ProScript User Guide
Contents
1. Select this to print Please note that if you choose to email the MUR form you must ensure that you use a secure email service such as NHS mail as you are sending patient sensitive information In order to email the review forms securely you will need to export the report to a PDF printer If this functionality has not been installed please contact our Service Desk If you see a mistake in the preview and would like to amend it before printing click the Close button in the bottom right of the screen shown above to go back to the previous screen Remember to save your changes again before pressing the print button 19 Rx Systems 2012 MUR ProScript When you click the Print button the following window will appear Print CST I Properties Status Ready Type Microsoft XPS Document writer Wher sPSPort Comment Copies Number of copies li tC Pages from i to E5534 Selection HHL Pee Cancel Make sure the correct printer is selected If you have more than one printer installed use the drop down menu highlighted in red and select the correct printer It s best to use a laser printer if you have one Once you ve viewed your MUR form in print preview mode and selected the correct printer click on the button to print the MUR This window will pop up a total of three times altogether once for each page This is normal So remember to click this button three times2. Printing Blank MUR Forms You are also able to print a blank MUR form by selecting the checkbox highlighted below This option is available on all four tabs Print MUR without ticks on boxes 20 Rx Systems 2012 MUR ProScript Searching for an MUR Once an MUR has been completed for a patient the F2 Search and F3 View buttons on the MUR History window will be enabled allowing you to Search for a specific MUR if more than a few exist and View the selected MUR MUR History Version 3 0 5 Test Pharmacist Annual Targeted Annual Targeted Annual Non targeted Intervention Non targeted Intervention Targeted MUR Total 1 a ra F1 New MUR QESC To search through a list of MURs for a patient select F2 Search and you will be presented with the Find window shown below Fld Enana Type a search word in the Look for text box You can search by a GP s name the date of the review or the name of the pharmacist who conducted the review Once you have entered a search in the Look for text box click on the Find button and it will highlight the first search result If you want to go to the next matching result click the Find next button and the next search result will be highlighted When you have found the MUR close the Find window by pressing Esc on the keyboard or by left clicking on the X in the top right of the window 21 Rx Systems 2012 MUR ProScript Viewing an MUR Once you
3. this is discussed in detail under the heading Printing MURs Closes the MUR form and you will be prompted to whether ESC you want to save the review or not The next few pages explain each tab in detail 10 Rx Systems 2012 MUR ProScript Patient Demographic Details Healthy Living Advice Tab 1 When accessing the MUR Details 2 window the Patient Demographic Details Healthy Living Advice tab will be selected by default MUR Details E MIAE Date of Review 11 06 2012 Patient Details GP Details First Name Pharmacist Name Title Surname GP Name Mr Andrew Proscript Rx Doctor Test Pharmacist 1234567 NHS Number Date of Birth Practice Name 0170171960 Rx Systems Surgery Address Address 1 Turnberry Belfry Business Park Colonial Way Watford f Test Road Test Town Watford WD24 4EJ cos WD24 4WH WD24 4WH ha ha Review identified or requested by V Pharmacist Annual i Targeted High Risk C Non targeted Names of other people present J Other text can be entered in the clinical record PCO permission granted for off site MUR J YES J Not applicable Print MUR without ticks on boxes amp F3 Print F5 Edit Patient Details F6 Edit GP Details F7 Edit Pharmacist F10 Save OESC It will be pre populated with patient pharmacist and GP details However you can change these details by using following buttons Dee f Use this button if you need to change update the HS
4. Edit Patent Detalls patient s details while performing an MUR r Use this button if you need to change update the ro EaltOF Details GP s details while performing an MUR Use this button to edit the Pharmacist s details This will then display the Select Pharmacist window Fr Edit Pharmacist l T described earlier in the manual ji All the patient details fields except NHS number and telephone number must be completed in order to fulfil the minimum patient demographic dataset Note currently if you wish to edit the GP Details so that the GP Notification Form is updated use F5 Edit Patient Details and select Fi GP Once you have changed the GP details select F10 Save 11 Rx Systems 2012 MUR ProScript Consent A patient must provide written consent prior to having an MUR ProScript has a consent form option built into this window When you select the tick box you will be prompted to print the consent form Click this option to print _ amp Print Consent Form preview the consent form Written consent for MUR obtained Click on the printer icon highlighted in red to print the consent form Ej Proscript Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctl R RepeatManagement ETP NMS DMR Intranet Stock PMR Print Preview enix I4 4 gt Pl 100 a LITAR O 15 x NHS Rx Pharmacy Turn Belfry Business Park Colonial Way Watford Consent to participate in the NH
