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dm+d: Experiences to date. iSOFT’s experience to date. Considerations for medicines management. Dispensing pharmacist’s requirements. Clinician’s prescribing intent. Administering nurse details. Hospital management information. Prototype exploration.
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dm+d: Experiences to date iSOFT’s experience to date
Considerations for medicines management Dispensing pharmacist’s requirements Clinician’s prescribing intent Administering nurse details Hospital management information
Prototype exploration • Approached by NHSIA and Bluewave to explore the 5 box model Virtual Therapeutic Moiety (VTM) route and form modified Virtual Medicinal Product (VMP) Actual Medicinal Product (AMP) Virtual Medicinal Product Packaging (VMPP) Actual Medicinal Product Packaging (AMPP)
User centred design • UCD session held with Pharmacist and Nurses from a number of hospitals in our client base • Pharmacists gravitated to using VMPs and AMPs • Nurses gravitated to using AMPs and AMPPs • No clinicians – Primary care: AMP Secondary Care: VTM ____________ • Fully resolved prescription would be included within protocols and integrated care pathways • As implementation matures users would develop a personal pick list of fully resolved prescriptions
What next? • Work with content vendors on clinical decision support (CDS) for drug patient state interactions including:- Drug: Allergy Drug: Observation (inc results, health issues) And other interactions such as: Drug: Food Drug: Drug • Incorporation of reference links from structured/unstructured narrative with smart tags to support prescribing process • Look at potential integration points for CDS in rules, narrative, Integrated Care Pathways etc