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1st November 2007
ePrescribing for paediatrics at Great Ormond Street Hospital
In line with its policy of pioneering new developments in paediatric care and research, Great Ormond Street Hospital has become one of the first NHS Trusts in the UK to implement JAC's ePrescribing and Medicines Administration (EPMA) system in a paediatric care environment.
The JAC system provides clinicians using mobile computers operating on a wireless network with the tools to prescribe and administer medicines at the bedside. Alongside the benefits of vastly improved patient and drug data availability in a legible and complete format, the system provides users with clinical decision support to provide warnings on allergies, drug-drug interactions and therapeutic duplicates using drug data supplied by their partners FirstDataBank.
The initial roll-out of the JAC EPMA system went live in Nephrology and RDU in October 2005 and in Outpatients in April 2006. Since then the Trust has made great strides to increase the reach and usage of EPMA and by August 2007 the system was in use on 11 wards as well as 2 additional out-patient clinics.
 The Trust is on track to increase the number of locations to 19 by the end of 2007 and on to 28 locations by April 2008. Ten different location specialities (Nephrology; Urology; Dermatology & Rheumatology; Neurology, Respiratory Transitional Care Unit, Same Day Admissions; Endocrine, Metabolic & Gastro; Respiratory; Private Patients) are using the system as an integral part of their processes.
EPMA has been designed to place the patient at the centre of the prescribing process so that clinical data and costing information is available on an individual patient basis. This new system assists GOSH Clinicians in the direct provision of patient care and enhances their effectiveness whilst reducing administrative overheads by allowing drugs to be prescribed at the bedside using wireless devices with information being directly linked to the patient's records and to the Pharmacy Department.
Consultants using the system feel that nursing and medical staff have readily adopted the EPMA system due to its dependable and robust nature. Overall the users found it to be very helpful within a specialist paediatric ward.
The solution enhances and complements JAC's Pharmacy Management System which was installed at GOSH in April 2005, and is part of the GOSH Pharmaceutical Department's visionary programme to more effectively manage, monitor and control all aspects of drug prescribing, allocation and stock management.
Major IT advances in healthcare have focussed on patient administration as opposed to assisting clinicians in the direct provision of patient care. The increasing importance of evidence-based medicine and individual patient drug treatment costs has had major impact upon prescribing practices.
JAC's solutions continue to evolve to meet these developing demands and the implications of the Electronic Patient Record by providing NHS Trusts with a comprehensive medicines management system for efficient and effective drug usage management.
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