January 2010
Pharmacotherapy Safety in Göttingen
The Evangelisches Krankenhaus in Göttingen-Weende chooses RpDoc®

With 30,000 inpatients and 15,000 outpatients per year, the Evangelisches Krankenhaus in Göttingen-Weende, academic teaching hospital of the Georg-August University of Göttingen, is the second largest hospital in the area.
In the area of pharmacotherapy safety, the Evangelisches Krankenhaus in Göttingen-Weende would now like to offer their patients a special quality of treatment, and it has decided to use RpDoc® for electronic prescription support.
RpDoc® will be used in the central reception from January 2010, then rollout at the other wards of the clinic will follow.

 

January 2010
The Maria-Josef Hospital in Greven optimises the pharmacotherapy process

"125 years of tradition and progress" is the motto of the Maria-Josef Hospital in Greven, the largest employer in the area.

For greater progress in pharmacotherapy and to optimise the quality of treatment and patient safety, the Maria-Josef Hospital has decided to use RpDoc®. Pharmacotherapy is the most commonly used method of treatment, but it also has the highest failure rate. Electronic prescription support with RpDoc® should help make pharmacotherapy safer. The 3-month pilot starts in January 2010 in the central reception.

 

January 2010
4 Clinics in Sauerland choose RpDoc®
Pharmacotherapy safety is not just something for university clinics. For smaller and specialised clinics in particular, using electronic prescription support with RpDoc® can help to improve patient safety and reduce treatment costs.
The Sauerlandklinik Hachen, the clinic of Dr. Evers from Sundern, the St. Johannes Hospital and the Karolinen-Hospital Hüsten from Arnsberg are four more hospitals that have decided to use RpDoc®.
The pilot in the four clinics starts in January 2010

 

November 2009
e-med ppp: Patient safety and Procurement Processes
A project for innovative medicament supply in hospitals with RpDoc®.
To identify the most innovative concept for improvement of patient safety and logistics in pharmacotherapy and use of medicinal products in hospitals, the state government of North Rhine-Westphalia (NRW) announced a competition. An independent jury from the state of NRW has selected a concept from a consortium of 18 partners, including renowned research institutes from NRW, industrial partners and hospitals, as the best solution. As well as the Universities of Duisburg - Essen and Bochum, other participants included the Fraunhofer IML (Institute for Medical Education) and ISST (Institute for Software and System Technology). The partners from industry included 3M, B. Braun, GS1 Germany and RpDoc® Solutions, which is responsible for the area of pharmacotherapy safety.
With a running time of 3 years, e-med ppp will produce solutions to counter system failures in the logistics chain, insufficient risk control in prescription and use of medicaments and medical products. In future, the path of a medicament or medicinal product will be traceable from purchase through goods logistics to therapeutical use, and it will be possible to carry out calculations regarding costs.
Electronic prescription support with RpDoc® is the central instrument in this concept, to prevent medication errors and provide clear pharmacotherapy safety. RpDoc® supplies the data on prescription and use, which is required for optimisation of the logistics processes. The costs for use of medicaments and medicinal products should be reduced and made easier to analyse using adequate prescription and optimised logistics.
The solution that has been conceived takes into account international standards and it will be possible to integrate it to existing hospital procedures and systems. Patient safety and procurement processes are the key subject - avoiding errors in medication, reducing costs and increasing efficiency are the aim. This fits the product philosophy of RpDoc® perfectly: Cutting costs safely.

 

Promotion

Carried out by the state of North Rhine-Westphalia (in the framework of the research competition, Logistik.NRW).


