Using the High Risk Drug Monitoring Templates

Using the High Risk Drug Monitoring Templates

Purpose

High-risk drug monitoring templates have been designed to support safe and consistent monitoring for patients prescribed medicines that require regular review and blood test surveillance.

These templates help clinicians ensure that essential checks are completed and documented according to current clinical guidance — reducing risk, improving patient safety, and providing a clear audit trail within SystmOne.

There are currently two main groups of high-risk drug monitoring templates available:

  • DMARD (Disease-Modifying Anti-Rheumatic Drugs) – e.g. methotrexate, sulfasalazine, hydroxychloroquine.

  • Non-DMARD High-Risk Drugs – e.g. amiodarone, lithium, warfarin and other medicines requiring close biochemical or clinical monitoring.

What does it actually do

Each template includes:

  • Pre-populated fields for relevant baseline and ongoing tests (e.g. FBC, LFT, U&E, TFT, INR).

  • Clinical safety prompts and review reminders.

  • Space to record shared-care arrangements, specialist correspondence, and advice provided to patients. 

When opened, each HRDM template automatically:

  • Pulls in relevant latest pathology records where available (so you can review trends at a glance) or manually records results that have not been integrated into the patient's records i.e. hospital blood results.

  • Displays key BNF monitoring guidance for that specific medicine.

  • Provide views of important patient information such as allergies and sensitivities, medication

  • Provides structured fields for  each monitoring parameter (e.g. LFT, FBC, TFT, U&E).

  • Allows tick-box confirmation for essential safety steps (e.g. ECG done, hospital results checked, red flag advice given).

  • Links to related templates  such as the medication review template for a full structured medication review, pathology requests, letter template, or patient information leaflets — all from the same screen.

  • Creates an auditable record within the patient’s notes to show monitoring has been completed safely and according to protocol.

  • Supports follow-up work flow e.g. scheduling tasks, recalls, or blood test reminders directly from the template.

 

What does it look like

Template

Below are examples of some of the drug templates

     

Where to find it

Users can access the above template either from the Medicine Management  template (this icon  ) which is on the side toolbar on all of the PCIT  templates.   We have also created a link to the Medicine Management template on our OneTemplate for clinicians and Non-Prescriber OneTemplate. 

If users wish to go straight to the High Risk Drug Monitoring OneTemplate,  please use the F12 and search 'High Risk Drug Monitoring'   
 



  



System Dependencies

This template depends on the user being aware of its existence and the practice or PCN choosing to use it as a way of standardising the recording of their structured medication review.  Users will also benefit from other SMR resources that have developed.   

Fitting your practice

Your team need to be aware of the location of this template.  Team members who want to use this can add this to their F12 menus .