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Products - DPV
The Dynamic PharmacoVigilance Module® (DPV)
Identify, Anticipateand Prevent Adverse Drug Events (ADE)
In a world of greater and growing medication complexity, pharmacy professionals are being asked to provide expanded oversight to ensure safe and effective use of medications. This requires effective monitoring to identify patients that may be at risk for adverse drug events, or to identify those patients who have experienced adverse events from their medications. Often pharmacists lack the necessary tools to provide proactive effective medication oversight and to do so productively and efficiently.
The Dynamic PharmacoVigilance® Module (DPV) is a real-time software tool that automates much of the process for monitoring drug therapy, and utilizes the same patient data and rules parameters used by pharmacists. DPV identifies potential preventable adverse drug events in real-time and provides clinicians with actionable alerts incorporating relevant data and providing guidance, as well as identifying possible adverse drug events.
Taking medication safety to the next level
Some of the more prevalent medication safety technologies under consideration at hospitals today are CPOE and Bedside Bar-Coding. CPOE is intended to prevent medication errors only at the time of order entry by the clinician and Bedside Bar-Coding is designed to prevent medication errors only at the time the drug is administered. Clinical decision support software (CDSS) for pharmacists using the Dynamic PharmacoVigilance® Module (DPV) complements both of these strategies, taking prevention a step further by identifying and preventing ADE's in real time after the drug has been ordered and administered, 24/7. Based on the clinical guidelines in its rules it warns that an appropriate course of action should be taken and monitors the event to ensure that the action is taken.
Key to ensuring medication safety and efficacy is dose assessment and monitoring. DPV emulates and automates the pharmacists' analysis of dose appropriateness using the same tools and calculations, including age, weight (IBW, AjBW, TBW, mg/kg calculation), sex, creatinine clearance calculations (multiple formulas), etc. DPV also has the option to specify rules that alert on an exception basis only i.e. only a wrong dose triggers an activation that requires a pharmacist response. This capability is essential to reduce alert fatigue and eliminating false positives often seen in rules engines without this function.
Equally important to preventing ADE's and identifying ADE's is the ability to monitor lab trends in real-time in order to intervene proactively, as well as alerting to critical lab values and critical drug levels.
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How DPV works
DPV is a comprehensive support solution that combines lab test data and pharmacy electronic drug order entry data in real time, automatically and seamlessly. It supports the pharmacists' and clinicians' efforts in addressing a broad range of frequent, as well as uncommon, ADEs. DPV does this through the use of both simple and very complex ADE rule sets contained in the Hospital ADE Rule Library of over 1,000 rules. These DPV rules use drug and lab data to identify possible opportunities to improve drug therapy. The decision to choose which rules to run in real-time from the library is totally customizable by each individual institution. It is easy to customize an existing rule or build a completely new custom rule in just a few minutes without requiring any IT support or approval.
The DPV module also uses Forward Seek, a forward-looking feature that looks for planned changes in the patient's medication orders that would satisfy a rule. Conversely, Forward Seek also looks for changes in the patient's drug regime that would result in a warning notification or alert. During this process the DPV module automatically analyzes the patient's data without requiring manual data entry through the use of a transparent feature called Survail, a proprietary surveillance search engine technology that operates 24/7 with ADE rules. Best of all, the DPV module incorporates the use of a dynamic interval that automatically adjusts the Good Medical Practice Interval of an ADE rule to reflect the criticality of the lab and the potential dangers of a deteriorating lab trend. If the medical practice interval expires without the clinically appropriate action taken by the clinician, then an alert notification will be made. Both warnings and alert notifications can be issued to the appropriate personnel via email, pager or PDA based on guidance of the rule enabling the pharmacy and clinical staff to respond proactively. And all activations of all patients can be viewed and addressed at all times using only a browser, from any web enabled computer in the hospital, using your secure access code.
Real-World technology for real-time practice
The Dynamic PharmacoVigilance Module®(DPV) was conceived and developed by practicing clinicians with decades of combined experience. It was designed with an open architecture and works with any hospital system. Easy Select™ makes it fast and easy to add rules to the Rule Library, edit rule definitions or adapt a rule function for a specific need. Sets of rules can quickly be customized using filters such as age, gender, weight, doctor and unit.
The solution to preventing ADEs is here
Treatment complexity, accelerated drug introductions, and resource constraints have all impacted the quality of care. Health care providers are looking for solutions that bring valuable, real-time information to the treatment pathway, information that can be acted upon before an adverse drug event occurs --- not just after statistical reports are assembled.
Health care teams want and need more information with less busy work and more time to perform their clinical tasks-where they belong. The solution to the problem of ADEs is here today: Dynamic PharmacoVigilance® The best news is that DPV provides this real-time surveillance at a fraction of the cost of other technologies e.g. CPOE.