Electronic
Prescribing &
Administration

David Ryan
on behalf of the ePrescribing Project Team
Electronic systems improving Patient safety

•Pyxis Medstations
•Bar-coding
•Smart Infusion Pumps
•Medicine Reconciliation
The problem…
Normacol granules
Augmentin tablets

Frusemide IV

Methadone
Project
• Clinical Change Management
• Local experts who understand
local practice and the system
• Intensive post go-live...
Quicklists
Allergies
Drug Interactions
Erythromycin + Warfarin – a bad combination

•5000 interactions from the NZ Formulary
•Display at the po...
The Obscure Decimal Point
• Reason required to override dose range
Lab Result Integration
Benefits for Nurses

• Ward Overview Screen in nursing station
• All applications available on the COWS –
i.e. Trendcare, ...
Benefits for Doctors

• Access to all clinical systems at the bedside
• Prescribe from any computer in the DHB
• No re-cha...
Acknowledgements

• Wards 14 & 15 North Shore Hospital
• Pharmacy Department

• WDHB ePrescribing Project Board
• healthAl...
Questions?
Electronic Prescribing & Administration
Electronic Prescribing & Administration
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Electronic Prescribing & Administration

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Presented by David Ryan
Pharmacy Operations Manager, North Shore and Waitakere Hospitals

Published in: Health & Medicine, Business
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Electronic Prescribing & Administration

  1. 1. Electronic Prescribing & Administration David Ryan on behalf of the ePrescribing Project Team
  2. 2. Electronic systems improving Patient safety •Pyxis Medstations •Bar-coding •Smart Infusion Pumps •Medicine Reconciliation
  3. 3. The problem… Normacol granules Augmentin tablets Frusemide IV Methadone
  4. 4. Project • Clinical Change Management • Local experts who understand local practice and the system • Intensive post go-live support • Extensive Decision Support • Reliable & fast infrastructure • Mobilise staff using COWS
  5. 5. Quicklists
  6. 6. Allergies
  7. 7. Drug Interactions Erythromycin + Warfarin – a bad combination •5000 interactions from the NZ Formulary •Display at the point of prescribing
  8. 8. The Obscure Decimal Point • Reason required to override dose range
  9. 9. Lab Result Integration
  10. 10. Benefits for Nurses • Ward Overview Screen in nursing station • All applications available on the COWS – i.e. Trendcare, protocols & guidelines
  11. 11. Benefits for Doctors • Access to all clinical systems at the bedside • Prescribe from any computer in the DHB • No re-charting of medicine charts
  12. 12. Acknowledgements • Wards 14 & 15 North Shore Hospital • Pharmacy Department • WDHB ePrescribing Project Board • healthAlliance IS • Project Team: Kathleen Chudzicki, Josephine Clark, Carole Dawson, Anne Leighton, Eryn Olshen, JB Oscongo, Adrienne Reed, Julie Slatter, Rachana Uthaiah, Karen Valdellon
  13. 13. Questions?

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