Ardens has created medication related searches to support practices with identifying patients on medication that may need extra care or monitoring. The following searches maybe of interest to the pharmacy team or clinicians with special interest.
To locate the searches, access the Population Reporting module > Ardens Searches > 2.10 Prescribing - Safety > Medication Related Searches folder.
The Medication Related Searches folder is broken down by a number of sub folders:
Amitriptyline and Oxycodone: reports on patients currently on this medication and no suggestion of a opioid monitoring review in the last 6 months. Clinicians may wish to use the Ardens 'Chronic Pain Review' template when monitoring the patient.
Anticoagulants: identifies DOAC patients and those that require bloods and/or weights prior to reviews. Including searches to identify where clinicians may wish to consider increasing, reducing or stopping medication based on the patient's medication dose.
Carbimazole and female of child-bearing age: identifies female patients of child-bearing age currently taking Carbimazole and are not on any form of contraception. Clinicians may wish to review these patients to advise the risk around pregnancy.
DMARDs: suggests patients to review as no FBC, U&Es and LFTs in last 13 weeks.
Metformin and Vitamin B12: identifies patients on metformin with probable B12 deficiency.
Miconazole and warfarin: identifies patients taking metformin with a eGFR below 30.
Spironolactone and ACE or ARB: identifies those patients currently on Spironolactone who clinicians may wish to review as the patient has had no recent bloods, latest GFR is below 30 or raised potassium.
Tramadol and SSRI: identifies patients on repeat Tramadol and a SSRI.
Unopposed oestrogens and non-hysterectomised: reports on female patients without a indication of a hysterectomy that are currently on Oestrogens.
Valproate pregnancy: identifies females of child-bearing age taking Valproate. Please note Ardens has produced a Clinical Safety warning, which will flag in the patient record if practice staff are prescribing Valproate to a female patient of child-bearing age. For further information on the Ardens Clinical Safety Alerts see the following support article.
To further understand the criteria included in each search, click on the Definition tab for the relevant search:
For further information on the Ardens "Structured Medication Review" template to support recording data for medication reviews, please see the following support article.
If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk