022 Meds Management: OneDrug Risk

022 Meds Management: OneDrug Risk

The OneDrugRisk searches are designed to identify patients who have:
  1. Monitoring requirements outstanding
  2. Hazard scenarios present
  3. Quality issues identified
Notes
The OneDrugrisk folder forms part of 022 Meds Management


In order to understand the OneDrugRisk folder, it is helpful to look at the Drug Monitoring, Hazard scenarios, and Quality Searches folders first and work our way through these:

Drug Monitoring

This folder contains a number of searches to identify where required monitoring hasn't happened, including:

Drug
FBC
U&E
LFT
HbA1c
TFT
CRP
Lithium
ECG
Amiodarone

Yes
Yes

Yes


Yes
Aminophylline

Yes






Azathioprine
Yes
Yes
Yes


Yes


Carbimazole




Yes



Ciclosporin
Yes
Yes
Yes


Yes


Digoxin

Yes






D-Penicillamine
Yes







Dronedarone

Yes
Yes




Yes
Eplerenone

Yes






Leflunomide
Yes
Yes
Yes





Levothyroxine




Yes



Lithium

Yes
Yes
Yes
Yes

Yes

Methotrexate
Yes
Yes
Yes


Yes


Mycophenolate
Yes
Yes
Yes





Riluzole


Yes





Sulfasalazine
Yes
Yes
Yes


Yes


Tacrolimus
Yes
Yes
Yes
Yes




Valproate
Yes

Yes





Warfarin










Info
Some of these drugs to be monitored have mirrored searches in 032 CQC Navigator or other elements of the PCIT toolset.  
The above searches can be looked at individually or all patients overdue can be identified in the searches in the OneDrugRisk (base) folder, which is detailed in a section further down in this article.

Hazard Scenarios

This folder contains a number of areas where there are hazards with prescribing. Therefore, we would recommend reviewing the patients included in these searches and reports, to identify where action is required to eliminate the hazard.



Quality Searches

These searches are more detailed quality searches.   These are not summarised or included in the base folder summaries and so need reviewing individually.



Alert
The search at the top 'Reasons NOT TO REVIEW (see description)' in this folder aims to identify patients who you would not review the prescribing for. This included end of like care and metastatic disease patients. Additional clinical rules can be added to this search which will be cross referenced against/excluded from all of the other prescribing searches within this folder.

OneDrugRisk folder

The base folder contains some summary searches:


The first two searches (OHR-000a and OHR-000b) are designed to include patients with any of the drug monitoring requirements identified.  Users can decide which of the Drug Monitoring searches their practice wishes to use and edit the search "OHR-000a) OneHighRiskDrug (monitoring due - Practice selected drugs)" to only include these particular drugs. You can do this by clicking on the rule you wish to remove (so it is highlighted blue), then select delete at the top of the page and it will remove that rule/drug from the search. Once you have removed the appropriate drugs, you can click save and close or save and run (at the top of the page)

The search "OHR-000b) OneHighRiskDrug (any drug monitoring due - complete list)" is designed to retain all Drug Monitoring patients that can be identified, so the practice can compare this with the selected list that they have chosen to use themselves.  

The search "OHR-002) OneHighRiskDrug (hazard scenarios - any)" includes all of the hazard scenario searches and will pull in all patients affected in this way.
Searches OHR-001a) and OHR-001b) combine the hazard scenarios with the practice selected monitoring drugs (OHR-000a) and the complete list of monitoring drugs (OHR-000b).  In this way practices can identify all hazard scenarios along with patients that have drug monitoring that is outstanding