In message <000001bdac66$0932ae80$990d93c3@-jeff>, Jeff Green
<[log in to unmask]> writes
>Owen,
> Apart from the distressing fact that pharmacy seems to be excluded from
>the
>NHS-net, I'd like a full prescribing history. The GP prescriptions are
>usually held on the pharmacy system, but the hospital prescribed/dispensed
>stuff isn't. I believe that I need to know if someone is taking methotrexate
>or warfarin if I am to be able to practice safely. Asking the patient what
>they are taking just isn't safe enough.
This is a problem we have in General Practice too; medication prescribed
*and issued* elsewhere - which means it is likely to be something
esoteric and unfamiliar.
We rely increasingly on decision support software to alert us to
interactions and allergies - but how do you get the stuff you are *not*
prescribing into the section of the software where you will even see it
when writing a prescription, let alone get it exposed to the decision
suport mechanisms?
Mary
PS when I have to take a drug history - to find out what the patients
*are* taking, as opposed to what I've been prescribing, they often seem
to forget something.. and seldom know the names.. how much use, Jeff, is
a patient drug history of - then there's my blood pressure pill - but I
think the hospital changed it last month - it's a different colour.." !
>
>Regards
>
>Jeff Green
>
>Community Locum and Consultant Pharmacist
>
>[log in to unmask]
>
>>-----Original Message-----
>>From: [log in to unmask]
>>[mailto:[log in to unmask]]On Behalf Of owen dempsey
>>Sent: 11 July 1998 22:06
>>To: [log in to unmask]
>>Subject: RE: PHCSG conference at UMIST: A PCG IT perspective
>>
>>
>>forgive my ignorance but exactly what information would the outlets be
>>sharing, who would be collating it, and to what use would it be put?
>>
>>owen dempsey
>>GP
>>West Yorks
>
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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