Summary:
Introduction:
Prescribing the right medicine to the right person is a complex task that
requires co-ordination between multiple clinical stakeholders (health
professionals, patient relatives and patients) even when guided through
standard operating procedures.
Methods:
A web based system that utilizes regular patient data from bedside to bench is
used to monitor and optimize medicine-prescriptions in any given health-centre through
conversational clinical decision support delivered online to health
professionals that allows not only for safe prescribing but also provides
flexibility to meet individual patient requirements.
Online-health-record
samples from working model:
Here are a few of our
online-records: http://globaludhc09.blogspot.in/2015/12/blog-post.html, http://globaludhc09.blogspot.in/2015/11/a-50-years-old-man-with.html,
http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1066 not only
illustrating the online-health-records but also how we managed with nothing
more than the essential drug list EDL medications.
Here's another
one http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1269
showing how there are few rare patients who may require drugs even outside the
EDL although as again illustrated in the same d=record these patients can on
occasion also require the EDL drugs as well.
Results
(and Derivable Impact):
Reduction in inappropriate prescribing practices with resultant positive
change in local drug utilization patterns.
Why
will health professionals adopt/adapt this? What are their rewards?
They will receive regular recognition and career
incentives for a rational, transparent and accountable prescription performance
resulting in better health outcomes for patients.
Common
case-scenarios: A patient with Fever
Past
work in India:
Past
work in India (role of fever charting):
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