PINCER08 Anticoag + Antiplatelet No PPI Prescribing (HP117)

PINCER08 Anticoag + Antiplatelet No PPI Prescribing (HP117)

Purpose:
This protocol will:
  1. help support the PINCER project, designed to help spot and prevent hazardous prescribing. 

What does it actually do?

The protocol performs the following functions:
  1. Checks to see if the patient is on an anticoagulant or an antiplatelet
  2. If they are and it is attempted to issue an anticoagulant or antiplatelet (the one they're not on) and they don't have a PPI prescribed, the user is warned in keeping with PINCER
This supports the co-prescribing of Lansoprazole 30mg OD or Omeprazole 20mg OD where DOAC + Antiplatelets are being used.

This supports PINCER Query E

Query E
Prescription of warfarin or a Direct Oral Anticoagulant (DOAC) and an antiplatelet in combination without co-prescription of an ulcer-healing drug

What does it look like?

The pop up alert looks like this:

System Dependencies:

This protocol is dependent on accurate coded information within EMIS web, contemporaneously recording information

System Trigger

System Trigger: Issue a drug
Run mode: Always run 
Enable trigger for: All staff
Add Drug group, approved name or ingredient: All oral anticoagulants, all antiplatelets

Fitting your practice

Training staff on the protocol and the PINCER queries is important as they may then spot situations where hazardous prescribing exists but where past coding has been unreliable; for example, if the prescribing has occurred outside of the organisation.

How to get it

This protocol is an optional handy protocol so needs to be requested to be installed in your system.  If you want us to install this in your site please submit a ticket to request this.

Support Information

Development Log

VERSION NUMBER 1

Published 2/8/24
Release notes: Initial RP rebuild

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