Partners:


From research:

- Fraunhofer IML

- Fraunhofer ISST

- University of Bochum

- University of Duisburg/Essen

- Münster University of Applied Science

- Institute for Medicament Safety

- MedEconRuhr

- Wirtschaftsförderungsgesellschaft Herne (Business development council)


From industry:

- Roeser Medical

- 3M

- B.Braun

- Paul Hartmann AG

- F-LOG AG

- RpDoc® Solutions

- GS1 Germany

- GSG mbH

 
From practice (first users):

- Stiftung Katholisches Krankenhaus Herne 

- Gemeinschaftskrankenhaus Herdecke

 

 

November 2009
RpDoc® Solutions opens its first dependence in NRW
With the opening of its first dependence in Recklinghausen, RpDoc® Solutions now also has a presence in North Rhine-Westphalia. Both the increasing number of existing customers and the large number of clinics interested in NRW, and the co-operation with research bodies in NRW, such as the Fraunhofer Institute, and collaboration in research projects in NRW have led to this step.
With about 400 hospitals and around 2,000 old people's homes and care homes, NRW is an ideal location for further expansion of the successful business activities of RpDoc® Solutions. "The new operating facility provides the opportunity to handle customers in NRW on-site with even more flexibility and efficiency." according to the managing director of RpDoc® Solutions, Simone Grandt.
Reacting quickly to the needs and wishes of customers is one of the guiding principles of RpDoc® Solutions. "The time measured between agreeing an appropriate, customer-specific adaptation and implementation, i.e. availability for actual use, is 7 working days on average", says Christof Schelian, Head of Technical Development. A high standard, which will also be maintained as customer numbers steadily grow.

 

October 2009
Use of RpDoc® in the training of medical students at the Philipps University, Marburg

RpDoc®Solutions has made a specially developed eLearning version of the RpDoc® Klinik software available for teaching of Medical Information Technology in the Human Medicine course at the Philipps University in Marburg
From the Winter semester 2009/2010 about 250 students from the 1st and 2nd year of clinical study will be taught about the functioning of modern information systems to improve pharmacotherapy safety.
With the eLearning version of RpDoc® Klinik, the students have the chance to get to know the workings of a professional CPOES better, and to gain an insight into how electronic prescription support withRpDoc® helps to make pharmacotherapy even more safe and cost-efficient.

 

 

October 2009
Use of RpDoc® in a research project from the Federal Health Ministry to develop universally applicable strategies for improvement of pharmacotherapy safety at the interfaces of outpatient and inpatient care

Hospital admissions and discharges are complex procedures, which lead to considerable adjustments to pharmacotherapy. 60% of patients in a current study had at least one unintentional change in pharmacotherapy during their stay in hospital, and 19% had an unintentional change in pharmacotherapy that was potentially dangerous (1). The risks of pharmacotherapy with cross-sector treatment result not only from inadequate prescription decisions, but above all from insufficient cross-sector communication and consensus for decisions about pharmacotherapy. More than 60% of the undesired medication events in hospitals go back to decisions during the admissions process (2,3) and 12.5% of the patients suffer from avoidable side-effects from pharmacotherapy after discharge from hospital (4). 95% of the house doctors questioned state that the letter of discharge from hospital rarely (52%) or never (43%) contains the reasons for changes in medication.

For this reason, the BMG has announced a research project to develop a universal process that can be used in routine care to improve the cross-sector co-ordination of pharmacotherapy and reduction of pharmacotherapy risks and undesired medication events in hospital admissions and discharges (BMG announcement, Bundesanzeiger  26/05/2008). From the entries submitted, an independent panel of experts selected the concept from the Institute for Pharmacotherapy Safety from the University Clinic of Essen and the Clinic of Saarbrücken to be supported.

For electronic prescription support and cross-sector agreement of pharmacotherapy concepts, RpDoc® is used in this project. The first results of the project should be presented at the 3rd German Conference for Patient Safety in Pharmacotherapy 2010.

 

1.    Vira T, Colquhoun M, Etchells E, (2006) Reconcilable differences: correcting medication errors at hospital admission and discharge.  Quality & Safety in Health Care (15) 2:122-126

2.    Peyriere H, Cassan S, Floutard E et al., (2003) Adverse drug events associated with hospital admission.  Ann Pharmacother (37) 1:5-11

3.    Dormann H, Criegee-Rieck M, Neubert A et al., (2003) Lack of awareness of community-acquired adverse drug reactions upon hospital admission : dimensions and consequences of a dilemma.  Drug Saf (26) 5:353-362

