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12/11/19 aa Caution: Verification of Volumed Based Dose Home Meds Continued to Inpatient
December 11, 2019

From: "Aaron Atkins" <aaron.atkins@hhsys.org>
To: "Pharmacists" <grp_allpharm@hhsys.org>
Sent: Wednesday, December 11, 2019 4:49:45 PM
Subject: Caution: Verification of Volumed Based Dose Home Meds Continued to Inpatient

Be cautious when verifying home medication orders converted to inpatient orders for medications with a volume-based dose (mL, drops, inh, etc).  There have been reported instances where the unit of measure for the volume does not ‘convert’ correctly from the home medication to inpatient order.   For example in the screenshots below, the generic latanoprost synonym convertsincorrectly from 1 drops to 1 mL, while the brand synonym converts from 1 drops to 1 drops without issue.

Generic converts improperly to mL:

Brand converts properly to drops:

Unfortunately, we do not have a complete list of impacted orders at this time, but it seems to be specific to unique synonyms within the Documented Home Medication History section.

Cerner is actively working on a solution for this, but there is not a scheduled release date for the fix/package at this time.