Page 25 - APP Collaboration - Assessing the Risk (Part Two)
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SVMIC Advanced Practice Provider Collaboration: Assessing the Risk




                   duplications (brand and generic), strength/dosage changes
                   (taking a 5mg and a 10mg), discontinued medication they forgot

                   to remove from their pill reminders, and other preventable
                   errors that could be caught at the bedside. It is imperative to

                   review every medication by name, strength, dosage form, and
                   instructions. Do this with over-the-counter products as well at

                   each encounter. Most patients are under the care of multiple
                   healthcare professionals, requiring communication with other

                   treating providers to correlate therapies.



                   Providers have a primary duty to warn patients about the risks
                   and complications of prescribed medications. While legal

                   arguments have been made that the drug manufacturer should
                   be responsible for this duty to warn, courts continue to hold

                   physicians at least partially accountable.


                   Medication Safety in EHR

                   Verify accuracy of allergies at each encounter or make a

                   notation of no allergies. If using dropdown boxes from which to
                   select medications and/or dosages, use care to verify that the

                   correct medication and correct dose have been selected before
                   “entering” the information into the e-Prescribing system.



                      Ideally, the ordering  provider  should enter  the original

                      medication order in the EHR. If your practice allows licensed
                      professionals to assist the providers by entering medication

                      orders, great caution must be exercised when using dropdown
                      boxes in order to avoid selecting an incorrect medication, or

                      dosage, and the source of the authorization for the medication
                      order should always be documented.








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