Medication reconciliation

Discussion in 'Synapse' started by Graham, Jan 9, 2011.

  1. Graham

    Graham Developer Staff Member

    I'm currently seeing about 15 new patients a day - entering all their medications is proving a little tedious.

    Need some way to speed up the process and somehow capture the RxCUIs as well.
  2. Jason

    Jason Developer / Handyman Staff Member

    That would take forever.
    Good idea !
    [​IMG]


    synapse.reconcile.medications.CCR.vs.manually.jpg
  3. Jason

    Jason Developer / Handyman Staff Member

    Graham: is there a nurse that could enter it for you ?
  4. Graham

    Graham Developer Staff Member

    You need a CCR to do the reconciliation. The manual one is there just to record it has been done for Meaningful Use purposes.

    I could try to ask my nurse .. but I need to create a web based data entry for her.
  5. Jerry

    Jerry Administrator Staff Member

    Amen!!
  6. Jason

    Jason Developer / Handyman Staff Member

    Results as you Type

    I would love speed here too.

    Does rebol have any AJAX code to mimic Google Instant (Results as you Type) ?
    [​IMG]

    It would really help for Medical software (which does alot of "selecting" by nature).

    results.as.you.type.google.instant.jpg
  7. Graham

    Graham Developer Staff Member

    the RxTerms lookup already does that.

    It just needs debugging ...
  8. Jason

    Jason Developer / Handyman Staff Member

    This is the first time I've seen the RxTerms lookup.

    I feel the "90/10" rule is being violated here.
    I'll come up with a proposal.
  9. Jason

    Jason Developer / Handyman Staff Member

    Food instructions can't be mandatory

    No way Food should be mandatory !
    I've never ever put this on a prescription myself.

    Attached Files:

  10. Jason

    Jason Developer / Handyman Staff Member

    One reason why I've taken so long to use Medications in Synapse is the general slowness.

    Could the whole Popup be redesigned ?
  11. Graham

    Graham Developer Staff Member

  12. Jason

    Jason Developer / Handyman Staff Member

    You were concerned about speed with the previous design.
    I think the latest design looks very similar to the one you felt was slow.

    Can you draw a mock up of the plans ?
  13. Graham

    Graham Developer Staff Member

    This is for web input for my nurse .... the design is not finalized yet. The speed is only an issue because the it is using Ajax on a remote server ...it could be a lot faster with a local server but we shall see.
  14. Graham

    Graham Developer Staff Member

    I'm thinking that allowing the user to select the number, route etc is a waste of time .. better they just type it in, and you select from a sig that has been previously used.
  15. Jason

    Jason Developer / Handyman Staff Member

    So these are rheumatology patients, coming to see you in the hospital.
    They are intake patients, never seen before, and you type in all the drugs they take ?
    Do all the drugs need to get codified ? The vast majority of these drugs you will never prescribe ?
  16. Graham

    Graham Developer Staff Member

    Yes.
    Never seen by me before but could well be attending other depts, and likely to be coming back to see me.
    Yes, if I want drug interactions.
    Likely, but I want to record them all to make the medical record complete. And my nurse can enter them for me ...

    I've updated the demo .. need to get the final column working.
  17. Jason

    Jason Developer / Handyman Staff Member

    Mouseless switching between columns. Nice. Even supports [shift]+tab for going backwards ! Nicer !
    Note: drug interactions don't need directions ! Just drug name probably, maybe forumulation.

    This is still too slow.
    This is a database approach. This definitely violates the 90/10 rule.
    Slow :(

    There much faster ways for (1) drug selecting and (2) this specific attempt at mass drug entering (ie. typing in all 14 of the patient's medications.)
  18. Graham

    Graham Developer Staff Member

    When your nurse can not type, having a dynamic selection is the best way to avoid errors.

    It's not just for drug interactions, it's to ensure an accurate medical record.
  19. Jason

    Jason Developer / Handyman Staff Member

    So the patient brings a list of the medications and the nurse types them in ?
  20. Graham

    Graham Developer Staff Member

    All patients come with referral letters with a list of medications on them. No referral, no appt! At present I am typing them all in .. and I want my nurse to do that task.

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