5. You will then be presented with following window 24 Rx Systems 2012 MUR ProScript You can type your search word in the Look for text box the search word can be a patient s name patient s address GP name or surgery name Finally click on the Find button shown above to find the first matching MUR based on your search word To find all the matching MURs click on Find next button Find mnane Showing an MUR After setting your filters highlight any of the matching MURs and select F1 Show You will then be presented with a list of MURs for that particular patient If the patient has had more than one MUR select the relevant record and click on View button and you will be presented with main MUR form where you can edit or print the MUR F1 Show 25 Rx Systems 2012 MUR ProScript Printing MUR Reports After setting your filters as described previously EB F3 Print selecting F3 Print will allow you to print two different types of reports for all the matching MURs These are 1 MUR Summary Report Prints a list of MURs based on filters used 2 GP Notification Report Prints a report which can then be sent to a patient s GP to inform them that an MUR has taken place Note this requirement has been replaced with the GP Notification form The Report Selection window shown below will be displayed when you select the F3 Print button Report Selection f 1 MUR Summary Re
6. patient is non adherent to their medicines regime Therefore you should select the tick boxes in the above tab if The patient is not using the medicine as prescribed There is a problem with the formulation or device Patient reports the need for more information Patient reports side effects or other concerns about a medicine Use the Other box to elaborate on any issues identified or to list any other issues 14 Rx Systems 2012 MUR ProScript The following buttons are available on the Matters Identified During the MUR tab o If you want to add an item whilst performing an MUR F5 Add Drug Details you can do this by clicking this button or pressing F5 Add Drug Details You can delete a drug from the list by first F Delete Drug Details highlighting the drug and then clicking this button or pressing F6 Delete Drug Details An existing item can be edited by first selecting it and then clicking this button or pressing F7 Edit FY Edit Drug Details Drug Details This will allow you to change the name of the drug or the dosage instruction 15 Rx Systems 2012 MUR ProScript Action Taken Outcome Tab 3 This tab allows you to document any action taken whether it is providing more information to the patient submitting a Yellow Card report or referring the patient to their GP or another primary health care provider You can also document if as a result of the MUR the patient
7. reports difficulty using the medicine issue wth the formulation Patient reports lack of efficacy Patient reports problem with dosage regimen Patient reports unresolved concern about the medicine Other see comments below OOoO0o0o0o0eae a0 Further information comments possible actions Upset stomach after taking tablets Once you have completed the MUR select F10 Save to save the completed review 18 Rx Systems 2012 MUR ProScript Printing MURs Print Completed MURs To print the MUR you have just completed select F3 Print Please note you must save the MUR prior to printing so that the information you have entered is printed onto the form The following screen will appear displaying a print preview of the review you have just completed EH MUR Report Preview HTML Viewer Version 0 1 0 Community Pharmacy Medicines Use Review amp Prescription Intervention Service Confidential Patient Details GP Details NHS Number Practice Rx Systems Surgery Pharmacy Rx Pharmacy if available Address 4 Turnberry Belfry Business Park Address Test Road Test Town Watford WD24 Address Turnberry Belfry E Colonial Way Watford WD24 4WH 4EJ Review Typo EI Annua Targeted E Rosara i i Pharmacist Annual Non targeted High Risk Patient Intervention Targeted 4 Post Discharc Other Intervention Non targeted d Non Targeted 3 Email amp Print lt Close Select this to send to a web based mail recipient
