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CDS 5 Rights
Page history
last edited
by John Poikonen 14 years, 9 months ago
| CDS FIVE RIGHTS - right information, person, intervention format, channel, and workflow |
| Applying the CDS five rights to the common themes below: |
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| The Right (Why) |
EBM, Patient Outcomes,
Quality |
Appropriateness of Orders,
Safe Use |
Check Appropriateness of orders |
Safe Delivery of Medication
to Patients |
| Workflow (When) |
Risk Assessment |
Ordering |
Verification/Dispensing |
Administration |
| Person (Who) |
Prescriber, Nursing |
Prescriber, Nursing |
Pharmacist |
Nursing |
| Information (What) |
Risk Factors, ContraIndications to Pharmacological Prophylaxis |
1)Orders sets
2)Order sentences
Real Time Order Checks and references |
1) Real Time Order Checks
2) Alerts
3) Clinical Information (Drug Interaction
4) References |
1) Five Rights
2) Real Time Order Checks
3) Alerts
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| Format (How) |
Risk Assessment Paper Form
Risk Assessment Electronic Form |
1) Paper order sets
2) Interactive order recommendation tools
3) Electonic order sets
4) References |
1) Checklists
2) Electronic References
3) Dosing Guidelines |
1) Guardrails on smart pumps 2) Visual cues 3) Unit wide alerts |
| Channel (Where) |
Paper Chart
EMR |
Paper Chart
EMR |
1) Pharmacy management application
2) Automatic medication dispensing units |
1) At the bedside 2) Automatic medication dispensing systems |
CDS 5 Rights
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Comments (3)
Donald Levick, M.D., MBA said
at 10:50 am on Aug 18, 2009
Looks good.
Under 'Safe Delivery of Meds to Pts' - in the Information (What) - I would suggest adding 'Concurrent lab result checks.'
We have found that between the time that the Coumadin order is placed, until it is administered, the PT/INR may be have changed. This is especially true when an ongoing daily Coumadin order is placed. The administering nurse should have the most current lab value presented to her/him at the time of administration.
sirajanwar said
at 1:56 pm on Aug 18, 2009
Good point Don. We actually have a process in place where the nursing staff always has to document the last INR with respect to administration of the Warfarin. But it was after this document was posted. Will make the necessary changes.
Also, this type of intervention is even more useful when you have bar code medication administration.
gordiano said
at 7:08 pm on Apr 5, 2010
http://www.graficacdc.com.br
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