Transcript ePrescribing pilot update from ICM systems at Kings College Hospital
IMPLEMENTING EPMA Experience at Kings College Hospital Caroline Anderson Principal Pharmacist EPMA
November 2009
King’s - Overview
• • • • • • • EPMA system = iSOFT iCM EPMA integral to EPR system Joint pharmacy & ICT project Multidisciplinary Project Board Pilot started November 08 Roll-out completed on 6 wards Expansion of the EPMA team to meet roll out demands
Choosing a Pilot Area
Key considerations
Range of users users & process process Diversity of of prescribing prescribing User ‘buy-in’ & in’ & enthusiasm Rate of patient patient turnover turnover Complete patient journey journey Practical considerations ons
King’s Choice GENERAL MEDICINE
Pre-pilot Assessment
• • • • • • • • Types of drug charts used Commonly prescribed items & particulars Identify ward staff and visiting teams Timings of shifts, visits and drug rounds Identify regular ward or team meetings Drug trolleys, POD lockers or both Hardware, network and software Gauge what users want & expect
Hardware
Pre-pilot Audits RISK • Prescribing standards • Error rates • Missed doses • Allergy recording PROCESS • Time taken to prescribe • Length of drug rounds • Finding drug charts
Training
• • • • • • • • Identify different user-groups Design and compile different lesson plans Training documentation and user guides Dedicated training rooms Pre-training training (e.g. Computer skills) Scheduling staff ‘Ad hoc’ and emergency training Video scripts and intranet links
**Maintenance**
Getting to and past ‘Go-live’
Meet Ward Manager & agree 'Go-live date' Launch' meetings for ward staff Commence training Transcription Process Go-live The first 'e-drug round' Support Consolidation
‘Go-Live’
PLANNING SUPPORT TRAINING MAINTENANCE = GO-LIVE
King’s roll-out plan
• • • 18 month Trust roll-out plan Aiming for 2 wards per month Additional time allowance for complex areas (e.g. A&E, Critical Care, Specialist Medicine) • Current plan excludes Paediatrics
ON TARGET!
Continuing Development
• • • •
DRUG CATALOGUE ENHANCEMENTS
Review configuration of all items Additional items Drug-specific information Order-sets • • • •
USING NEW FUNCTIONALITIES
Allergy checking Duplicate checking Dose-calculation forms Reports
OTHER:
Reports, audit, additional training documentation, super-users, sharing experiences