"The Life OPD" is a patient management system which is a part of a "The Life HMS". "The Life OPD" is used for OPD Chamber, OPD Scheduling, Search Patient Records, Prescribed drugs and test report, Patients' clinical records, Smart Prescription, Patient Registration System & also used to search Generic Drugs Information, Interaction.

1. www.thelifeopd.com

2. www.thelifeopd.com

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THE COSTLIESTPRESCRIPTONERROR
o Wysolone
• 50mg oncedailyx1week
• 40mg dailyx1 week
• 30mg dailyx1 week
o Inj.'Depomedrol'
• 80mg IM twicedailyx2 days
• Then40 mg IM twicex days
Dr.Sukumar Mukherjee
Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006
www.indiankanoon.org
www.thelifeopd.com

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THE COSTLIESTPRESCRIPTONERROR
o Clinicalcondition
• ToxicEpidermalNecrolysis(? Drug)
• Erythema+blisters+ Eye-NAD+ LungsNAD XXX
o ℞
• Prednisolone40mg x000
• Zinetac150 00
• Omez20 00
• ..................................
Dr.B.N. Halder's hand written prescription
Dr.KunalSahaRepresentedBySri...vsDr.SukumarMukherjeeAnd Ors.on1June,2006
www.indiankanoon.org
www.thelifeopd.com

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THE COSTLIESTPRESCRIPTIONERROR
CLAIM
Claim in the complaint is in Croresi.e. Rs. 77,76,73,500/-(Rupees Seventy SevenCrores Seventy Six Lakhs Seventy
ThreeThousand and Five Hundred)
COMPENSATION
TheCourtordered compensation of Rs 5.96crorefor the death of AnuradhaSaha for medical negligence. Theamount
itself made hugenews because it crosses 11 crore oncesimple interest is takeninto account.
www.thelifeopd.com

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THE DEFINITION
“A clinically meaningfulprescribing erroroccurswhen,asa result
ofa prescribingdecision or prescriptionwriting process,thereisan
unintentionalsignificantreductionin theprobabilityoftreatment
being timely andeffectiveorincreasein therisk ofharmwhen
comparedwithgenerally acceptedpractice”.
www.thelifeopd.com

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MEDICINES can do a lot of good but they also have the potential
to cause HARM
www.thelifeopd.com

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MANIFESTFUNCTIONSOF THE PRESCRIPTION
 LEGALDOCUMENTATION
 RECORDSOURCE
 MEANSOFCOMMUNICATION
 THERAPYMODALITY
 MEANSOFMEDICALCONTROLOFTHERAPY
 MEANSOFCLINICALTRIAL
www.thelifeopd.com

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ESSENTIALSOF MEDICATIONORDER
Thedrug order, written by the physician, it has 7 essential parts for
administration of drugs safely
IT SHOULD HAVE THE FOLLOWING COMPONENTS:
 Patients full name
 Date and time
 Drugname
 Dosage
 Route of administration
 Timeand frequency of administration
 Signatureof physician
www.thelifeopd.com

10. DECIPHER IF YOUCAN!
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11. DECIPHER IF YOUCAN!
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12. ALWAYS REMEMBER
“TO ERR ISHUMAN!”
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MEDICATION ERROR
 Unnecessary drug
 Incorrect drug
 Duplication
 Allergy error
 Contraindication error
 Interaction error
 Dose/strength error
 Formulation error
 Frequency error
 Timing error
 Information incomplete
 Generic/brand name error
 Omission errorrelating tofailuretoprescribe concomitant
treatment
 Inadequate documentation in medical records
 Quantity error
 Inadequate review
 Duration error
www.thelifeopd.com

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MEDICATION ERROR STATISTICS
Conservatively, at least 1.5 million
peopleper year areharmedby
medications.
Manymedication mistakes are never
reported.
100,000 people die each year as a
result ofmedication errors.
www.thelifeopd.com

