The Ardens Prescribing Alert searches identify patients where there may be a potential concern for patient safety. The searches consist of suggestions for blood monitoring, dosage regimen, prescribing appropriateness and/or any missing review codes. Please use your own clinical judgement when reviewing each search.


To locate the searches, navigate to the Population Reporting module > Ardens Searches > 5.5 Ardens Prescribing Searches folder.


Blood monitoring

Amber – Refers to patients identified who have not had either FBC, LFT or U&E’s requested in the last 12 weeks OR coded as reviewed if performed by the hospital in the last 12 weeks.


Red – Refers to patients identified who have not had either FBC, LFT or U&E’s requested in the last 4 weeks OR coded as reviewed if performed by the hospital in the last 4 weeks.

 

Where results may have been done elsewhere, the following codes can be added to the record to indicate that monitoring has been done. This will remove the patient from the relevant search.

 

Code Term

Concept ID

Full blood count normal

165406005

Full blood count abnormal

165408006

Full blood count borderline

165407001

Renal function tests normal

167179007

Renal function tests abnormal

167180005

Liver function tests normal

166602006

Abnormal liver function test

167180005 

 

Blood pressure monitoring

Amber – Refers to patients identified who have not had a blood pressure review/recording in the last 12 weeks. 


Red – Refers to patients identified who have not had a blood pressure review/recording in the last 4 weeks.

If not using a template to record a blood pressure reading, the following codes can be used.


Code Term

Concept ID

o/e - blood pressure reading

163020007


Medication/treatment review

To record a review, please use the appropriate template to record a review where required. If not using a template, the following codes will take them off the relevant list.


Anticoagulant

Concept ID

Warfarin monitoring

268526009

Anticoagulant drug monitoring

307571006

Anticoagulant monitoring in primary care

279231000000108

Anticoagulant monitoring in secondary care

199761000000102

Anticoagulant medication review

922731000000106

Novel oral anticoagulant monitoring

1929101000006101

 

 

Benzodiazepine and Z drugs

 

Benzodiazepine clinical management plan

1064271000000100

 

 

DMARDs/MSK

 

High risk drug monitoring – primary care

205791000000105

High risk drug monitoring – secondary care

205811000000106

 

 

Endocrine/Respiratory

 

Steroid treatment card issued

711121000000102

 

 

Frailty 

 

Polypharmacy medication review

870661000000100

Polypharmacy medication review done by clinical pharmacist

2010011000006106

Antipsychotic medication review

769063007

STOMP medication review

1106111000000108

Structured medication review

1239511000000100

 

 

NSAIDs and Paracetamol

 

Provision of advice about taking paracetamol

806041000000103

 

 

Opiates

 

Opioid medication review

287031000000100

 

 

Pregnancy

 

Drugs in pregnancy advice

171058001

Drugs in pregnancy education

171058001

Advice on risks of harm to fetus from maternal medication during pregnancy

889901000000108

 

 

Respiratory

 

Beta blocker indicated

135801004


If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk