Derby Starts Drive for Safer and more Informed Electronic Prescribing for Hospital Patients

DXC TechnologyDXC Technology (NYSE: DXC) is collaborating with Royal Derby Hospital, part of the University Hospitals of Derby and Burton NHS Foundation Trust, on an initiative that will better alert doctors to genuine prescribing dangers, electronically link patient information and best practice to prescribing decisions, and improve patient safety whilst reducing pressure on staff.

E-prescribing and medicines administration, or ePMA, is part of a much larger hospital digitisation programme in Derby underpinned by DXC's Lorenzo electronic patient record (EPR) system. As a next-generation EPR, Lorenzo is both interoperable and expandable, and it is designed as the heart of a best-of-breed healthcare architecture.

Deployment of the ePMA component of Lorenzo has already started at the Derbyshire Children's Hospital and will extend to all inpatient areas in Derby, replacing an outdated electronic prescribing system.

Debbie Loke, deputy chief information officer at the trust, said: "Enabling safer, faster and more informed prescribing for busy doctors and nurses and the patients they look after is a core ambition in our transition to Lorenzo ePMA. Unlike most hospitals embarking on digitisation programmes with the Lorenzo EPR, electronic prescribing is not new for us. However, staff will benefit from a much more intuitive, mature and connected system, configured around their workflow. This will better guide their decisions and alert them to real risks."

The new ePMA system will sit alongside several specialist prescribing systems used in areas such as oncology and critical care. It will integrate with crucial patient information held in the trust's EPR, facilitating suggestions and alerts based on an individual patient’s circumstances.

Matt Elliott, the pharmacist responsible for overseeing ePMA systems at the trust, said: "This is about helping to guide prescribers - giving them suggestions based on the best practice, the latest drug prices, clinical guidance, prescribing policy and the context of a patient's history.

"Our staff are already familiar with the typical benefits of electronic prescribing - such as having access to information in different locations, legibility or being alerted to patient allergies.

"We now want to go much further with Lorenzo, pre-populating the system with common doses and using relevant linguistics so prescriptions can be issued quickly and easily. Linking to the EPR will mean prescribers have drug orders, lab tests, drug administration and patient information all in one place and they can benefit from proactive suggestions for patients with specific conditions and comorbidities."

Dr Sam Thacker, associate clinical informatics officer at University Hospitals of Derby and Burton NHS Foundation Trust, said the new system could check for conflicts for patients with chronic kidney disease, heart disease and other illnesses, whilst also helping to avoid alert fatigue.

"Every extra alert that is extraneous comes with a cost," he said. "We can stratify alerts in Lorenzo and manage them so the most dangerous and more uncommon things are more likely to interrupt users' work than the more common and benign. We haven't had the ability to do that before. Now something minor will show as text, whereas if a prescriber presses 'OK' on something potentially fatal - they have to enter a reason. That is a big improvement."

Dr Thacker added the new system would also help with drug administration, planning rounds and boosting compliance with drug administration policy.

"Additional safeguards will bring us down the road of better safety - with fewer errors. We can help to ensure harm is minimised and that any causes are recognised," he said. "This is something Lorenzo will help us to realise."

Colin Henderson, director of healthcare and life sciences for the UK, Ireland, Israel, the Middle East and Africa (UKIIMEA), at DXC Technology said: "Digital technology has the power to transform care and improve safety in the increasingly pressured environments faced by healthcare professionals in NHS hospitals. The work at Derby is a great example of taking established technology and configuring it to real clinical workflows. There is clearly strong commitment from hospital leadership, digital specialists and healthcare professionals in Derby to ensure technology provides the meaningful insights clinicians need to deliver the best outcomes for patients."

About University Hospitals of Derby and Burton NHS Foundation Trust

University Hospitals of Derby and Burton NHS Foundation Trust is one of the largest NHS trusts in the country, covering southern Derbyshire and south east Staffordshire. The trust has five hospitals sites, with the largest being the Royal Derby Hospital which was opened in 2010 by Her Majesty The Queen and His Royal Highness The Duke of Edinburgh. The Trust employs over 13,000 staff and provides clinical services across a wide range of specialities. Its other hospitals include the acute Queen’s Hospital Burton, and community hospitals Sir Robert Peel in Tamworth, Samuel Johnson in Lichfield and London Road in Derby.

The Trust also works closely with the University of Derby and University of Nottingham, and it is very active in the field of research. In addition, the Trauma and Orthopaedic service is one of the biggest in the country and the Trust also comprises the Derbyshire Children's Hospital.

About DXC Technology

As the world's leading independent, end-to-end IT services company, DXC Technology (NYSE:DXC) deploys digital solutions to Health and Life Sciences organisations across the world. In the UK DXC maintains over 100 million electronic health records, and 75 per centof NHS Trusts in England are its customers. Through the use of digital technology DXC is working with the NHS to deliver new models of care and enablebetter healthcare outcomes for patients to support the acceleration of connected digitisation across health and care.

Most Popular Now

Sanofi and Google to Develop New Healthc…

Sanofi and Google will establish a new virtual Innovation Lab with the ambition to radically transform how future medicines and health services are delivered by tapping into the power of...

A Miniature Robot that could Check Colon…

Engineers have shown it is technically possible to guide a tiny robotic capsule inside the colon to take micro-ultrasound images. Known as a Sonopill, the device could one day replace...

Call for Startup Pitch Day @ Villeroy …

The Startup Pitch Day is a competition to identify innovative Startups with the aim of creating potential cooperation with Villeroy & Boch Innovations GmbH. Therefore 10 startups are invited to...

Oxford Health Uses Oxehealth Technology …

Oxford Health NHS Foundation Trust has introduced a new observation protocol for checking the safety of patients with severe mental health conditions at night, after a formal evaluation of technology...

Wearable Technology to Personalize Lu-17…

Researchers at the University of Washington in Seattle, Washington, are developing a user-friendly (worn at home) vest with technology that collects data to tailor personalized therapy for patients with metastatic...

3D Body Mapping could Identify, Treat Or…

Medical advancements can come at a physical cost. Often following diagnosis and treatment for cancer and other diseases, patients' organs and cells can remain healed but damaged from the medical...

QUIBIM to Develop Platform in Leading Re…

QUIBIM is helping to advance knowledge of the most lethal pediatric tumors through EU-funded project PRIMAGE, which exploits precision information from medical imaging to establish tumor prognosis, and expected treatment...

MEDICA App COMPETITION 2019 Launches

18 - 21 November 2019, Düsseldorf, Germany. Held in Düsseldorf, the world's leading medical trade fair, MEDICA, is also the world’s number 1 when it comes to start-ups in the health...

Siemens Healthineers, the University of …

Siemens Healthineers, University of Missouri System (UM System) and University of Missouri Health Care (MU Health Care) launch "Alliance for Precision Health." The ten-year collaboration will bring the partners' expertise...

Consumers Less Attentive to News Content…

Heart rate variability decreases and changes in sweat are muted when viewing video news content on smaller screens. Both are indications of reduced attentiveness and engagement with content, according to...

Advanced Therapies Feature in New IMI Ca…

Advanced therapies are a major part of new Innovative Medicines Initiative (IMI) Calls for proposals. The two advanced therapies topics aim to accelerate research into advanced therapies for rare diseases...