Hi! I was wondering what other sites do for EHR downtimes when reporting out barcode medication administration (BCMA) compliance trends. Requests have been made to tease out BCMA data from known EHR downtimes. This process is manual. I was wondering if sites are speaking to compliance rates, noting trends or noting there is some cushsion in goals to allow for downtimes, etc. Thank you!

When we have questions or suggestions about a drug-drug interaction severity level rating, we share this with First DataBank, the drug information vendor for our homegrown EHR. A pharmacist from FDB typically responds to our emails within 2 weeks. They don't often make a change based on our emails, but they at least acknowledge our concern and explain their rationale.
In contrast, the drug information vendor servicing our pharmacy platform, MediSpan, has not yet responded to the few drug-drug interaction rating queries we've sent.

Seeking to learn how other organizations with Cerner EHR have designed EHR alert settings for "therapeutic duplication" for various user roles. Could you describe your strategy for optimizing these alerts to trigger for clinically inappropriate duplications? Do the settings differ for medical staff vs. pharmacists?

Can your EHR send CancelRx electronic messages to retail pharmacies? What do you do for retail pharmacies who are not set up to receive them yet? How do you educate providers on whether the messages are being sent or they should call the pharmacy or tell the patient?

Posting on behalf of Stephanie O’Brien, PGY1 Resident:

Hello,

For my research project this year I identified a liquid medication dosing error in our neonatal intensive care unit that is not detected by our electronic health record. Physicians enter a mg/kg dose into the EHR which automatically calculates a mL dose based on the patient's weight and the drug concentration. The EHR does NOT alert the physician if the mL dose is unmeasurable so we are seeing several instances where patients are being prescribed unmeasurable doses.