New Pharmacy collection Survey Jan.26.12

January 26, 2012 Feedback New Pharmacy collection

• 7 people's comments

Pros

• amount of time collecting has diminished with not having to count exact doses.
• Quicker and easier than previous process.
• Helpful that drugs are categorized rather than alphabetized
• Helpful that list include both generic and trade names
• Very helpful to have printed list as reference.
• Date plus and minus is great additional makes adjusting date much more simple and quick

Concerns

• transition to new process took some time and still taking time to learn all the new drugs that we are not familiar with.
• more training about new drug list before implementation
• not enough support for question related to drugs themselves.
• workload increase at HSC site with the ADDITION of drug collection
• in total there is approx. 175 drugs potentially being looked for in charts, however with not having to tally each one separately because they are in one category, once you learn the list it is much quicker than old process. You still have to look all over pharmacy sheets including ICU Flow sheet to find them all. IV Antibiotics given may not be charted in drug sheets, only on flow sheet in some ICU's.
• can be confusing for those individual drugs in categories that have both IV and PO. Not sure if some are available both IV and PO.
• a number of drug names not familiar. Never see them at some sites.

• Entry on laptop most difficulties
  • area of entry so very small
  • very easy to inadvertently enter the count under wrong drug and not notice
  • font quite small and subsequently is gets tiring on eyes
  • poor visibility on screen of entered data hard to QA check therefore increased collection errors
  • multiple entries on different days is a problem. The viewing screen rolls so that you cannot see the drug name, this creates another potential for entry error.
• allowed to only view one previous entry/row.
  • that is not true, just the mouse scroll wheel doesn't work; use the scroll barTtenbergen 12:51, 27 January 2012 (CST)
• when hovering over the box to find the drugs included in the identifier - only see generic name and not trade name. Drugs may be ordered by trade name and one cannot remember both trade and generic name many of these drugs
  • I have added drugs to those hints as I have heard about them; if you have others that should be added, let me know Ttenbergen 14:45, 2012 April 12 (CDT)
• pharmflow sheet on the database had two half pages on - Request to have each half page maximized in order to see more ROWS for entry or change format to drop down list like prev pharm but having trade and generic names in two separate rows and be able to sort in order as needed.
  • discussed this with various collectors, and the benefits of maxing each of the two are offset by the problem of having to look at two tabs. Maybe vote what people prefer? Ttenbergen 14:45, 2012 April 12 (CDT)
• Long term patients - files can be difficult to collect especially when the MAR has been recopied several times. The flow of MARS become disjointed, confusing and time consuming. Takes extra time and ensure accuracy.

• use paper collection form for long stay patients - after 3-4 weeks.
  • Since IICU patients can stay 6 months or so that's a lot of doses of coumadin or whatever to add up.
    • you don't need to add it up, just add new lines as you come across drugs.

• would a "find next" window option be of benefit to help find drugs? The trade names also should be included on the "find next" helper
  • no idea what that means, please explain. Ttenbergen 14:45, 2012 April 12 (CDT)
• Thanks for all the feedback. Will do another survey in April evaluate next again at next Task team & Steering Meeting sometimes in May/June.Trish Ostryzniuk 14:29, 2012 April 16 (CDT)

ICU Database Task Group Meeting-June 8, 2012

Follow up to this survey: p:Dr. Allan Garland reported that at the recent Database Steering Committee it was agreed that this (the new Pharmacy collection list) could be simplified/reduced. Possiblities include one or both options of:

• (a) reduce the number of medications and categories,
• (b) change from the # of patient-days to just a Yes/No for each drug,
• (c) collect data only for selected subsets of patients, e.g. septic shock.
• The next steps are that AG will contact Drs. Kumar and Zarychanski and ask them what pharmacy data they want and expect to use, after which decisions will be made about how to proceed. Trish Ostryzniuk 18:40, 2012 June 18 (CDT)

Second Survey

go to: New Pharmacy collection Survey Apr.16.12

Third Survey

go to: New Pharmacy collection Survey January 7, 2013