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Old Dog, New TricksAsif Sarwar
History of PICS at QEHB
• 1,200 bedded tertiary referral and University teaching hospital
• £545million new development opened June 2010
• EPMA across all in-patient beds– Not yet in A&E, theatres, dialysis
Description InformationHospital 1200+ bedsPICS Specialties 17
PICS registered users >5000Weekly logins 3900
‐ 960 doctors‐ 2470 nurses
Peak concurrency 600+Weekly prescriptions 32,000Weekly administrations 137,000
OPD episodes 10,000 per week
What to expect from this session
• How we manage PICS– The drug dictionary– Rules– More rules
• My first year experience
In house developed system
• Expert error detection
– Rules based surveillance with alerts outside order entry
Responsiveness• Omeprazole and Clopidogrel
• Hypnotics and falls risks
• Hydroxyzine (Atarax, Ucerax): risk of QT interval prolongation and Torsade de Pointes;
• Sofosbuvir with daclatasvir; sofosbuvir and ledipasvir: risks of severe bradycardia and heart block when taken with amiodarone
THE SECRET OF CHANGE IS TO FOCUS ALL OF YOUR ENERGY
NOT ON FIGHTING THE OLD, BUT BUILDING ON
THE NEW
SOCRATES
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