A typical system for order drug or drug protocols from the Pharmacy requires the use of an Order Set. A current process is that these order sets are retrieved from shelving or a drawer at the nursing station or are provided electronically through a software solution. The issue we have found that the electronic orders do not have a simple process to merge the patient information on to them, resulting in printing additional labels with patient information pasted onto the order sets. This is where the potential errors begin as well as adding additional time to the frontline team members to properly document the orders.
The hand written orders sometimes produce unrecognizable patient demographic information on the carbon copies sent to the pharmacy. The last place in the process where errors occur is in the delivery: fax, porter, or tube. With multiple delivery methods it is hard to keep track of the correct order in which the drugs need to be delivered (as well as losing the STAT orders in the delivery stack). Medirex has enhanced this process by integrating our software, your HIS, and combining them with our Pharmacy application. This allows us to utilize your existing HIS data and deliver accurately printed Orders, with all the required patient information and any additional data specified need for the test or specimen; as well as, scan them down to the pharmacy to ensure accurate delivery, filling, and archiving.
How it Works
The following process flowchart of the Medirex pharmacy application integrated with your HRIS explains the steps that take place from the point of use creating the Physician’s Orders that are scanned electronically delivered, processed then archived in the Pharmacy application.
Process Explained: Doctor’s Orders & Pharmacy
Demographic Data is entered and then sent to the HIS system
• All patient information is entered
• Once completed, data file is stored in the HIS
Storing and Capturing the Data
The the Data will make its way through the workflow in one of two ways:
Option 1: EHR Encounter Data Stream is sent through
Option 2: The unchanged HIS Data stream is captured by the bridge tool
Data Use and Application
At this stage the Data (Option 2) is attached to the labels.
• Step 1: Based on the content and workflow, the data is sorted
• Step 2: The data is entered into a demographic area of the template based on Business Rules
Select and Send to Print
At this point, the Web Tool is used to access the desired patient, orders, and printer; once the data has been merged with the orders, they’re printed out of the printer specified in the Web Tool.
• Step 1: Select the unit printer
• Step 2: Select the patient from the search menu
• Step 3: Select the orders (including blank ones if needed) and quantity
• Step 4: Send to unit printer.
Filling & Sending
The orders are then filled out by the physician and sent to the pharmacy.
• Step 1: Physician fills out the order(s) as normal
• Step 2: Order is scanned and barcode is read and enters the order into the Pharmacy App
The Pharmacy App delivers a refreshed view of the latest orders to the pharmacist, in the *order they arrived.
• Pharmacist opens tool to see all the unprocessed orders (STAT on top)
*Order appear in the order they were scanned to the pharmacy from any unit in the hospital; STAT orders always appear at the top of the orders queue.
Archiving Orders, Electronically
Once the orders are processed and the drugs are delivered to the floor, the orders are archived.
• Orders are archived, electronically, immediately after the order is marked as filled in the system
• Archived order can be searched using a variety of criteria (i.e. Patient Name, Encounter Number, Date, etc)
• Timeframe electronic archives are kept can be set to meet facility standards.
*Note: The printing processes are Industry specific and can be modified for any business or administration. The samples are based on the Health Care Industry.