Clinical Edit Warning screens for Allergy, Drug-Drug Interaction and Therapeutic Duplication are displayed during the Add New prescription, Dispense and Refill functions when encountered. This checking is done as soon as the medication is selected, prior to the detail screen display. If multiple warnings are found for one prescription, the Allergy screen is displayed first, the Drug-Drug Interaction and then the Therapeutic Duplication. All warnings are color-coded based on severity. Danger-Red; Caution-Yellow; Alert-Blue; Informational-Green.

Clinical Edits can be overridden and PIMS maintains an audit trail. The View Clinical Edits function is used to see all the edits that were overridden when the warnings were displayed.

The Allergy edit functionality uses patient allergy information, the clinical information in the Pharmacy Service Master updated First DataBank and parameters in the User Profile to determine when the allergy screen is displayed. To add patient allergies, you can select multiple allergies, record the patient’s reaction and any verification of the information. The allergy list displays each time the patient is selected.

The Drug-Drug Interaction functionality provides for online screening of potential problems caused by administering 2 drugs concurrently. PIMS uses the First DataBank Drug-Drug Interaction functionality to determine when an interaction occurs and the severity level. Monographs detailing the mechanism of action, clinical effects, patient management and references can be viewed and printed.

Duplicate Therapy edits are displayed based on the parameters set in the User Profiles. Selection for duplicate therapy can be very broad or very specific based upon the options selected.