Hello -

Wondering how other institutions handle orders that are signed and held with the intention of being administered intraop but then subsequently not being released until after procedure when patient reaches the floor?

Prescribers are appropriately utilizing phase of care, however Epic is unable to catch these orders for auto-dc as it cannot distinguish between the intention of these orders being necessary for past procedure vs potential upcoming procedure.

When patient reaches regular medical floor, the orders are being released along with other medications that were held for procedure. This is leaving it to the verifying pharmacist to catch orders for discontinuation.

Risk exists with order not caught and inappropriate administration of medications can potentially occur.

Looking forward to hearing if other organizations have found ways to prevent this?