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02/17/20 aa RE: Caution: Verification of Volumed Based Dose Home Meds Continued to Inpatient
February 17, 2020

From: "Aaron Atkins" <aaron.atkins@hhsys.org>
To: "Pharmacists" <grp_allpharm@hhsys.org>
Sent: Monday, February 17, 2020 10:06:13 AM
Subject: RE: Caution: Verification of Volumed Based Dose Home Meds Continued to Inpatient

This specific issue with conversion of latanoprost ophthalmic solution home med should be resolved as of today.  Please let us know if you encounter any 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, December 11, 2019 4:47 PM
To: Pharmacists
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.

Thank you to Laura Perry for reporting this!