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