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#Reducing errors in prescription

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TheLifeOPD - The most comprehensive Patient management System

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#Reducing errors in prescription

  1. 1. www.thelifeopd.com
  2. 2. www.thelifeopd.com
  3. 3. 3 THE COSTLIESTPRESCRIPTONERROR o Wysolone • 50mg oncedailyx1week • 40mg dailyx1 week • 30mg dailyx1 week o Inj.'Depomedrol' • 80mg IM twicedailyx2 days • Then40 mg IM twicex days Dr.Sukumar Mukherjee Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006 www.indiankanoon.org www.thelifeopd.com
  4. 4. 4 THE COSTLIESTPRESCRIPTONERROR o Clinicalcondition • ToxicEpidermalNecrolysis(? Drug) • Erythema+blisters+ Eye-NAD+ LungsNAD XXX o ℞ • Prednisolone40mg x000 • Zinetac150 00 • Omez20 00 • .................................. Dr.B.N. Halder's hand written prescription Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006 www.indiankanoon.org www.thelifeopd.com
  5. 5. 5 THE COSTLIESTPRESCRIPTIONERROR CLAIM Claim in the complaint is in Croresi.e. Rs. 77,76,73,500/-(Rupees Seventy SevenCrores Seventy Six Lakhs Seventy ThreeThousand and Five Hundred) COMPENSATION TheCourtordered compensation of Rs 5.96crorefor the death of AnuradhaSaha for medical negligence. Theamount itself made hugenews because it crosses 11 crore oncesimple interest is takeninto account. www.thelifeopd.com
  6. 6. 6 THE DEFINITION “A clinically meaningfulprescribing erroroccurswhen,asa result ofa prescribingdecision or prescriptionwriting process,thereisan unintentionalsignificantreductionin theprobabilityoftreatment being timely andeffectiveorincreasein therisk ofharmwhen comparedwithgenerally acceptedpractice”. www.thelifeopd.com
  7. 7. 7 MEDICINES can do a lot of good but they also have the potential to cause HARM www.thelifeopd.com
  8. 8. 8 MANIFESTFUNCTIONSOF THE PRESCRIPTION  LEGALDOCUMENTATION  RECORDSOURCE  MEANSOFCOMMUNICATION  THERAPYMODALITY  MEANSOFMEDICALCONTROLOFTHERAPY  MEANSOFCLINICALTRIAL www.thelifeopd.com
  9. 9. 9 ESSENTIALSOF MEDICATIONORDER Thedrug order, written by the physician, it has 7 essential parts for administration of drugs safely IT SHOULD HAVE THE FOLLOWING COMPONENTS:  Patients full name  Date and time  Drugname  Dosage  Route of administration  Timeand frequency of administration  Signatureof physician www.thelifeopd.com
  10. 10. DECIPHER IF YOUCAN! 10www.thelifeopd.com
  11. 11. DECIPHER IF YOUCAN! 11www.thelifeopd.com
  12. 12. ALWAYS REMEMBER “TO ERR ISHUMAN!” www.thelifeopd.com
  13. 13. 13 MEDICATION ERROR  Unnecessary drug  Incorrect drug  Duplication  Allergy error  Contraindication error  Interaction error  Dose/strength error  Formulation error  Frequency error  Timing error  Information incomplete  Generic/brand name error  Omission errorrelating tofailuretoprescribe concomitant treatment  Inadequate documentation in medical records  Quantity error  Inadequate review  Duration error www.thelifeopd.com
  14. 14. 14 MEDICATION ERROR STATISTICS Conservatively, at least 1.5 million peopleper year areharmedby medications. Manymedication mistakes are never reported. 100,000 people die each year as a result ofmedication errors. www.thelifeopd.com
