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Old 5th, July 2007, 10:15 PM
Pharmanaut Pharmanaut is offline
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Default Re: which pmr system

Quote:
Originally Posted by Steve G View Post
Yes, if you decide it's ok you can supress the warning, but it just throws up so much rubbish it's unbelivable. When something interacts with warfarin, it tells you about it for every single strength of warfarin the patient has had. Which is annoying to say the least.
Just a few thoughts as this sort of stuff is interesting...
Do you mean it reports every historical instance of Warfarin 1mg, 3mg and 5mg if you dispense an interacting drug (back to the usual 6 months default cut-off?) I think most PMRs would report 1mg, 3mg and 5mg separately, but possibly only for the last instance of dispensing. There may be two things at work here, the quality of the interaction messages and the implementation of the software that picks up the interaction pairs. Not easy to get it right even if the programmer is a pharmacist themselves, then it has to be tested thoroughly before it gets out of the door, a tough job, even if the tester is another pharmacist! A third point - is the commercial pressure to complete that part of the project. Another tough one is drug-doubling - trying to get that not to over-report must be a nightmare, would Warfarin 1mg, 3mg and 5mg be drug doubling? Perhaps not, but two are prescribed generically and one by brand we might want to be alerted?

I'm going to shut up now - must be my longest post to-date.
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