MSOS Discussion Board

Medication History Team and Benchmarks/Metrics

Natalie Nguyen's picture

Forums: 

If you have a medication history team, what metrics/outcomes do you report out to share the value of the services?

We currently have a percentage of inpatient admissions covered by pharmacy, and was wondering if there is another way to look at impact.

Thanks in advance!

Thiamine IV Push

Caitlin Wells's picture

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There seems to be some data out there that IV push of 500mg doses may be considered and is safe when compared to administering via IV infusion. Our current dose limit for administering thiamine IV push is 200mg but we are exploring increasing this to 500mg. What are other places doing? If anyone does allow thiamine 500mg IV push have you seen any safety concerns with it? Thanks!

Insulin pump workflow questions

Laura Frantz's picture

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Hello,
We are in the process of overhauling our personal insulin pump policy, order set, and process. We are interested in learning about how insulin pumps are handled within your institution/health system. If you are able, would love to see any clinical guidance, order set, or policy examples that you can share. Can you please answer the questions below:
1) Do you allow use of personal insulin pumps during acute admissions?
2) Exclusion criteria for personal insulin pump use (other than AMS or acuity
limiting ability to safely self-manage)?

EPIC Med Safety Trends Dashboard

Aidan Ziobro's picture

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Has anyone set up an EPIC dashboard (trending or operational) for Med Safety Metrics?

Looking to see if a dashboard would be a good way to monitor:
reversal agents (Narcan, Andexxa/Kcentra, Glucose/D10/D50);
BCMA compliance & least scanned medication;
Opioid stewardship / pain management prescribing patterns;
etc etc

If you have one, any info would be appreciated.

Cerner Medication History Outpatient vs Inpatient

Heather Queen's picture

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I am looking for information in regard to how other Cerner (Oracle) facilities handle the prescription bottle medication entries on the medication history. Currently our staff can only do a "add/modify compliance" function for those entries on the admission med history. This creates challenges for providers and pharmacy. If there are comments in the prescription like "take 2 tabs or take 1/2 tab, etc." then the order does not come across to pharmacy choosing the most appropriate product for the dose because the dose field has not technically been updated.

Standard Phenylephrine Concentration

Katie L Conklen's picture

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Our Health System is working on standardizing our standard phenylephrine concentration based on ASHP Adult Standard Concentration recommendations and USP 797 recommendations, "compounders must consider parameters that may affect quality, including but not limited to: Chemical and physical stability properties of the drug and/or its formulation." We currently utilize phenylephrine 10mg/250mL, but this concentration does not have stability data to support the concentration.

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