9/23/21 aa Vancomycin Order Alert: NEW 8/25/21
September 27, 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: Thursday, September 23, 2021 3:45:33 PM
Subject: RE: Vancomycin Order Alert: NEW 8/25/21
After reviewing the alerting of this rule after this modification, it was revealed that a majority of the time this is alerting, it has been overridden and not useful in a majority of circumstances.
In an effort to reduce alert fatigue with these false notifications, we have opted to deactivate this rule for now until further adjustments can be completed.
We will be in touch once a replacement rule has been created. Thank you for your continued patience.
Aaron
From: Aaron Atkins [mailto:aaron.atkins@hhsys.org]
Sent: Wednesday, September 1, 2021 3:10 PM
To: Pharmacists
Cc: amy pope; cassandra gibbs
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.