Using Triscribe to manage omitted and delayed doses
Triscribe is a complete view of hospital medicines usage. From the earliest days, we have also provided a view of missed doses in a hospital.
Triscribe provides a complete view of medicines usage. From the earliest days, we also provided a view of the medicines that have not been given in a hospital. Missed or omitted doses. You can download our full features guide here or watch this short video to learn more.
Hospital medicines data is much richer than GP prescribing data. Precisely because it captures medicines given and medicines prescribed. Clinicians need to know which medicines are given to a patient and when. EPMA systems take this a stage further by recording the reasons for omitted doses.
Starting with missed doses, Triscribe has expanded to track early, on time and late doses. Clinicians use this information to help improve the safety and quality of treatment in various ways.
Use cases
Some example use cases:
Omitted doses analytics and AI are all about patient safety. One recent development in Triscribe is using AI to find patients who persistently miss or refuse medicines.
Giving Parkinson’s medicines on time is critical. Tracking time of administration for these drugs was the first use case for our early/ on time/ late analysis. Now extended to all medicines.
Missing VTE prophylactic doses. A great example of a risk linked to a specific medicine. Triscribe can find all patients that have missed a specific medicine, or all patients that are prescribed a named medicine. How many hospitals have easy access to this data?
Our users tell us that omitted and delayed doses are a great measure of performance for ward teams. That led to our league tables, which show early/ on time/ late doses for every ward. Ward managers use these to see how their team is performing and to help them improve.
Staff training and learning needs. A natural extension of ward performance. You can drill down in Triscribe tables to see which staff administered doses late or omitted doses for vague or unsatisfactory reasons (e.g. no reason given). Nursing education leaders and line managers use this to identify and support staff who need more learning opportunities.
Triscribe is also a great way for staff to learn from each other, so sharing best practice across your hospital.
Learning how staff work every day helps improve resource management. Allocating the people to the places they work best.
How it works
You can watch a short video here to see our Omitted and Delayed Doses charts and tables in action. We also have short videos showing how charts and tables work.
We organise Triscribe analytics in this area in three ways:
League tables showing omitted doses by ward and early/ on time/ late by ward. Omitted doses can be analysed and ranked by reasons. Drill down to analyse doses by medicine prescribed and by administrator.
Overview analysis of omitted doses by reason for the hospital. Includes both standard NHS reasons and your local hospital list of reasons.
Heatmap analysis of omitted doses for each ward showing daily outcomes.
We use similar logic to feed some of our other analytics. For example, VTE prophylaxis.
Our aim is to give you and your team the information you need to make your life easier. Every user of Triscribe Omitted and Delayed Doses analytics could save one hour every week.
Could you save time using these charts and tables? If not, what information could Triscribe deliver every day that would help? Which questions do you find it difficult or slow to answer? How can medicines data you already have be put to better use?
You know best which information that would help you and your team save more time. If there is anything you would find useful that doesn’t seem to be available in Triscribe, please let me know. We would love to add features that help your specific needs.
Send me an email or schedule a 15 minute call to find out more or share your feedback.
Thanks
Reminder: We need your help
We love to receive feedback and ideas from everyone, not just our customers, so we have set up a couple of simple forms to capture your ideas. Anything you send us will be anonymous and we promise to use it to make Triscribe better for everyone.
It would be great if you completed our survey on how Triscribe can save you at least one hour per week. Here is the link.
What am I missing? Let me know how we can use bed occupancy and admissions data to help hospitals manage better by following this link.
Thanks to those of you who have already completed one or both surveys.