8. that the review falls into highlighted above in the blue box Note if a patient is prescribed a number of items which fall into two or more of the national target groups you must use your professional judgement on which target group to select The review will then need to cover all of the medicines the patient is taking All items are automatically selected to be included in the MUR session by default as indicated by the tick icon on the left To de select an item click on the tick icon and it will then display a cross icon as shown on the left 8 Rx Systems 2012 MUR ProScript F1 Select All Use this button to select all items in the list F2 De Select All Use this button to de select all items in the list Once you have selected all the items click on the F10 OK button and you will be presented with the MUR Details window as shown on next page 9 Rx Systems 2012 MUR ProScript MUR Form The following window MUR Details is an electronic template that has been designed to capture the new MUR dataset It is similar to the old MUR form but with some specific changes which will be outlined below The form is divided into four tabs where each tab is designed to group similar information You can switch between tabs by simply clicking on the tab name i e 2 Matters identified during the MUR highlighted in the red circles MUR Details Date of Review 11 06 2012 Location of review if n
9. vo e A E E E A EE E A E Sue Seen n there willl Better understanding of the condition being treated em E Or eM TES RELIST omer rT em eare oerer eee improvement in Inn mntiantin To view the report in the standardised template as required by the PSNC NHS Employers you will need to export the report to Excel or Open Office When you export the report you will see a confirmation window to inform you that the file has been exported and if you wish to view the file If you wish to view the file click Yes FA d w A gt MUR_reporting_ for PCT custom report PCT _20120626 xis Compatibility Mode Microsoft Excel oF 3 e Insert Page Layout Formulas Data Review View a 8 o g zj a C Oua J Aut B a Calibri u A7 Ez gt IF Wrap Text General Ff s Bad Good x utos Ay A T Copy Fill s Paste B Z lt De EZE HR Merge a center B GB LR Conditions Format Calculation Explanat Insert Delete Format zi Sort amp Find amp GF Format Painter u rea ae Fe ad 3 n 6 9 Formatting as Tabie cakut 29 Filter Select Clipboard Font Alignment Number A Style ell Editing B13 f j Er D I T ji G I T I I I I a I I o I I a I I T I I wa A c 1 Medicines Use Review quarterty report tor TEST PCT 2 Period 01 06 2012 to 26 06 2012 Key MUR Qtriy data 5 J4 gt Ready S 7 You are able to manually edit these numbers in this format if you wish 29 Rx Systems 2012 MUR ProScript C
10. Annual Non targeted V Intervention Targeted Intervention Non targeted V Unspecified V This section will C Patient Name Patient aaaress o T o surgem No of Review allow you to filter L aoe GP Surgery 4 Old Dean Bovingdon Bovingdon the types of MUR Ahmet Gary Thomas Mr f Herts Shuffled Rahim Dr Omar 521 High Street 1 you have 2 SCATTERDELLS LANE Apsley conducted Bueckett Celia Ms Manor Farm Shuffled WALLIS ELSPETH LONGMEADOW SURGERY HMP THE MOUNT Shootersway Lane Carby Janet Mrs Shuffled WALLIS ELSPETH LONGMEADOW SURGERY 16 a Kings Close Shuffled De Bellefuille Antonia Miss LANG JOANNE THE NAP SURGERY This section shows a summary of the amount of MURs done for each type of MUR 14 CLAVERTON CLOSE LongLane Fairnell LUCY E Miss Shuffled Lang Joanna THE SURGERY THE NAP Manie Cottanes Herts Shuffled al Annual Non targeted Intervention Targeted Intervention Non targeted MUR Total 8 2 36 23 Rx Systems 2012 MUR ProScript Setting up Filters As previously mentioned you can narrow your search criteria by applying the filters to view the specific MURs you want As you change your filters the search result will be updated accordingly For instance if you want to see MURs performed in the last 90 days all the MURs will be shown but when you apply filters based on a Surgery Name GP then only MURs performed for that particular Surgery GP in the last 90 days will be sho
11. D Y rx systems ProScript User Guide Medicines Use Review MUR Version Release Date Author MUR ProScript ENCPOGUCUION sive cisicicecisnnrresdrendcesdvensvesd a a iai 3 Accessing the MUR Module ccccccccccccccncnnnnnneeeeeeeeeeseseeneesans a NEW MUR Serer errerrrrrererrrrrrrre err rire N EEA NAN Naa Ni 6 Selecting Items for MUR REVIEW sssssssssussnnsnsnrsenurnnrunsnrnnsnrnnrnrnnens 8 MOR FON resnasaneccapenaccsnstescninsinciecanenvecisnsrsisaeeensieseervisaneanees 10 Patient Demographic Details Healthy Living Advice Tab 1 11 Matters Identified During the MUR Tab 2 cccccseeeeeeureeeeeeenseess 14 Action Taken 7 Outcome TaD 3 scuvtisscsesartdaavietverevererisansstrmwanreess 16 GP Feedback Tab lt ans dec et ae eeaenenn dnnandeaeasasneanadcanband Verne onauaaneneneataants 17 PRINEING MURS siirsin 19 Print Completed MURS rrriisiriraicrosririrreriti itri NATUERE ENTER 19 Printing Blank MUR FOrmMS sesssssssssssnnnsrrnnsrrnrrnnrrrnrnrrnrrnrrrenerrennne 20 Searching for an MUR cccssssccuncccnccnnnccuccsucccunnccunuccsccnsnecusuesun 21 Viewing an MUR ccccttvssciecccscsircenrscicectecsseensscrstesssessersecveus 22 PA a MUR ira E ere 22 MUR Summary REDOFE ssirisiisriissrissriva aaa 23 Oe ID FO eare AT AEAT 24 Searching for an MUR sasssssssssssssnssrrrrnnrrrnnrnrerrnrrrrnnenrerrnrrrrnrrrrerene 24 Showing an MUR actu ssaresnagineertiaderaeerninwmsensterteenpinnesthtaeanersieeneeuaens 25
