Electronic Medical RecordPaediatric Build: An Unexpected Journey

Maryanne Molenaar Systems Pharmacist

Melina KungEMR Pharmacist

Background

EMR progression

Discussion today:

• Stakeholder consultation

• Paediatric catalogue design

• Provision of clinical support

Consultation Process - Expected

“We are met to discuss our plans, our ways, means, policy and devices.”

Consultation Process - ExpectedPaediatric Medication Build Working Party:

• Chief Medical Officer

• Director of Paediatrics

• Paediatric Consultant

• ED physicians

• EMR specialists

Consultation Process - Actual

‘Off they went, not waiting for trays,

balancing columns of plates, each with a

bottle on the top, with one hand, while the

hobbit ran after them almost squeaking

with fright: “please be careful!” and

“please, don’t trouble! I can manage.”’

Consultation Process - ActualPaediatric Medication Build Working Party

PLUS

Paediatric staff from all 3 sites

• Attended monthly departmental meeting

• Video conferencing to demonstrate build

Overall design of build - Expected• Order sentence filtering available in Cerner

• System displays age appropriate order sentences to the user

• Seamless integration of adult and paediatric build

Overall design of build - Expected

Overall design of build - Actual

Overall design of build - Actual• Initial scope determined to be top 200

paediatric medications used

• Clear distinction between the adult and paediatric build required

Overall design of build - Actual

Clinical Information - Expected• Clinical information would be embedded in the

build

• Allows ready access to required information

• Supports clinician in ordering process

Clinical Information - Actual• Research is:

• Completed prior to accessing the system

• Led by senior medical staff

• System is used:

• For order entry

• Safety checking of drug

Conclusion• Journey full of unexpected turns

• Stakeholder as well as end user engagement

• Satisfaction with end product

Thank you