com
- 4. 4 THE COSTLIESTPRESCRIPTONERROR o Clinicalcondition • ToxicEpidermalNecrolysis(? Drug) • Erythema+blisters+ Eye-NAD+ LungsNAD XXX o ℞ • Prednisolone40mg x000 • Zinetac150 00 • Omez20 00 • .................................. Dr.B.N. Halder's hand written prescription Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006 www.indiankanoon.org www.thelifeopd.com
- 5. 5 THE COSTLIESTPRESCRIPTIONERROR CLAIM Claim in the complaint is in Croresi.e. Rs. 77,76,73,500/-(Rupees Seventy Seven CroresSeventy Six Lakhs Seventy ThreeThousand and Five Hundred) COMPENSATION TheCourtordered compensation of Rs 5.96 crorefor the death of AnuradhaSaha for medical negligence. Theamount itself made hugenews because it crosses 11 crore oncesimple interest is takeninto account. www.thelifeopd.com
- 6. 6 THE DEFINITION “A clinically meaningfulprescribing erroroccurswhen,asa result ofa prescribingdecision or prescriptionwriting process,thereisan unintentionalsignificantreductionin theprobabilityoftreatment being timely andeffectiveorincreasein therisk ofharmwhen comparedwithgenerally acceptedpractice”. www.thelifeopd.com
- 7. 7 MEDICINES can do a lot of good but they also have the potential to cause HARM www.thelifeopd.com
- 8. 8 MANIFEST FUNCTIONSOF THE PRESCRIPTION LEGALDOCUMENTATION RECORDSOURCE MEANSOFCOMMUNICATION THERAPYMODALITY MEANSOFMEDICALCONTROLOFTHERAPY MEANSOFCLINICALTRIAL www.thelifeopd.com
- 9. 9 ESSENTIALSOF MEDICATIONORDER Thedrug order, written by the physician, it has 7 essential parts for administration of drugs safely IT SHOULD HAVE THE FOLLOWING COMPONENTS: Patients full name Date and time Drugname Dosage Route of administration Timeand frequency of administration Signatureof physician www.thelifeopd.com
- 12. ALWAYS REMEMBER “TO ERR ISHUMAN!” www.thelifeopd.com
- 13. 13 MEDICATION ERROR Unnecessary drug Incorrect drug Duplication Allergy error Contraindication error Interaction error Dose/strength error Formulation error Frequency error Timing error Information incomplete Generic/brand name error Omission errorrelating tofailuretoprescribe concomitant treatment Inadequate documentation in medical records Quantity error Inadequate review Duration error www.thelifeopd.com
- 14. 14 MEDICATION ERROR STATISTICS Conservatively, at least 1.5 million peopleper year areharmedby medications. Manymedication mistakes are never reported. 100,000 people die each year as a result ofmedication errors. www.thelifeopd.com
- 15. 15 WRITING PRESCRIPTIONS– GOVT WAY www.thelifeopd.com Delhi Govt. docs can prescribe only Generic names KhombaSingh, TNN, Jun30, 2010 WB andASSAM Govt. initiate measures tomonitor generic prescription at Health Institution PeethaambaranSinghKunnathoor,Chennai,Friday, February01,2013 MCIdirects doctors toprescribe drugs with generic names Wednesday,January23,2013
- 16. 16 NOW DOCTORSHAVE TO WRITE PRESCRIPTIONIN CAPITALLETTERS www.thelifeopd.com "The central government has approvedtoamend INDIANMEDICALCOUNCIL Regulations, 2002, providing therein that everyphysician should prescribe drugs with generic names in legible and CAPITALLATTER and he/she shall ensure that there is a rational prescription and useof drugs" -JUN 12,2015
- 18. THINKABOUT 18www.thelifeopd.com What do I need to prescribe in a safe way? Patient information Co-morbid conditions Drug information Pharmacology Pharmacokinetics and pharmacodynamics Therapeutics Systems Policies, guidelines, prescribing aids etc
- 20. 20 STEPSTO MINIMIZE MEDICATION ERROR www.thelifeopd.com FORCINGFUNCTIONS & CONSTRAINTS AUTOMATION& COMPUTERIZATION STANDARDIZATION& PROTOCOL CHECKLIST & DOUBLE CHECK SYSTEM RULES & POLICIES EDUCATION/ INFORMATION BEMORECAREFUL,BE VIGILANT MOST EFFECTIVE LEAST EFFECTIVE
- 21. 21 COMPUTERISEDTOOLS Most studiessuggest computerised toolscanreduceprescribing errors Emerging evidence suggeststhattobesuccessful, humanfactors such asworkflowfeatures,tooldesign andcontextneed tobe considered www.thelifeopd.com
- 22. WRITING PRESCRIPTIONINTHE ERA OF SMART APPS 22www.thelifeopd.com
- 34. REMEMBER THE “FIVE RIGHTS” 34www.thelifeopd.com THE RIGHTPATIENT THE RIGHTDRUG THE RIGHTTIME THE RIGHTDOSE THE RIGHTROUTE 1 2 3 4 5
- 35. 35www.thelifeopd.com “PRESCRIPTION ERROR ???” IT CAN BE PREVENTED…
- 36. "ADVANCEMENTTHROUGHINNOVATION“ Makingthe HEALTHCARE management simple, efficient andtransparent by developing the most advanced and innovativeIT solutions
- 37. 37 Thankyou… Presented by: DR. DAYANATH MISHRA MD, DM, DNB (NEPHRO) Chairman, DM Hospitals Pvt Ltd, Thakurpukur, kolkata Acknowledgement : TECHNOLOGY TEAM THELIFEOPD.COM Associates DM Hospitals Pvt. Ltd. All my patients…
- 38. Saveprecioustimeforthe patientssansphysical harassment Errorfreefully computerizedprescriptionwithauto suggestlist Storesclinicaldataforreferenceand research Leadstofast,efficient andsafeoutpatientmanagement Improvesresourceplanningandprofitability Auto alertSMS andEmail to confirmbookings andexpected time ofConsultation RescheduleofOPDdue to emergencieswithauto alert generationofSMS andEmail MIS fordemographicprofile,diseasefrequencyincommunity, prescriptionpatternstofacilitateresearchonabove Multi-mode OPDbooking throughphone,webandin-person Auto Queuemanager –Virtualqueuemanagementsystem QueueJumping forcriticallyillpatients Realtime queue statusondisplay KEY BENEFITS: KEY FEATURES: