Theme | Definition |
---|---|
Labeling | The labeling of medication bottles is time-consuming, redundant, incomplete, and can lead to inaccuracies. |
Insufficient Process Notification | The EMR has an inefficient method of alerting the pharmacist that a patient is ready for dispensary services due its reliance on the clinician’s memory. |
Triple Documentation | The pharmacists currently document patient prescription/dispensation information in three separate documentation forms (i.e., medication labels, Pharmacy Activity Sheet, and the EMR). |
Knowledge of Patient Details During CPOE | Clinicians are unaware of a patient’s financial capabilities during CPOE, that determine what type of medication and dosage to be ordered. |
Clinician Ordering | The destination of the patient prescription (i.e., BFC, community pharmacy) is unknown during CPOE, which often leads to incorrect CPOE. |
Knowledge of Formulary | Clinicians have no visibility into the available medication stock at the BFC dispensary. |
Dispensing | The EMR is only capable of supporting the prescribing process at the BFC and does not provide a similar structure for dispensing practices. |
Patient Validation | The dispensary lacks an explicit method to validate that the right medication is being dispensed to the right patient. |
Inventory Maintenance | The dispensary is unable to use prescription information in EMR to track medication inventory and dispensing history in real-time. |
Drug-Drug Interactions (DDI) | The dispensary lacks an explicit method for checking potential DDI’s at the counseling site due to the inability to readily access past dispensation records. |
EMR Accessibility | Pharmacists cannot readily access the EMR at relevant locations, such as the patient counseling location. |
EMR Complexity | Volunteer pharmacists and clinicians are not familiar with the specific protocol when ordering medications to the BFC dispensary in the EMR which leads to incorrect EMR order entries. |
PAP Application Process | The PAP application process is challenging and time consuming due to the large amount of paperwork involved and the wide variation in application format and patient requirements. |