4.     Forster A J, Murff H J, Peterson J F, Gandhi T K, Bates D W, (2003) The incidence and severity of adverse events affecting patients after discharge from the hospital.  Ann Intern Med (138) 3:161-167

 

July 2009
Press statement
Announcement of compatibility with Windows® 7 and Windows Server® 2008 R2.
RpDoc® Solutions offers a new version of RpDoc® Klinik


Saarbrücken  — 21/07/2009 —
RpDoc® Solutions have announced the arrival of a new version of their application, RpDoc® Klinik, which works with Microsoft Windows®>7 and Microsoft Windows Server® 2008 R2> to offer customers increased safety, innovative features for user interfaces and improvements in reliability.

RpDoc® Klinik has been developed for requirements of doctors, care staff and pharmacists in routine operation of acute and rehabilitation clinics. RpDoc® Klinik provides you with electronic prescription support, which helps you to ensure medically safe and economically satisfactory pharmacotherapy in hospitals. “Our ISV community thrives on innovations and we are very active to ensure that our partners drive future software experiences“, says Ross Brown, Vice President of the ISV and solutions partners for the Worldwide Partner Group at Microsoft. “Thanks to the compatibility with the new operating systems from Microsoft, ISVs can stay a step ahead of the competition and offer their customers access to innovative technologies.“ “RpDoc® Solutions is pleased to bring a new version of RpDoc® Klinik onto the market”, says Christof Schelian, Head of Technical Development at RpDoc® Solutions. "Thanks to the compatibility of our application with Microsoft Windows® 7 and Microsoft Windows Server® 2008 R2, we can offer our customers considerable advantages, including improved safety and reliability features and full support for multi-core processing"

The names of products or services mentioned here are trade marks of the relevant owners.

 

May 2009
Pharmacotherapy safety net for old people's homes and care homes
Residents of old people's homes and care homes are particularly in danger of suffering avoidable side-effects of pharmacotherapy: They often suffer from several illnesses, so they take a large number of medicaments, they have limited organ functions and are treated at the same time by several doctors, who must treat these patients outside the infrastructure of their practices.
Based on the analysis of medication risks in residents of homes, RpDoc® Solutions is developing web-based software, which supports communication between clinicians, homes and pharmacies with home delivery, enabling documentation of pharmacotherapy and patient factors relevant to medication, and optimises pharmacotherapy by indicating possible risks. Medical and economic effects of using this software are being evaluated within a scientific study.

 

April 2009
ConhIT 2009 -  RpDoc® Solutions looks back on a successful trade fair
From the 21st-23rd of April RpDoc® Solutions celebrated another successful participation at ConhIT – the sector gathering for IT the health sector.
As in other years, visitors to the conference and trade fair could find out about the wide range of functionalities and innovations at RpDoc® at our stand, and see for themselves with a live demonstration of our product.
The response from the many visitors to the stand was highly positive, confirming the high quality of our product.
We are delighted that RpDoc® had such a high level of acceptance from potential customers.
Looking back, ConhIT was a great success for our company.

We are grateful for the many successful conversations with potential customers, customers and partners.

 

April 2009
RpDoc® shortens the time required for process support
Quality of pharmacotherapy and process time are related: Pharmacotherapy safety tests with RpDoc® identify not just inadequate therapy, RpDoc® also informs the doctor immediately about relevant changes to laboratory values by SMS and email, showing which medicaments could be responsible. According to a study (1,2), this can shorten the average process time by 0.5 days.
RpDoc® is improving treatment safety: With many medicaments abrupt discontinuation can lead to life-threatening symptoms. RpDoc® now indicates when medicaments must be discontinued gradually. It indicates when a necessary therapy is lacking. Economic aspects are taken into account as well as medical aspects: RpDoc® calculates the daily therapy costs for all patients, supports calculation of cost objects and identification of expensive patients – not weeks after admission, but in real time, so corrective action can still be taken.

 

 (1) Rind D.M. et al. Effect of computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med 1994; 154:1511-7. (2) Bates D.W., Gawande A.A. Improving Safety with Information Technology NEJM 2003; 348:2526-34.

