How to use Enhanced Safety Check Process

Created November 9, 2018 By MDScripts

Article Summary

Explains Safety Check process and how to utilize the process to perform patient safety checks at the time of dispense.

What a Safety Check Does

A safety check takes three numbers from the patient and searches the database for other providers or entities that have performed the same safety check. Those 3 numbers are the patient's date of birth, zip code, and just the house number of the patient's address. (i.e., for address 123 Main St, you would only enter 123) If matching records are found, the system displays which provider or entity did the safety check along with those records. Using the results, the provider can decide whether to prescribe or dispense to the patient.

Enable Safety Check Option

All sites who stock controlled medications already have Safety Check enabled as an Optional step in the dispensing process. Safety Check can also be disabled or set as Required. This setting can be changed by your sales rep or Administrator in your site settings. Please open a help desk ticket if you need assistance changing the option for your site.

Performing Safety Check

During the Dispense process you will see a new option to Perform the Safety Check
 


On the Safety Check screen you can bypass the Safety check process and click on the Checkout option (or DUR Check if enabled).

 

If you want to perform a Safety Check on your patient, you will need to verify the patient?s DOB, house number from address and zip code are correct. You will then need to confirm that you have the Patient?s Consent to perform the check and then select the Safety Check button to run the check.

 

What data is displayed

The information returned will give you a listing of all Safety Checks performed for the patient matching the information you supplied. You can use this information to determine if the patient may be seeing multiple providers and receiving multiple prescriptions.

Date:    The date of the safety check
Days Ago:    How many days ago
Provider:    The provider that performed the safety check (may be blank)
Pharmacy:    Displays green check if the location can dispense medications
Entity:    Entity name, address and phone where safety check was performed
Comments:    Any comments that were entered.(Only visible for your location)



How does this work?

All three values used in the Safety Check can be quickly entered from the patient's drivers license or identification. Here is the theory behind it using worse case scenarios to demonstrate how it works.

First the zip code: In some of populated areas, there can be 200,000 people living in the same zip code. (Most zip codes are far less.) Therefore the zip code value narrows our search down to 200,000 people.
Next the date of birth: Take a patient age range of 20 to 60 years old. That is a 40 year span. (We could take a larger range, but we are being conservative.) In those 40 years, there are 40 x 365 days = ~14,600 days. Now take 200,000 people divided by 14,600 birthdays to get about 14 people with the same birth date per zip code. So far, we have shown that in a populated zip code, about 14 people can be born on the same day. In order to get the probability down, the house number is used to isolate those 14 people. Most house numbers are three or more digits, but we will use two for worse case. Two digits gives roughly 100 possible numbers, so that makes it 14 people divided by 100 which is .14 people! While this is a small number, real world numbers will be much lower.


Safety Check can also be performed outside of the dispense process using the Safety Check option under the Patients Menu or from the Actions menu on the Patient Listing screen.