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I think about this all the time when using our EHR at the University of Kansas. This changes on a daily basis--but this is what I have come up with so far.
Pharmacist Home Screen: This is the "pharmacy command center." You would have real-time information on all the patients in your units or on your services. Quick stats would be available on your home screen---% of patients on VTE ppx/documented contraindication (and patients without it listed for easy entry into their EMR), % of patients with an admission med rec, list of patients in order of prospective discharge date/time (updated by the medical team daily). Your patient list would be organized by level of patient complexity (# disease states, # medications, # high risk meds, # pharmacy to dose orders, abnormal lab values, etc.).
When you enter a patient profile, you have sidebars that expand and collapse, but ultimately stay on the screen at all times---diagnoses, medications, age, weight, creatinine clearance, pharmacy to dose orders.
Tabs would exist to rotate between screens.
Tab 1: Problem List. This would be a major component. Here, you would be able to easily promote or demote pharmacy problems, changing the order of importance. Pharmacists would be able to drag and drop current medications under certain problems/disease states to match medications with indication. Vitals and labs would update in real-time much like your twitter feed does. Notes about each problem could be added, much like a medical note. The key component of this screen is that it is dynamic! It is continuously updated with objective information automatically, and modified on a daily basis by the pharmacist who is able to add subjective information and document the assessment/plan. When monitoring is complete and notes are updated for the day, a simple "snapshot" would be taken which would serve as the daily pharmacy progress note. The meds, disease states, labs, etc. would be coded so that data could be easily pulled from patient records for research purposes. Also included would be quick links to disease guidelines.
Tab 2: Medication List. A list of all current medications. Meds could be easily sorted alphabetically, by pharmacological class, historical doses of vancomycin. Everything using RxNorm of course :) A "medication match" screen lines up current therapies with the prior to admission list. This way you can see which medications are currently held or auto-subbed to formulary items. Quick links to drug monographs would also be integrated.
Tabs 3-?: There would be specialized monitoring screens for different problem categories---ABX which would show cultures, temp trends, WBC trends, current ABX. DM---which would show BG trends, last a1c, SS insulin requirements in past 24hrs, current insulin/orals prescribed. Anticoagulation---you get the picture...
We have some of the functionality already built into our EHR, but ultimately they need to be fluid, dynamic, and bring the information to the clinician..minimizing clicks, switching screens, and documentation time. I have no idea if the "snap shot" progress note is even possible, but it seemed like a neat way to make it easier. Just some random thoughts.