 

December 2008
University Clinic Salzburg chooses RpDoc®
Top medicine around the clock is the motto of the Salzburger Landeskliniken (SALK), and the University Clinic, Salzburg. With around 1,182 beds in 19 departments and seven institutes, about 48,000 patients are treated here annually. The model and partner university of the Paracelsus Private Medical University is the renowned Mayo Medical School in the USA.
To ensure safety and cost-efficiency of pharmacotherapy, the University Clinic Salzburg intends to implement RpDoc®. Supported by the pharmacy, RpDoc® will be used and evaluated initially by the internal medicine department from January 2009.

 

December 2008
More university clinics decide to use RpDoc®
The Marienhospital Herne, Clinic of the Ruhr-University, Bochum, was the first German university clinic in the network of health-promoting hospitals from the WHO and it is yet another university clinic that has decided to use electronic prescription support with RpDoc® to improve pharmacotherapy safety. The Marienhospital Herne treats over 25,000 patients annually and has over 575 beds. A further 37,000 people are treated as outpatients. RpDoc® was implemented, in this case with an interface to ixserve, a communication platform for data exchange in the health sector, which also contains cross-sector preparation of clinical information.

 

November 2008
SRH Suhl Central Clinic chooses RpDoc®
The governing body of the SRH clinics want to offer their patients the best possible pharmacotherapy safety, and for this reason they decided to use RpDoc® for electronic prescription support in the Suhl Central Clinic, an academic teaching hospital belonging to the University of Jena, where the system has been implemented with an interface to the "Orbis" CIS from Agfa. The project is headed by Prof. Haberbosch, Medical Director and Chief Cardiologist, and Dr Keiner, Head of Pharmacy for the 650-bed hospital. Use in routine operation begins in December.

 

October 2008
Paderlog usesRpDoc® to optimise patient safety
Paderlog, Centre for Hospital Logistics and Clinical Pharmacy at the Brüderkrankenhaus St. Josef Paderborn, has decided to use RpDoc®.
In a project to improve patient safety through structured medicament anamnesis on a ward at the Brüderkrankenhaus, RpDoc® has been used since October 2008 to support the team of experts from Paderlog in their work.
RpDoc® should make a decisive contribution to pharmacotherapy safety and document pharmacotherapy risks and reductions in these risks, making them measurable.

 

September 2008
RpDoc® Risk check – ideal for anaesthesia / intensive medicine
With the new risk check from RpDoc® it is now possible to check the medication of the patient according to criteria of pharmacotherapy safety, against a compete range of medicaments.
This new tool was developed specially for questions relating to anaesthesia / intensive medicine, where the range of medicaments used is often highly limited. Even before the operation, the anaesthetist can estimate what individual risk is associated with peri-operative use of medicaments. On one hand you can check if the patient's medicaments can react to the range of medicaments for anaesthesia / intensive medicine. On the other hand, the medicaments in the range are tested with our well-known test routines. This establishes whether adjustments to dosages are necessary or even counterindicated on the basis of patient-specific criteria, such as age and kidney function. This makes it possible to decide before and not during an operation, which medicaments should be avoided for a particular patient.  

This means you can keep a cool head during critical situations!

 

Mai 2008
Visit to RpDoc® – even on wards without wifi
Data exchange with hospital information systems is necessary for electronic prescription support: To take into account patient factors relevant to medication, such as laboratory findings, to avoid double entries and to save time.
To use electronic prescription support with RpDoc® on a visit, wifi is the simplest option for data exchange with the CIS. However wifi is not available in every hospital or on every ward. For pharmacotherapy safety and cost-efficiency to be optimised even when it is (still) not possible to use wifi, RpDoc® Solutions has developed a synchronisation process for RpDoc®, which supports use of RpDoc® during a visit even without wifi.
The current data of the patient is loaded onto a mobile PC, so that the visit is possible "offline" without a network connection. The full range of functions of RpDoc® is available - as if you were on the network. After the visit, when you reconnect to the network, synchronisation is carried out automatically. The solution strategy that has been developed thus avoids data conflicts and data inconsistency due to simultaneous use of RpDoc® in online and offline mode.