  15. 15. 15 WRITING PRESCRIPTIONS– GOVT WAY www.thelifeopd.com Delhi Govt. docs can prescribe only Generic names KhombaSingh, TNN, Jun30, 2010 WB andASSAM Govt. initiate measures tomonitor generic prescription at Health Institution PeethaambaranSinghKunnathoor,Chennai,Friday, February01,2013 MCIdirects doctors toprescribe drugs with generic names Wednesday,January23,2013
  16. 16. 16 NOW DOCTORSHAVE TO WRITE PRESCRIPTIONIN CAPITALLETTERS www.thelifeopd.com "The central government has approvedtoamend INDIANMEDICALCOUNCIL Regulations, 2002, providing therein that everyphysician should prescribe drugs with generic names in legible and CAPITALLATTER and he/she shall ensure that there is a rational prescription and useof drugs" -JUN 12,2015
  17. 17. PRESCRIPTIONFORMAT SAMPLE 17www.thelifeopd.com
  18. 18. THINKABOUT 18www.thelifeopd.com What do I need to prescribe in a safe way? Patient information Co-morbid conditions Drug information Pharmacology Pharmacokinetics and pharmacodynamics Therapeutics Systems Policies, guidelines, prescribing aids etc
  19. 19. REDUCING PRESCRIBINGERRORS www.thelifeopd.com
  20. 20. 20 STEPSTO MINIMIZE MEDICATION ERROR www.thelifeopd.com FORCINGFUNCTIONS & CONSTRAINTS AUTOMATION& COMPUTERIZATION STANDARDIZATION& PROTOCOL CHECKLIST & DOUBLE CHECK SYSTEM RULES & POLICIES EDUCATION/ INFORMATION BEMORECAREFUL,BE VIGILANT MOST EFFECTIVE LEAST EFFECTIVE
  21. 21. 21 COMPUTERISEDTOOLS Most studiessuggest computerised toolscanreduceprescribing errors Emerging evidence suggeststhattobesuccessful, humanfactors such asworkflowfeatures,tooldesign andcontextneed tobe considered www.thelifeopd.com
  22. 22. WRITING PRESCRIPTIONIN THE ERA OF SMARTAPPS 22www.thelifeopd.com
  23. 23. 23www.thelifeopd.com
  24. 24. 24www.thelifeopd.com
  25. 25. 25www.thelifeopd.com
  26. 26. 26www.thelifeopd.com
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  32. 32. 32www.thelifeopd.com
  33. 33. Patientdetails Clinicaldetails Diagnosis Drugs Investigations Other Info Prescribedby
  34. 34. REMEMBER THE “FIVE RIGHTS” 34www.thelifeopd.com THE RIGHTPATIENT THE RIGHTDRUG THE RIGHTTIME THE RIGHTDOSE THE RIGHTROUTE 1 2 3 4 5
  35. 35. 35www.thelifeopd.com “PRESCRIPTION ERROR ???” IT CAN BE PREVENTED…
  36. 36. "ADVANCEMENTTHROUGHINNOVATION“ Makingthe HEALTHCARE management simple, efficient andtransparent by developing the most advanced and innovativeIT solutions
  37. 37. 37 Thankyou… Presented by: DR. DAYANATH MISHRA MD, DM, DNB (NEPHRO) Chairman, DM Hospitals Pvt Ltd, Thakurpukur, kolkata Acknowledgement : TECHNOLOGY TEAM THELIFEOPD.COM Associates DM Hospitals Pvt. Ltd. All my patients…
  38. 38.  Saveprecioustimeforthe patientssansphysical harassment  Errorfreefully computerizedprescriptionwithauto suggestlist  Storesclinicaldataforreferenceand research  Leadstofast,efficientandsafeoutpatientmanagement  Improvesresourceplanningand profitability  Auto alertSMS andEmail to confirmbookings andexpected time ofConsultation  Rescheduleof OPDdue to emergencieswithauto alert generationofSMS andEmail  MIS fordemographicprofile,diseasefrequencyincommunity, prescriptionpatternstofacilitateresearchonabove  Multi-mode OPDbooking throughphone,webandin-person  Auto Queuemanager –Virtualqueuemanagementsystem  QueueJumping forcriticallyillpatients  Realtime queue statusondisplay KEY BENEFITS: KEY FEATURES:

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