Ardens can assist with drug monitoring to ensure the correct tests are completed, including medications like ACE inhibitors, levothyroxine, anticoagulants, DMARDs and more. For a summary of the drugs and monitoring tests, please see here. For sulfasalazine monitoring, please see here.
1. Pop-Up Alerts on Record Retrieval
When opening a patient's record, a pop-up will appear if a patient is on a High Risk Drug (e.g. a DMARD) that has overdue tests and is under primary care monitoring. The overdue time interval is set at the longest recommended time for monitoring when the patient is stable on their medication, e.g. 12 weeks. The patient may require testing more regularly than this.
If you want to stop these pop-up alerts go to Setup > Workflow Support > Protocols > Ardens > Prescribing and deselect the ‘Drug Monitoring Pop Up Warning’.
2. Templates for Consultations
To access the drug monitoring templates, go to Autoconsultations > Ardens Monitoring. If a patient is on a DMARD or an anticoagulant, they will also have aicon under their name. Clicking this icon will also open the template. The medication must be on their repeat medication list to show the alert.
If the medication is under shared care, this can be recorded at the top of the template. If this is left blank, it will be presumed that the monitoring is done in primary care. As there is only one ‘High Risk Drug Monitoring – Primary Care’ read code, if a patient is on two or more high risk drugs it is assumed monitoring will be the same for each drug. For information about recording hospital medications, please see here.
On the template is also information about the what tests need doing and the warning thresholds. Click in the free text notes box & look to the right to see previous notes.
2. Reviewing Patients With Overdue Tests
To review patients on specific medications with overdue tests, go to Clinical Reporting > Ardens > Prescribing | Monitoring> ....... Here you can run the report and then review the patients record. On the specific drug monitoring template above is a link to the 'Drug Monitoring Letter' template with some useful pre-set text and letters.
3. Sending Reminder Invitations In Batch
To send a reminder invitation in a batch to all your patients who have overdue tests, go to Clinical Reporting > Ardens > Prescribing | Monitoring Invitations > .... Here you will find a report to send a 1st letter to patients with overdue tests. After you have sent them all a letter, batch add the 'XaXwg - Medication monitoring first letter sent' Read code.
If the patient still has not had their blood tests done 1 month later, they will then appear in the '2nd Letter' due reports. You can then send them a further letter and batch add the 'XaXwh - Medication monitoring second letter sent' Read code.
4. Removing Patients From Monitoring
Patients can be removed from monitoring by ending the repeat or by coding the patient with 'High risk drug monitoring - secondary care XaL30'.
NB As drug monitoring carried out by secondary care at some point generally becomes the responsibility of primary care, the secondary care monitoring code above has to be reapplied annually.
5. Contract Activity Reports
There are numerous reports to assist any contract requirements that are needed. To find these reports, go to Clinical Reporting > Ardens > Contracts | Current Financial Year>....