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WRITING PRESCRIPTIONS– GOVT WAY
www.thelifeopd.com
Delhi Govt. docs can prescribe only
Generic names
KhombaSingh,
TNN, Jun30, 2010
WB andASSAM Govt. initiate measures
tomonitor generic prescription at Health
Institution
PeethaambaranSinghKunnathoor,Chennai,Friday,
February01,2013
MCIdirects doctors toprescribe drugs
with generic names
Wednesday,January23,2013

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NOW DOCTORSHAVE TO WRITE PRESCRIPTIONIN CAPITALLETTERS
www.thelifeopd.com
"The central government has approvedtoamend INDIANMEDICALCOUNCIL
Regulations, 2002, providing therein that everyphysician should prescribe
drugs with generic names in legible and CAPITALLATTER and he/she shall
ensure that there is a rational prescription and useof drugs"
-JUN 12,2015

17. PRESCRIPTIONFORMAT SAMPLE
17www.thelifeopd.com

18. THINKABOUT
18www.thelifeopd.com
What do I need to prescribe in a
safe way?
Patient
information
Co-morbid
conditions
Drug
information
Pharmacology
Pharmacokinetics and
pharmacodynamics
Therapeutics
Systems
Policies, guidelines,
prescribing aids etc

19. REDUCING
PRESCRIBINGERRORS
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STEPSTO MINIMIZE MEDICATION ERROR
www.thelifeopd.com
FORCINGFUNCTIONS & CONSTRAINTS
AUTOMATION& COMPUTERIZATION
STANDARDIZATION& PROTOCOL
CHECKLIST & DOUBLE CHECK SYSTEM
RULES & POLICIES
EDUCATION/ INFORMATION
BEMORECAREFUL,BE VIGILANT
MOST EFFECTIVE
LEAST EFFECTIVE

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COMPUTERISEDTOOLS
Most studiessuggest computerised toolscanreduceprescribing
errors
Emerging evidence suggeststhattobesuccessful, humanfactors
such asworkflowfeatures,tooldesign andcontextneed tobe
considered
www.thelifeopd.com

22. WRITING PRESCRIPTIONIN THE ERA OF SMARTAPPS
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33. Patientdetails
Clinicaldetails
Diagnosis
Drugs
Investigations
Other Info
Prescribedby

34. REMEMBER THE “FIVE RIGHTS”
34www.thelifeopd.com
THE RIGHTPATIENT
THE RIGHTDRUG
THE RIGHTTIME
THE RIGHTDOSE
THE RIGHTROUTE
1
2
3
4
5

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“PRESCRIPTION ERROR ???”
IT CAN BE PREVENTED…

36. "ADVANCEMENTTHROUGHINNOVATION“
Makingthe HEALTHCARE management simple, efficient andtransparent by developing the
most advanced and innovativeIT solutions

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Thankyou…
Presented by:
DR. DAYANATH MISHRA MD, DM, DNB (NEPHRO)
Chairman, DM Hospitals Pvt Ltd,
Thakurpukur, kolkata
Acknowledgement :
TECHNOLOGY TEAM THELIFEOPD.COM
Associates DM Hospitals Pvt. Ltd.
All my patients…

38.  Saveprecioustimeforthe patientssansphysical
harassment
 Errorfreefully computerizedprescriptionwithauto
suggestlist
 Storesclinicaldataforreferenceand research
 Leadstofast,efficientandsafeoutpatientmanagement
 Improvesresourceplanningand profitability
 Auto alertSMS andEmail to confirmbookings andexpected
time ofConsultation
 Rescheduleof OPDdue to emergencieswithauto alert
generationofSMS andEmail
 MIS fordemographicprofile,diseasefrequencyincommunity,
prescriptionpatternstofacilitateresearchonabove
 Multi-mode OPDbooking throughphone,webandin-person
 Auto Queuemanager –Virtualqueuemanagementsystem
 QueueJumping forcriticallyillpatients
 Realtime queue statusondisplay
KEY BENEFITS: KEY FEATURES: