In Emis LV, it flashes the advice, and accept button etc, then returns to LV
and displays the altered medication, as you so rightly need, before
proceeding with issue after further confirmation.
-----Original Message-----
From: Simon Child [mailto:[log in to unmask]]
Sent: 04 November 2008 17:47
To: [log in to unmask]
Subject: Scriptswitch - one click from disaster?
Scriptswitch - I see the point of it and can see some benefits, e.g. today
it told me that it would save over 30 quid a month by changing tamsulosin
mr from tabs to caps.
But it seems too easy to make changes unintentionally, especially since
the default button sometimes means to change something, and sometimes it
means there is no change recommended but it is just giving you a comment.
e.g. today I accidentally prescribed aspirin when I really intended the
patient to have clopidogrel post-stenting (in addition to his current
aspirin) and accidentally hit the default button instead of turning down
the proposed substitution of aspirin for clopidogrel. With some patients
it might have been to easy for this to have ended up with him taking
double aspirin and no clopidogrel, or simply just aspirin and no
clopidogrel.
There is no 'confirm' step - 'did you really mean to change your original
intention' - if you select an option which radically changes your original
input (e.g. clopidogrel to aspirin).
Should there not be a confirmation step, if it changes your original input?
--
Simon
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