Duplicates Meds at hospitals

[Nano1971]

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Hi..wanted some advice about Medications dublicates in a Hospital setting..what is your best practice limiting them except for Flitering medications class using filters (Epic)?

 

[bacillus1]

Hi..wanted some advice about Medications dublicates in a Hospital setting..what is your best practice limiting them except for Flitering medications class using filters (Epic)?

I don't get what you mean. Your computer system should be giving you duplication of therapy alerts when you are processing an order, right?

 

[Nano1971]

yeah it does sometimes but still missing some duplicates that goes under the radar

 

[gwarm01]

Nothing beats good old fashioned human judgement. Consider reviewing the med profile? Epic should allow for a summary panel showing currently ordered meds to sit on the side of your verification screen. Check with your Epic team if you don't have that.

 

[PharmDBro2017]

Give examples of drugs or classes? Not sure how duplicate therapy could occur...


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[BidingMyTime]

Yeah, every home med has to be reviewed and reordered by the doctor. If duplicate meds are being ordered, I would ask the nurse to verify with the patient if he's actually taking both meds, or if 1 med had been discontinued, but was still showing as active on his doctor's chart. This is usually the case, a patient has switched meds at some point, but the switch wasn't properly put into the patient's record, or the pt had seen a non-hospital affiliated doctor, so the switch didn't carry through to the hospital chart. Often, the patient can clarify this. If not, then contact the doctor about the situation.

 

[BidingMyTime]

I guess I'm assuming the duplicate med is coming from the patient's home med. If it's the doctor/doctors who are ordering duplicate meds, then either follow your pharmacy's auto-sub policy or contact the physician.