eGFR and Metformin Alert (HP023)

eGFR and Metformin Alert (HP023)

eGFR and Metformin alert (HP023)

Overview/Purpose

This protocol ensures that users are informed of safety related to metformin prescribing with impaired or non monitored eGFR

What does it do?

  • Checks:
    • If no eGFR recorded
    • If an impaired eGFR that may need to be considered when prescribing is present
    • If the eGFR has reached the stage that warfarin is contraindicated

Why is it important?

This protocol reminds users of the requirements to monitor eGFR for patients on metformin as well as be aware of the risks of impaired eGFR or where Metformin is contraindicated because of an eGFR < 30 in keeping with the CKS guidelines

What does it look like?

See below screenshot which shows an example of the protocol in use:

No eGFR:

When hovered over the following is seen:

eGFR between 30 and 45:

When hovered over the following is seen:

eGFR <30

When hovered over the following is seen:


System Dependencies

Relies on using the clinical system to prescribe metformin and record eGFR results.

System Triggers

System trigger: Load patient record
Run mode: Always run
Enable trigger for: All staff

Change management considerations

Your team need to understand the need to monitor eGFR in patients on Metformin

How to get it

This protocol is automatically installed in your system.  If you are waiting for installation and want us to prioritise your site, please submit a ticket to request this.