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9/1/21 aa Vancomycin Order Alert: NEW 8/25/21
September 7, 2021
From: "Aaron Atkins" <aaron.atkins@hhsys.org>
To: "Pharmacists" <grp_allpharm@hhsys.org>
Cc: "amy pope" <amy.pope@hhsys.org>, "cassandra gibbs" <cassandra.gibbs@hhsys.org>
Sent: Wednesday, September 1, 2021 3:10:30 PM
Subject: RE: Vancomycin Order Alert: NEW 8/25/21
After bringing this rule live, it was found this alert was incorrectly presenting at time of verification of a discontinued order. To reduce this noise, we’ve remove ‘Discontinued’ status from rule review while we troubleshoot a solution. The rule will still alert when comparing to Completed/Voided with Results statuses.
Thanks for your patience, and please let me know if you have any questions/issues.
Aaron B. Atkins, Pharm.D., BCPS
Clinical Pharmacist, Informatics Lead
Huntsville Hospital
(256)265-3276
From: Aaron Atkins [mailto:aaron.atkins@hhsys.org]
Sent: Wednesday, August 25, 2021 2:13 PM
To: Pharmacists
Cc: 'amy pope'; 'cassandra gibbs'
Subject: Vancomycin Order Alert: NEW 8/25/21
In order to address previous medication safety reports of duplicate vancomycin administrations, effective today there is a new rule which has been added to Cerner for vancomycin. Specifically, when an order is verified/entered within MedManager, Cerner will evaluate the start date/time of this new order and compare it to any previous vancomycin orders in a Completed/Discontinued/Voided with Results status. If the new order’s start date/time is within 12 hours of the previous order’s start date/time, then the alert shown below will present in Med Manager prompting the pharmacist to review previous orders/MAR administrations for proper timing of the new vancomycin order.
Important Notes: If a vancomycin order is currently ACTIVE and a new order is placed, the pharmacist will continue to receive Duplicate therapy mCDS window alerts and this alert will not present. Additionally, per request, pediatric/neonatal nursing units are excluded from this rule.
Please let me know if you have any questions or experience any issues with this alert. Thank you.