Practice
In practice, the prescriber adds three or four words to each repeat prescription, using the existing prescribing software, and the pharmacist records the indication with the directions. Highfield Surgery reached 85% of repeat prescriptions, and departure and destination audits check that the indication travels with the medicine from surgery to home.
This area of the site describes how clinical indications work in practice.
View or download the article Recording and sharing allergic and adverse drug reactions with patients along with a supporting spreadsheet.
Directory
Drug by drug examples of the phrases used, with warning messages.
Research
Compliance with statins in a single general practice using clinical indications.
Patients
What an expert patient group made of the clinical indications directory.
Audit
Checking that indications travel with the prescription, from surgery to home.
You may also like to try the demo to see how clinical indications might work from the point of view of a prescription writer or see a set of screenshots demonstrating how the prescribing software might work after being modified for clinical indications.
Highfield Surgery, the pilot practice (5,800 patients), added the indication as each repeat request came in and took one and a half years to reach 85% coverage. Today the indication is added as free text in the directions, and in EMIS it is then offered from a pick list (FAQ 3).
With departure and destination audits: a check of repeat scripts where they are produced, against a standard of 80%, and a check of the medicines at their destination, such as a residential home.
In one practice where 85% of repeat prescriptions carried an indication, average statin compliance over a year was 93%. The authors say prospective studies with controls are needed to show whether indications improve adherence (the compliance study).
In the Sample Directory of Clinical Indications, compiled from the repeat prescriptions of a working surgery.
Find the wording for the medicines you prescribe.
The Sample Directory gives the phrase for each commonly prescribed medicine, with warning messages where they are needed.
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Dr Nigel Masters, Highfield Surgery, Highfield Way, HAZLEMERE, High Wycombe, HP15 7UW
W: www.clinicalindications.co.uk
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