12. Printing MUR Reports ccccssssssececcscnneeeeeeseeesnnneeeeessesenaneeeees 26 Next MUR Due RepOrt s ssuss s 22 2 2 02202u22u22u2uu2052002 2 2 0 27 MUR Quarterly Report ssssssunununusususnununununnnnnnnnnnnnnnnnnnnnanan 28 Continuing Professional Development ssssssunnunnnnnnnnnnnnnn 30 2 Rx Systems 2012 MUR ProScript Introduction The Medicines Use Review MUR and Prescription Intervention Service an Advanced Service under the NHS Community Pharmacy Contract provides an opportunity for MUR accredited pharmacists to offer confidential consultations with their patients to discuss their medications The service aims to improve the patient s knowledge and use of their medicines identify and resolve any issues that may arise and to report these issues and action plans to their General Practitioner GP In October 2011 three new targeted groups were introduced Of the total number of MURs that pharmacists are required to provide 50 of these conducted must be for patient within the following target groups e Patients taking high risk medicines e Patients recently discharged from hospital where changes have been made to their medication during admission e Patients with respiratory disease From 1 July 2012 changes were made to the service that saw the following amendments e The introduction of a new national dataset e The removal for the requirement to complete the NHS MUR form for each MUR pr
13. Quarterly Report click the Reports button at the top of the main ProScript screen then click on MUR Reporting and finally click on MUR Quarterly Report Ej ProScript Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Managem Tuesday 26 Prescriptions CTRLAR ee A Patient Drug Use This is the Prosai Scipt Dispensing Errors patient enter part of tht Incident Reporting adc Intervention Summary Reports MUR Quarterly Report You will be able to filter the reviews by a date range which automatically defaults to the last 90 days or by a specific quarter If a Custom date range is selected you can modify the date range by either manually typing in a date range in the From and To boxes using the calendar or by selecting an option from the drop down list highlighted in red MUR Quarterly Report Enter in the Custom Financial Year name of your Cari Car Cara C ata 2012 4 PCT you will only need to do this once Select this box to export the report to the Excel or Open Office format C ProScript Reports ei Once you have selected the date range click on the F10 Run Report button You will be shown a print preview of the report detailing all MURs that having been conducted within the date range selected Note Selecting Quarter 1 will display the report using the old dataset prior to July 2012 Selecting Quarter 2 will display the report usi
14. S Medicines Use Review Service Mr Andrew Pros cript Address 1 Turnberry Belfry Business Park Colonial Way Watford WD24 4WH agree that the information obtained during the service can be shared with e my doctor GP to help them provide care to me e the Primary Care Trust PCT the local health authority or successor organisation to allow them to make sure the service is being provided properly by the pharmacy e the Primary Care Trust PCT or successor organisation the NHS Business Services Authority NHSBSA and the Secretary of State for Health to make sure the pharmacy is being correctly paid by the NHS for the service they give me a ee Review Identified or Requested By You are able to select who has identified or requested the review and enter the names of other people present during the review Review identified or requested by M Pharmacist l Patient Other FO Names of other people present 12 Rx Systems 2012 MUR ProScript Review Type and PCO Permission If you did not select the review type in the initial MUR Items screen you can do so here Select whether the review is an Annual MUR or a Prescription Intervention and whether it is Targeted or Non Targeted You can choose the type of Targeted MUR from the drop down list If you have been granted permission to conduct the MUR at a site other than the pharmacy select the tick box Healthy Living Advice Provided at MUR You can select from
