Medication Safety Self Assessment for Australian Hospitals (2015) Medication orders to perform testing of clinical information systems (FAQ for Item 58)

Test Category	Patient Profile	Drug	Dose	Route	Frequency
Allergies and Cross Allergies	Patient with a penicillin allergy.	ticarcillin/clavulanate potassium (TIMENTIN)	3.1 grams	IV	every 4 hours
Allergies and Cross Allergies	Patient with a sulphonamide allergy.	sulfamethoxazole 800mg/ trimETHOPRIM 160mg.	1 tablet	PO	twice a day
Contraindication Based on: Route.	Adult patient	vinCRISTine	2 mg	Intrathecally	now
Contraindication Based on: Route.	Adult patient	cephalexin oral suspension.	250 mg	IV	every 6 hours
Contraindication Based on: Pregnancy/lactation.	Pregnant patient	simvastatin	20 mg	PO	once daily in the evening
Contraindication Based on: Pregnancy/lactation.	Pregnant patient	ISOtretinoin	40 mg	PO	twice daily
Dose Limit or Contraindication Based on: Patient Diagnosis.	Adult patient with rheumatoid arthritis	methotrexate	10 mg	PO	daily
Dose Limit or Contraindication Based on: Laboratory Results.	Adult patient with a creatinine clearance (CrCl) of less than 30mL/min.	cIPROFLOXAcin	400 mg	IV	every 12 hours
	Adult patient with an INR of 6.	warfarin	5 mg	PO	daily
Dose Limit or Contraindication Based on: Patient Age/Weight	Paediatric patient with a weight of 8kg.	morphine	8 mg	IV	once
	12 year old patient.	cISplatin	204 mg	IV	once
	83 year old patient.	dabigatran	0.5 mg	PO	at bedtime
Single and Cumulative Dose Limits	Adult patient.	warfarin	3 mg	PO	every 1 hour
	Adult patient.	catenololplatin	100 mg	PO	three times a day
	Opioid-naïve adult patient	HYDROmorphone	4 mg	IV	once
Dose limits for combination products and single products	Adult patient already receiving paracetamol 500mg/codeine 30mg 1 tablet PO every 6 hours	paracetamol	650 mg	PO	every 4 hour
Dose limits for each component of combination products	Adult patient	paracetamol 500mg/codeine 30mg	2 tablets	PO	every 4 hours
Therapeutic Duplication	Adult patient already receiving enalapril 5mg PO daily.	lisinopril	10 mg	PO	daily
Ability to build corollary orders into the system.	Adult patient without a baseline platelet count.	heparin	5,000 units	Subcutaneously	every 12 hours
Ability to build corollary orders into the system.	Adult patient without an ordered INR.	warfarin	5 mg	PO	daily