In order to improve the safety of our electronic health record and to adhere to recommended Leapfrog guidelines, it has been determined that an alert will be turned on this week for Drug-Diagnosis contraindication. This alert will fire when a medication is added to the scratchpad (you write an order for a medication) of a patient’s chart that is contraindicated with a documented problem/diagnosis that the patient has. The list of these contraindications have been approved by the IT Pharmacist as well as Medication Clinical Decision Support (mCDS) committee Chair (Dr. Payne).

This alert was approved in November Use and Standards committee. This will impact both the inpatient as well as the outpatient settings.

If you find that your patient's problem list is not reflective of their current state (i.e., alert states drug contraindication with kidney failure, kidney failure on problem list, but patient no longer has active kidney failure), please promptly update the problem list so that it will be correct and no longer fire alert notifications. Again, if the problem list is inaccurate and you do not reconcile the problem list the alert will continue to fire.