Patient Safety Checks
Patient Safety Checks appear when one or more doses in a dispense may affect a patient’s wellbeing. The selected vaccine will be flagged if it conflicts with the patient’s age, gender, or immunization history:
A red-colored badge will appear on the vaccine card, alerting the user to the type of safety check that was triggered. Users cannot dispense the vaccine(s) until all patient safety cautions have been addressed.
Addressing cautions
Users can address the open patient safety cautions by pressing the Review Cautions button at the bottom of the screen. A popup will appear with details on the patient safety caution and why the vaccine was flagged, and the user will have the option to Override the caution or select Do Not Dispense to remove the vaccine from the Dispense list.
Overriding a caution
Users are required add a reason for a patient safety override if they want to move forward and dispense the vaccine. When the Override Caution button is pressed a textbox will appear on screen, prompting the user to add a reason to override the caution.
The user is required to add a reason for the override. Once the reason is entered and saved, the red-colored safety caution affixed to the vaccine card will be recolored orange and read “Overridden”. The user can now Dispense that vaccine.
Types of Patient Safety Cautions
The following patient safety cautions will be checked against each vaccine selected for Dispense:
- Age
- Gender
- Too Close
- Too Many
- Duplicate
- Schedule
- Multiple
Age Cautions
Age cautions appear at the AccuVax when a patient's date of birth is out of the range with a vaccine's licensed age guidelines.
Too Close Cautions
Too Close Cautions are shown when less than the minimum interval time has elapsed between doses for a vaccine.
zToo Many Cautions
Too Many Cautions are shown when a patient has already received all doses in a series.
Duplicate Cautions
Duplicate Cautions display when select vaccines are the same or crossover within the same vaccine disease group, such as a patient dispense that contains one dose of Kinrix® (DTaP + IPV) and one dose of Daptacel® (DTaP). These conditions will result in a Duplicate Caution since both doses include DTaP.
Gender Cautions
Gender Cautions appear when a patient's gender is different from the vaccine's licensed guidelines.
Schedule Cautions
The Schedule caution does not apply to vaccines selected for Dispense, instead it applies to vaccines that can be added. The caution triggers based off the ACIP schedule that can be customized and configured for your practice on the AccuSite portal.
When a Schedule Caution is displayed, the following options display:
- Override and Add: This option adds the suggested vaccine to the Dispense list
- Do Not Add: The suggested vaccine will not be added to the Dispense list
Multiple Cautions
If a dispense is associated with multiple types of cautions, a Multiple badge is shown on the vaccine. All cautions need to be reviewed and overridden before the vaccine can be dispensed.
Scrolling through multiple cautions
All cautions need to be addressed before a Dispense – whether they all apply to one vaccine or multiple vaccines. When there is more than one caution that needs to be addressed the user can:
- Scroll from caution to caution via finger swipe
- Press the arrow button to move forward or backward
- Press the tiny circle at the bottom of the popup
- Auto scroll: after each caution is addressed (either via override or do not dispense) the screen will automatically scroll to the next caution
Patient safety checks will only run when dispensing for a patient via Patient or Order mode, and will not apply if the user chooses to continue without a patient.