We are moving to EPIC and building out Willow Ambulatory. We were presented two options for how Medication Warnings can display (setting LPR 48600). The two options for are:

1) after each drug is verified before going to the next (only shows warnings relevant to that one drug)

2) after an entire work basket is verified (shows warnings relevant to every drug in the basket all at once)

We process many discharge meds/fill for medically complex patients (oncology/BMT, SOT, cardiology, etc). As such I have concerns with option two because it doesn't offer a real-time alert for the drug the pharmacist is currently reviewing. I'm concerned that pharmacists may not be as likely (forget/overlook issue) to make interventions if they've thought about 8 other medications since verifying the drug the alert is intended for. Also the alert screen in option 2 is very busy and requires a lot of scrolling. That said, our EPIC builders told us ~80% of sites use option 2.

Does anyone have input on real-world application of this setting? Have any sites started with one of these options and changed their approach? Lessons learned?

Thank you.

James Gibson - UW Medicine