Patient Alerts
When certain risk conditions occur, Canberra Script raises an alert against a patient's profile to draw attention to the risk. A patient's alerts can be viewed against their Medication History, and in a historic alerts list.
An alert on a patient's profile provides information to help you identify certain clinical risk circumstances. You are still responsible for your own clinical decisions. Canberra Script does not prevent you from prescribing or dispensing medicines you consider to be clinically necessary.
This alert is generated when a prescriber prescribes a controlled (Schedule 8) medicine without the necessary Chief Health Officer (CHO) Approval. This alert is only generated at the time of prescribing.
There are three variations of this rule:
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Patient is flagged as drug dependent by a prescriber
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Patient has been on the controlled medicine for more than 2 months.
-
Another prescriber holds a current CHO Approval
This alert is generated when an authorised prescriber prescribes a controlled medicine under Category 1, Category 2A or Category 2B that causes the average daily Morphine Equivalent Dose (MEqD) dispensed to this patient in the past 60 days to exceed the Category limit. The alert is only generated at the time of prescribing.
There are three variations to this alert, depending on the Category and its associated MEeqD limit:
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Category 1 CHO Approval
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Category 2A CHO Approval
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Category 2B CHO Approval
This alert is generated when a health practitioner prescribes or dispenses a monitored medicine for a patient who has obtained monitored medicine supply/prescription from multiple providers in the last 60 days. While there may be legitimate reasons for the patient to visit multiple providers, the alert will prompt the health practitioner to review the patient’s history prior to prescribing or dispensing.
There are two variations of this rule:
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Patient obtained prescriptions for monitored medicines from at least 3 different prescribers or medical clinics
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Patient obtained supply of monitored medicines from at least 4 different pharmacies
Alert generated at time of prescribing
This alert is generated when in the last 60 days the patient has been dispensed:
an opioid—and they are being prescribed a benzodiazepine/z-drug
— or —
a benzodiazepine/z-drug—and they are being prescribed an opioid.
The risk level of the alert is determined based on whether the prescriptions were written from the same prescriber clinic (medium risk) or different prescriber clinics (high risk).
High risk alert
Medium risk alert
Alert generated at time of dispensing
This alert is generated when in the last 60 days the patient has been dispensed:
an opioid—and it is proposed they are dispensed a benzodiazepine/z-drug
— or —
a benzodiazepine/z-drug—and it is proposed they are dispensed an opioid.
The risk level of the alert is determined based on whether the prescriptions were written from the same prescriber clinic (medium risk) or different prescriber clinics (high risk).
High risk alert
Medium risk alert
This alert is generated when a patient with a current or recent Chief Health Officer (CHO) approval for Opioid Maintenance Treatment (OMT) is prescribed or dispensed any of the following
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Schedule 4 benzodiazepines
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Z drugs (zolpidem or zopiclone)
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Other controlled medicines (e.g. oxycodone, morphine)
The alert is not generated if the prescriber has a CHO approval to prescribe other controlled medicines with OMT.
The risk level of the alert is determined based on whether the prescription for the above medicine was written from the same prescriber clinic as the OMT approval holder (medium risk) or a different prescriber clinic (high risk).
Alert generated at time of prescribing
High risk alert
Medium risk alert
Alert generated at time of dispensing
High risk alert
Medium risk alert
A Patient Safety Notice may be issued by ACT Health in response to concerns about an individual who has been identified to be seeking access to monitored medicines for non-medical purposes and is at risk of imminent harm.
This alert is generated when a patient with a Patient Safety Notice status of Active is receiving a prescription for a medicine listed in the Patient Safety Notice.
The alert message is displayed on the patient profile in Canberra Script.