Improving pharmacotherapy safety and reducing costs without first having to invest in wifi – it's no problem with RpDoc®.

 

December 2007
2nd University Hosital in Germany chooses RpDoc for CPOES and Decision Support
The university hospital of Düsseldorf is the 2nd German university hospital that has chosen RpDoc for electronic prescribing with decision support. 9 products have been rigorously tested and evaluated for decision-support by the university’s children´s hospital and the clinical pharmacy department of the university.

December 2007
RpDoc Clinical Decision Support in Oncology
Prescribing chemotherapy is more difficult and more dangerous than prescribing of other drugs. Special functions and algorithms are necessary to make electronic prescribing with CDS useful and effective as a toll for prevention of medication errors. An oncology module of RpDoc, that provides all these special functions, has been developed and is under clinical evaluation at the moment.

November 2007
Presentation of RpDoc during the 2nd German Congress of Medication Safety, 30th Nov, Bonn
A roadmap to Medication Safety for Germany by the Federal German Ministry of Health was one of the major topics of the 2nd German Congress on Medication Safety that included national as well as international experts like Prof. David Bates, USA, and Prof. Peter Norton, Canada. The congress was held on the 29th/30th November 2007 in the Bundeshaus Bonn, the former house of parliament of Germany. Improving recognition of adverse drug events by electronic prescribing with decision support with RpDoc was the topic of a plenary talk by Simone Grandt, CEO of RpDoc Solutions GmbH. The project that has been funded by the Ministry of Health of the Saarland has been conducted in collaboration with the ATI, Berlin, the publisher of the “arzneitelegramm”, one of the pharmacy-independent drug information bulletins.

November 2007
Medication safety from prescription to application:
RpDoc, a software for computerized physician order entry supports RFID wristbands for patient identification.
The TV station euronews reports on a pilot project using RpDoc in combination with RFID wristbands at the Klinikum Saarbrücken, a tertiary care and academic teaching hospital in Germany.  start film  ( Film available in 8 languages )

September 2007

Demonstration of RpDoc to the Secretary of the Federal Ministry of Health
The federal ministry of health has initiated a scientific project to determine which data and data formats are needed to improve medication safety by electronic prescribing with decision support. The study has been conducted by the Institute for Medication Safety of the University of Essen und Klinikum Saarbrücken, using RpDoc for electronic prescribing and decision-support.
During her visit at the Institute for Medication Safety on the 4th of September 2007, the Secretary of the Federal Ministry of Health, Ulla Schmidt, enjoyed a presentation of electronic prescribing with decision support with RpDoc.  photos

June 2007
 Partnership between RpDoc Solutions GmbH and ifap, one of the leading suppliers of drug information systems and a subsidiary of CompuGROUP Holding AG. Integration of RpDoc®  functions into the ifap medication therapy safety check i:fox®.  in planning. See press release

May 2007
Presentation sponsored by Spital, the central meeting place for Austrian hospital management, on quality assurance and economy by using electronic prescription support and unit-dose. See printout

März 2007
RpDoc Solutions GmbH is awarded the contract for setting up software for electronic prescription support at the University Hospital of Essen. RpDoc® won support with its wide range of uses, allowing optimisation of medication therapy with reference to quality, patient safety, processes and cost efficiency, and succeeded against four other applicants.

February 2007
RpDoc® has been in use since the beginning of 2007 in the Fliedner Hospital at Neunkirchen, a hospital administered by the Saarlandkliniken kreuznacher diakonie, with departments for internal medicine, intensive care, psychiatry and psychotherapy.

 

October 2006
 Since the 4th quarter of 2006 RpDoc® has been identifying risks in medication therapy in the routine operations of the St. Augustinus Hospital in Düren.

 

April 2006
 RpDoc®  is being used in the 5th clinical semester for teaching students at the University of Bonn in the areas of clinical pharmacology and general medicine. The students will use the software to learn how electronic prescription support can help recognise inadequate prescriptions and prevent avoidable undesirable medication events.