Heidi to stop changing the drug names - when I dictate or outline a plan
J
Joel Killey
I often dictate a plan which includes drug names, doses and times. Heidi frequently changes the names to another drug in the same class
Olanzapine changed into Haloperidol is a common one
droperidol changed to tramadol is another I get
Vortioxetine change to Fluoxatine I got last night
Heidi clearly is understanding to some extent as it is often picking something from the same class - but it is a real pain to need to keep manually changing the drugs to be the correct choices .
I am psychiatrist so I know I am talking about and prescribing medication that is not the common or usual choices - so an average predication of what is "right" isn't going to be correct most of the time
Oh and it kept putting depo instead of depot last night for some reason, by my count there are a lot more injectable antipsychotics depots than depo medication (I can only really think of Provera in the latter category
Tom
Hiya Joel Killey, thanks for this post! I have a few more questions for you:
- Can you provide specific examples of when the drug name changes occur, including the context or phrases used?
- Are there specific drug names or classes that are more frequently misinterpreted by Heidi?
- How do you currently correct these errors, and is there a preferred method for making corrections?
J
Joel Killey
HI Tom
I just had it happen 3 times in a dictation. I am dictating a patient history and plan , had one medication change in the history and another in the plan.
I had said "he has started to refuse his depot, but continued to take oral olanzapine" however Heidi substituted lansoprazole for olanzapine.
later I was dictating the plan; I do this in a numbered list.
"4. Requires medication this evening. Offer oral olanzapine 10mg, but if that is refused, he should be given an IM droperidol 10 mg." Heidi substituted Haloperidol for droperidol
"6. Chart for regular lorazepam 1 mg BD.
- PRN lorazepam 0.5 to 1 mg Q4 hourly max 2 mg."
Heidi changed the second lorazepam to Diazepam
I am not sure - I am talking about a lot of psychotropics because of my specialty, so for me it is usually these - but that is just as likely selection bias. It seems to get olanzapine wrong a lot I think - and it never gets droperidol right - it is almost like it doesn't know the drug exists.
I correct them by changing them to the correct medication manually in the smart dictation (or less often the note) prior to extracting the note for entry into my eMR / letter.
I am sure that occasionally the error is just my poor dictation; when I am very tired it makes sense that it gets it wrong if I am not speaking clearly enough but that is a rare case - and this is happening all the time.
I hope that is helpful
Regards
Joel Killey