15. cist RX136896_20120411 Annual Miss Targeted Note If you are printing GP Notification Report you must select a pharmacist from the list of pharmacists 26 Rx Systems 2012 MUR ProScript Next MUR Due Report In the reports menu you can also create a Next MUR Due report This report is useful if you wish to print a report in advance of the due date so that you are prepared for upcoming MURs You may also wish to use the Next MUR Due report to alert you to contact a patient who may not be aware that an MUR is due This can allow you to arrange an appointment that is convenient for both the patient and the pharmacist To access the Next MUR Due report click the Reports button at the top of the main ProScript screen scroll down and click on MUR Reporting and finally click on the Next MUR Due report as shown below Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Managem Tuesday 26 Prescriptions CTRL R This is the Proscri You will now see the Next MUR Due window as shown below You can set a date filter to see MURs due for a specific period of time and also print the report by selecting F2 Print You can also use the F1 Search facility to search for a particular patient Erom 26 06 2012 E T PatientName Patient address Next MUR Due 24109 2012 ae F1 Search ee Q F2 Print ESC 27 Rx Systems 2012 MUR ProScript MUR Quarterly Report To access the MUR
16. has a better understanding of their medicines MUR Details Date of Review 11 06 2012 Naproxen 500mg tabs 1 Take ONE twice a day when required Calcichew D3 chewable tabs A 3 Chew ONE twice a day Doxazosin 4mg tabs 4 Take ONE in the morning Atenolol 100mg tabs If any of the medicines requires a referral to the GP you should select this tick box and you will be taken to the GP Feedback tab shown later in the manual 16 Rx Systems 2012 MUR ProScript GP Feedback Tab 4 This tab will only need to be completed if an issue has arisen which requires the GP s involvement Any medication which had the Referral box ticked in the Action Taken Outcome tab will be activated in the GP Feedback tab and you will be able to select the relevant issue s MUR Details Date of Review 11 05 2012 Location of review if not in pharmacy Next MUR Due 11 06 2013 jz 4 Patient Demographic Details Healthy Living Advice 2 Matters identified during the MUR 3 Action taken Outcome 4 GP Feedback Current Medication Including OTC Complementary Therapies Potential drug interaction s l Potential side effects adverse drug reaction preventing use of the medicine Naproxen 500mg tabs l J Patient reports not using the medicine anymore l Patient reports not using the medicine in line with the directions of the prescriber Losartan 50mg tabs Patient reports difficulty using the medicine issue with the de
17. have located the MUR you searched for select the F3 View button to display the MUR form in read only mode MUR Details Patient Details GP Details Pharmacy Details i We ee lt e Wr UW O agog cocada 3 g e ti 5 a T oOo ve When you view an MUR you can perform any the following e Edit the MUR e Print the MUR see above Editing an MUR After viewing an MUR you may notice you cannot amend it If you wish to make any amendments to the MUR select F2 Edit The form will then become active and you can edit it as required 22 Rx Systems 2012 MUR ProScript MUR Summary Report To access the MUR Summary report click the Reports button at the top of the main ProScript screen then click on MUR Reporting and finally click on MUR Summary Ej ProScript Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Managem Tuesday 26 Presciptions CTRL R This is the Proscri patient enter part of the adc MUR Summary The MUR Summary report provides a printable list of all MURs done for patients and can be filtered by a date range a specific surgery or a GP The MUR Summary window can be also used to Search Show and Print an MUR that you have completed previously without having to access a patient s PMR MUR Summary Version 3 0 5 From 28 03 2012 E To 26 06 2012 E E Period TERENCE Surgery GP F6 Look Up F7 Look Up MUR Type Filter Annual Targeted V
18. n also be achieved by selecting Utilities gt Maintenance gt Edit Pharmacists from the main screen of ProScript This can be useful if you wish to add the information for all your pharmacists prior to using modules such as MUR NMS and Responsible Pharmacist 7 Rx Systems 2012 MUR ProScript Selecting Items for MUR Review The MUR Items screen lists all the dispensed items within a set date range last 90 days by default and requires the user to tick all the medicines to be included in this review If the list is blank then it may be because the date range you have selected is within a period where no items were dispensed If you want to see a list of the drugs dispensed within a different period of time you can set the date range filter Use the drop down list highlighted in the red box to quickly select from a list of pre defined date ranges Alternatively you_can manually type the dates in the From and To boxes or use the icon beside the From and To text boxes Select the type of review and whether it is Targeted or Non Targeted Naproxen 500mg tabs Losartan 50mg tabs Non targeted Calcichew D3 chewable tabs Non targeted Metronidazole 400mg tabs Non targeted Amoxicillin 250mg caps Non targeted Doxazosin 4mqg tabs Non targeted Atenolol 100mg tabs Non targeted If the review is selected as Targeted you can select the specific group
