Presented by David Ryan Pharmacy Operations Manager, North Shore and Waitakere Hospitals

1. Electronic
Prescribing &
Administration
David Ryan
on behalf of the ePrescribing Project Team

3. Electronic systems improving Patient safety
•Pyxis Medstations
•Bar-coding
•Smart Infusion Pumps
•Medicine Reconciliation

4. The problem…
Normacol granules
Augmentin tablets
Frusemide IV
Methadone

5. Project
• Clinical Change Management
• Local experts who understand
local practice and the system
• Intensive post go-live support
• Extensive Decision Support
• Reliable & fast infrastructure
• Mobilise staff using COWS

6. Quicklists

7. Allergies

8. Drug Interactions
Erythromycin + Warfarin – a bad combination
•5000 interactions from the NZ Formulary
•Display at the point of prescribing

9. The Obscure Decimal Point
• Reason required to override dose range

10. Lab Result Integration

11. Benefits for Nurses
• Ward Overview Screen in nursing station
• All applications available on the COWS –
i.e. Trendcare, protocols & guidelines

12. Benefits for Doctors
• Access to all clinical systems at the bedside
• Prescribe from any computer in the DHB
• No re-charting of medicine charts

14. Acknowledgements
• Wards 14 & 15 North Shore Hospital
• Pharmacy Department
• WDHB ePrescribing Project Board
• healthAlliance IS
• Project Team:
Kathleen Chudzicki, Josephine Clark, Carole Dawson, Anne
Leighton, Eryn Olshen, JB Oscongo, Adrienne Reed, Julie
Slatter, Rachana Uthaiah, Karen Valdellon

15. Questions?