We're a pediatric hospital and it seems once a year this issue comes up. Many years ago someone built a link in Cerner (patient profiles) to a high-risk dosing calculator. Over the years we've had problems in identifying owners for maintenance and we've recommended not "using" this tool until we can get someone (IT/Informatics) to own maintaining the tool.

Pharmacy has recommended their typical references (such as Lexi) as their check. I believe many of the nurses are using it to double check their own math when dealing with high-risk drugs (ex: opioids, electrolytes, etc).

Does anyone have such a calculator as part of their health information system embedded anywhere ( link or otherwise) and willing to share how its being maintained.

It is not part of the Medical Record. Some print it others discard it and just use it to double check the ordered dose by the providers and some just look it up in a reference and don't use it at all.

Looking forward to your response and comments.

Thanks!

DiAnthia
dpatrick@childrensnational.org