19. ng the new dataset from July 2012 If a non quarterly i e custom report is produced where the date range covers a period of data capture before and after 1 July 2012 certain data may not be displayed on the report This is as a result of the new MUR dataset requirements that are now captured 28 Rx Systems 2012 MUR ProScript The contents of the report reflect the revised reporting requirements that are to be sent to the PCT from 1 July 2012 To print the ProScript report select the printer icon highlighted in red zioz Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctl R RepeatManagement ETP NMS DMR Intranet Print Preview f Bj x KEE Each pharmacy must complete the report by collating the necessary data from the pharmacy records within 10 working days from the last day of June September December and March Pharmacy name and address Rx Pharmacy Turnberry Belfry Business Park Colonial Way Watford PCT TEST Date submitted 26 06 2012 Date Range 01 06 2012 to 26 06 2012 mber Non Target Group Number of patients where a medication issue was identified by the pharmacist and action was taken Number of patients referred back to the GP practice or another primary health care provider Number of Better understanding of why they are using the patients where as medicine what is it for aresuttofthe Better understanding of when how to take the medicines i 4 MRE E ge ey fe ne en ke
20. ontinuing Professional Development evaluate identify record plan A R e What have I learnt from this training session e How will these things improve my current or future performance in my job e What opportunities do I have or need to practise what I have learnt e What help or support will I need and from whom e How and when will I and others measure how well I have put my learning into practice at work 30 Rx Systems 2012
21. ot in pharmacy Next MUR Due 11 06 2013 JE p p _ p g Advice C 2 Matters identified duringthe MUR gt Q 3aAction taken Outcome 4 GP Feedback Pharmacy Details Patient Details First Name Surname Title Pharmacist Name GPhC Reg Number Mr Andrew Proscript Test Pharmacist 1234567 Pharmacy Name 01 01 1960 Rx Systems Surgery Rx Pharmacy Address Address 1 Turnberry j Test Road rry Belfry Business Park Test Town Belfry Business Park Colonial Way Watford Colonial Way Watford WD24 4EJ Watford 1AM AWH zl F 1AM A AIH x Telephone Tel oss 634 2 634 White British eMail NHS Number Date of Birth Address Review identified or requested by Review Type Healthy living advice provided at MUR IV Pharmacist I Diet amp Nutrition G eO Sra E Po Intervention E a See High Risk x r Sexual Health C Non targeted Names of other people present Weight Management Other text can be entered in the clinical record PCO permission granted for off site MUR YES Not applicable T Print MUR without ticks on boxes amp F3 Print F5 Edit Patient Details F6 Edit GP Details F7 Edit Pharmacist s F10 Save QESC The following three buttons are available in all tabs but some other buttons are tab specific f F10 Save Saves the MUR form at any time so you can review it later Shows a print preview of the MUR and allows you to print 4 F3 Print it
22. ovided e The introduction of a GP feedback form e Updated quarterly reporting requirements ProScript s MUR module has been enhanced following these changes The updated module will alert users at the point of dispensing if a patient is eligible for a targeted MUR and will produce a label for each relevant targeted medicine as a reminder The module will also allow pharmacists to record the consultation in an efficient and user friendly manner indicate if a review is targeted and the relevant target group and also generate a range of reports 3 Rx Systems 2012 MUR ProScript Accessing the MUR Module The MUR Module can be accessed from within a patient s PMR screen Enter the PMR screen for the patient you wish to perform an MUR with and click the MUR button as shown below 1 Naproxen 500mg tabs 11 06 12 2 Losartan 50mg tabs 11 06 12 y 3 Calcichew D3 chewable tabs 11 06 12 4 Metronidazole 400mg tabs 11 06 12 5 Amoxicillin 250mg caps 11 06 12 y 6 Doxazosin 4mg tabs 11 06 12 y 7 Atenolol 100mg tabs 11 06 12 Press Right Arrow to Show More Information GAO NAY ESE TICLES Patient Number 137032 Age 52 years DOB 01 01 60 Exemption Not Exempt Paying Patient 4 Rx Systems 2012 MUR ProScript Selecting the MUR button from a patient s PMR screen will bring up the MUR History window Here you will see a list of previously performed MURs for the patient in da
