dear nick that is genuinely useful
what other shortcuts / synonyms do you most commonly use for prescribing- and are generously willing to share
cheers
PS any relation of roger mawby ex sedbergh?
> from: Dr Nick Mawby <[log in to unmask]>
> date: Tue, 24 Feb 2004 08:30:46
> to: [log in to unmask]
> subject: Re: any default prescribing instructions
>
> Mary Anderson wrote:
>
> >Dear gp-uk your thoughts please.
> >
> >The guys in our practice that go to the MMS collaborative ( to do with medicines) want us to type in the indication for each prescription
> >
> >fine
> >
> >this has arisen from the fact that many patients dont know what their medicines are for.
> >
> >so the aim is to avoid confusion, enhance concordance, and make periodic reviews of medication more meaningful
> >
> >fine so far;
> >
> >except this means that on computers up and down the country, next to the words tabs thyroxine 100 mcg daily 50 000 GPs in UK will be typing in *as thyroid replacement therapy* or some other words; or next to aspirin 75mg daily the said GPs will be typing in - what I wonder?
> >
> >There is a good case for some simple defaults in the computer drug file picking lists.
> >
> >What would it take to achieve this? Is there anybody high up of whom I can request it?
> >
> >our chaps say that emis wont do it; but it isnt a problem in emis because when a GP has done it once for any patient that option will be stored and available to the GP for the next time / the next patient.
> >
> >However it is the initial duplication/multiplication of effort that I resent and the waste of time. when it could be avoided. 30 seconds x 50 000 (GPs) x 400 (commonest prescribed items)
> >Lots of hours.
> >
> >My argument is that since MMS the medicines collaborative is proposing a systematic change in the way we do things, there should be a systems solution or at least systems support.
> >any comments?
> >mary
> >
> >
> >
> >Dr Mary Anderson MRCGP
> >Heaton Moor Medical Centre
> >SK4 4NX
> >
> >tel 0161 432 0671
> >fax 0161 442 1025
> >
> >
> >
> I agree; under the entry for dose frequency there should be a line to
> enter indication.
> For several years I have aimed to put the indication on every dose; not
> only dose this benefit patients (and relatives) but it helps clinicians,
> eg what is the beta blocker for, angina, arrythmia, hypertension, migraine.
> In EMIS I use synonym,s for drug entry, eg '1M BP' is converted by the
> system to 'Take one in the morning to lower blood pressure'
> Nick Mawby
Dr Mary Anderson MRCGP
Heaton Moor Medical Centre
SK4 4NX
tel 0161 432 0671
fax 0161 442 1025
|