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Topic starter
After a recent visit from JCAHO, we are required to change any prescribing method from qd or QD to "daily."
Has anyone run into this and did you have a script to go and find these and update them in the db? A manual process seems laborious.
Thank you!
Posted : March 30, 2016 2:33 am
That has been a recommendation from JCAHO for a number of years. What I have done here is to create a quick text so that everytime qd or QD is typed or verbalized in dragon it automatically changes it to daily. Then I just change the ones as we prescribe the meds
Posted : March 30, 2016 3:40 am
Topic starter
No we have that in place. I am talking about historical prescriptions.
Thanks so much!
Posted : March 30, 2016 3:48 am
Topic starter
Sorry I don't think I responded properly. This is for historical prescriptions and we do not use Dragon.
Thank you!
Posted : March 30, 2016 3:50 am
Not sure exactly what you mean. If you are adding a historical Rx to the patient chart you could still use the quick text during entry. Are you trying to go back in and change the ones that are already in the patient chart? That could be a huge task. Why not just have staff who are prepapring the patient for the provider visit correct them as they do their rooming procedure? I am not sure your workflow for rooming your patient for the provider visit so hard to determine an efficient workflow. Sorry I could not be of more help.
Posted : March 30, 2016 5:10 am
Topic starter
It is a huge task and we have to resolve them because Joint Commission came in and did an audit and told us to do it.
We are working with GE to come to a solution.
Thank you!
Posted : March 30, 2016 5:14 am
This is a bigger problem than QD. Think BID, QOD, QID, q4h. In addition po, prn, pr, sl, etc. I have a program to print all patient medication information using translations. This requires a function in UsrLib.txt. Contact me if you re interested.
Posted : March 30, 2016 5:53 am
You are going to end up updating the INSTRUCTIONS field of the MEDICATE table. In the Oracle world, it is going to be something like:
update ml.medicate set instructions = replace(instructions,' QD ','daily') where instructions like '% QD %'
This would replace a capitalized QD that was preceded and followed by a space with the word daily in the INSTRUCTIONS field of the MEDICATE table. You need to run this query against a test database or change the query to just specify one test patient if you don't have a test database. I have not tested this. It may need some tweaking. You would need to modify this query for each abbreviation you want to change and remember that Oracle is case sensitive.
Good luck
Posted : April 25, 2016 1:09 pm