23. port C 2 GP Notification Report Extra Report Filters Click here to select a pharmacist Tick this checkbox to make the patient details anonymous Pharmacist F1 Select Pharmacist ov Q Anonymise Patient Details re ESC In the window above select the appropriate report type and press F10 OK to print the report You will be presented with a preview of the report If you are happy with the report preview proceed to print the report by clicking the printer icon highlighted in red If you wish to make a change to the preview press the Esc button on the keyboard to go back to the MUR Summary window ioj x Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R RepeatManagement ETP NMS DMR Intranet MUR Print Previe w am uaia n o E WS MUR Summary Report Rx Phamacy Turnberry Belfry Business Park Colonial Way Watford WD24 4WH Annual Targeted Annual Non targeted Intervention Targeted Intervention Non targeted and Unspecified MURS Date Range from 28 03 2012 to 26 06 2012 Review Date Patient Doctor Pharmacist Reference ID Type 03 04 2012 Ahmet Gary Thomas Mr Rahim Dr Omar Test Pharmacist RX100130_20120403 Annual Targeted 03 04 2012 Bueckett Celia Ms WALLIS ELSPETH Test Pharmacist RX975_20120403 Annual Targeted 23 05 2012 Carby Janet Mrs WALLIS ELSPETH Test Pharmacist RX131898_20120523 Annual Targeted 11 04 2012 De Bellefuille Antonia LANG JOANNE Test Pharma
24. roblem with dosage regimen IT Patient reports unresolved concern about the medicine I Other Doxazosin 4mg tabs Atenolol 100mg tabs iz Return to Action Taken Outcome tab amp GP Feedback form Print MUR without ticks on boxes amp F3 Print wf F10 Save ESC I7 Rx Systems 2012 MUR ProScript You can then preview the GP Feedback form for printing once you have selected the issues by clicking on the GP Feedback Form button Select the printer icon highlighted in red to print the form Sa 2d Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R RepeatManagement ETP NMS DMR Intranet Stock PMR Print Preview _ id 4 gt gt foox FI OAS NHS Medicines Use Review Service NHS Feedback Form Date 11 June 2012 To Rx Doctor RE Mr Andrew Proscript DOB 01 01 1960 NHS number 1 Turnberry Belfry Business Park Colonial Way Watford WD24 4VVH This patient recently received a Medicines Use Review MUR which identified issues with the following medicines which are detailed below The following matters were identified which require your consideration Naproxen Potential drug interaction s Potential side effects adverse drug reaction preventing use of the medicine Patient reports not using the medicine anymore Patient reports not using the medicine in line with the directions of the prescriber Patient reports difficulty using the medicine issue wth the device Patient
25. te order MUR History Version 3 0 5 You can view the number of reviews that the patient has had These are divided into targeted and non targeted and whether it is an annual review or an intervention This box shows the total number of MURs done for the selected patient Annual Targeted Annual Non targeted Intervention Non targeted Intervention Targeted MUR Total J oo foo J oo 0 foo F1 New MUR F2 Search F3 View ESC Tip if you access the MUR module from a patient s PMR who has never had an MUR before the F2 and F3 buttons will be disabled as shown above When accessing the MUR History from a patient s PMR screen you can perform any of the following functions by selecting the relevant key Click this button to create a new MUR Fi New MUR F9 Search this button to search for a particular MUR in the ist F3 View Click this button to view a previously performed MUR i These functions will be explained in detail later in this manual 5 Rx Systems 2012 MUR ProScript New MUR To create a new MUR select F1 New MUR from the MUR History window shown above You will then see the New MUR Entry window You are required to enter your name registration number and the location of the review if it is held in a location other than the pharmacy subject to PCT approval New MUR Entry b GPhC Reg Number Location of review if notin pharmacy To add or select the pharmacist who
