Drug Checks

Once a medication is added, drug checks automatically run:

Drug Allergy or Adverse Reaction

If you add a medication to which the patient has a Drug Allergy or Adverse Reaction recorded, the Drug Sensitivities warning screen displays:

Select either:

• No - You are returned to the Therapy - Add screen to select another drug.
• Yes - To prescribe the drug. 'Please enter your reason for overriding this' warning displays, you have the option of entering free text to record why you are prescribing a drug to which the patient has an allergy/intolerance. A reason is not mandatory, but it is strongly recommended:

  

  Select either:

  • Proceed - To add the drug to the patient record, or
  • Do Not Proceed - To return to Therapy - Add where you can select another drug.

An audit trail of any free text entered or whether you have bypassed the opportunity to enter free text can be found in Event Log under Reason for Drug Warning override:

• Medium Level Warning - If you prescribe a drug to which the patient has an allergic severity of Minimal, Mild or Moderate recorded.
• High Level Warning - If you prescribe a drug to which the patient has an allergic severity of Severe or Very Severe recorded.

Interactions, Contraindications, Precautions, Drug Doubling or Prescriber Warnings

If there are any Interactions, Contraindications, Precautions, Drug Doubling or Prescriber Warnings the Drug Check Results screen displays:

All warnings are mirrored on the status bar at the bottom of the Consultation Manager screen:

If you want to continue to prescribe this drug:

1. Select Yes.
2. Depending on the settings selected in Consultation - Options - Setup - Drug Check - Drug Warnings - Override Confirmation Required, the Please enter your reason for overriding this warning screen may display. Enter the reason for the override and select Proceed to continue. An audit trail of any free text entered or whether you have bypassed the opportunity to enter free text can be found in Event Log under Reason for Drug Warning override.

The level of checks that display are set from Consultation - Options - Setup - Drug Check, see Consultation Manager Setup - Drug Check for details.

Drug checks default to:

• Patient Specific for:
  • Contraindications
  • Precautions
  • Prescriber Warnings
• Severe, Major and Minor for Drug to Drug Interactions.

You can check for information about contraindications and interactions in the Product Information section on the Select Drug screen before confirming a drug selection:

1. Once you have selected a medication, double click on the drug name.
2. The Select Drug screen displays.
3. Right click on the medication you require and select Check Drug.