26. the list below if you have provided any healthy living advice You also have the option to specify if healthy living advice is not applicable 449415 Next MUR Due The Next Due Date is located at the top of the MUR Details window and is where you can set the date for the next MUR By default it is set one year from today s date as most MURs are done annually If you need to change it press the calendar icon 4 and choose the date you require by double left clicking on the date with t the mouse MUR Details a A Aa ee T a i 13 Rx Systems 2012 MUR ProScript Matters Identified During the MUR Tab 2 This tab is where you engage your patient in a discussion about their medicine usage Each item you have selected will be shown on a row This column is selected by default If you select any option highlighted by the red box this tick is removed Select this box if the drug is an over the counter OTC or complementary therapy Identifies if a drug is targeted or non targeted ML Naproxen 500mg tabs Take ONE twice a day when required Losartan 50mg tabs gt Take ONE in the morning Calcichew D3 chewable tabs 3 Chew ONE twice a day Doxazosin 4mqg tabs 4 Take ONE in the morning Atenolol 100mg tabs 5 Take ONE in the morning Print MUR without ticks on boxes s F10 Save 9 ESC Note the new MUR template in the ProScript module is designed to establish if a
27. vice l Patient reports difficulty using the medicine issue with the formulation Calcichew D3 chewable tabs I Patient reports lack of efficacy l Patient reports problem with dosage regimen l Patient reports unresolved concern about the medicine Other Doxazosin 4mg tabs Atenolol 100mg tabs Return to Action Taken Outcome tab amp GP Feedback form Print MUR without ticks on boxes 5 mm Select this button to return to M ro sm Oese the Action Taken Outcome tab If you select a medication in this list that was not marked as needing a referral to the GP the medication would be inactive on this tab MUR Details Date of Review 1170672012 Location of review if notin pharmacy Next MUR Due 11 06 2013 5 4 Patient Demographic Details Healthy Living Advice 2 Matters identified during the MUR 3 Action taken Outcome 4 GP Feedback Current Medication Including OTC Complementary Therapies I Potential drug interaction s F Potential side effects adverse drug reaction preventing use of the medicine Naproxen 500mg tabs I Patient reports not using the medicine anymore F Patient reports not using the medicine in line with the directions of the prescriber Losartan 50mg tabs F Patient reports difficulty using the medicine issue with the device I Patient reports difficulty using the medicine issue with the formulation Calcichew D3 chewable tabs IT Patient reports lack of efficacy T Patient reports p
28. will be conducting the review select the F1 Select Pharmacist button Highlight the chosen pharmacist from the list and select F10 Select Select Pharmacist F10 Select Exit Please note that the pharmacist must have the MUR Accredited box ticked in order to use the MUR module on ProScript see below Select F10 OK in the New MUR Entry window to proceed with the review 6 Rx Systems 2012 MUR ProScript If your details are not listed you will need to create a record before you can continue This record will be saved so you can select it for the next MUR without having to re type your information To add yourself as a new pharmacist select F1 Add New Pharmacist from the Select Pharmacist window F2 Ed This will then display the Add Pharmacist window LT herana Forename Surname Telephone Mobile Email MUR Accredited NMS Accredited l Inactive F10 Save Exit Simply fill in the fields above and select the MUR Accredited checkbox If you have not selected this checkbox and attempt to conduct an MUR you will be prompted with the following warning MUR Accreditation for Test Pharme Xx Are vou accredited to perform MUR If you select Yes ProScript will automatically check the MUR Accredited box and you are able to proceed with the review If you select No you will be unable to proceed Adding and Editing a Pharmacist ca
29. wn Date Filter You can search for a specific MUR by looking at the MURs performed within a specific period of time You can either use the pre defined date ranges by clicking on the drop down menu highlighted in red or manually type the time period using the From and To boxes MUR Summary Version 3 0 5 From 2810312012 Surgery or GP Filter You can filter your search criteria further by using Surgery and GP filters Simply type the Surgery and or GP name manually in the boxes provided or select F6 Look Up or F7 Look Up to select from the list of Surgeries and GPs registered in your ProScript database Surgery Po FB Look Up F7 Look Up MUR Type Filter Check or un check the boxes below to specify which MUR types you wish to see in the list MUR Type Filter Annual Targeted Annual Non targeted Intervention Targeted Intervention Non targeted Unspecified v Once you have set your filters on date surgery and GP you will be presented with a list of matching MURs You can perform the following tasks with the list of MURs e Search for an MUR in the list e Show an MUR from the list e Print the list of all the matching MURs Searching for an MUR After setting your filter you will be presented with a list F2 Search of matching MURs for all your patients If you want to search for a particular patient in the list use this search facility
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