I'm in a #BOPA2023 session which describes a patient who is Portuguese & took the wrong dose of anti-cancer meds.
Despite a reminder chart, interpreter in clinic etc
Anyone using? https://www.rx-info.co.uk/products/translabel #free!
Written Medicine?
What would the coroner think if we say no..
There are a couple of #HepatitisB screening posters at #BOPA2023.
Interesting that our ability to get compliance on this seems +++ worse than say DPYD. (This reflects my own unaudited experience too).
Has anyone got data on incidence of detection...? #Needle_in_a_haystack?
I'm pretty certain we aren't checking baseline ECGs on our IO patients.
#BOPA2023 - the first question my team will ask will be what are we looking for? Is this purely a baseline incase of future change? Or should some not get?
Is it time to stop trying to 'correctly' estimate #renal_function?
#BOPA2023 - much effort has been put in for years to solve this. Creatinine will always estimate #kidney function.
It varies by day. 🫂 vary. Time to accept shades of grey?
In which case CKD eGFR is simple...
One of the risks of eRx is the prescriber no longer really "sees" the dose. The opportunity to say "that's wrong" is gone.
Ever entered a Height & Weight as Weight & Height?
Could technology tell you it may be wrong? @bastiaanbP - #BOPA2023 Abstract 4 certainly thinks so.
An interesting "audit" of #Lonsurf. Abstract 6
#BOPA2023 I have questions... are you giving primary prophylaxis #GCSF with your Lonsurf? Or secondary?
We haven't been.
Surely there should be universal practice across NHS?
If we start Lonsurf+Avastin next yr should we?
Text results are hard to process. Often they shouldn't be! "Negative" or "No varients" are standard phrases!
Results before SACT Rx?
The workflow of pre-treatment tests and evaluation needs a rethink! 2nd time I've said it today!
It sounds like Best Practice in Moderate Emetogenic Chemo is to risk assess #CINV. It sounds like pockets of Best Practice
Reflecting on my earlier tweet: Someone needs to insist this is done for EVERYONE who needs & RESOURCED.
https://x.com/ShinyBlackShoe/status/1710246169757053125?s=20
Who will Lead? #BOPA2023
It's not clear to me who should pay for pharmacy leadership or indeed how much it should cost?
I feel led 4x more by BOPA Committee than I do by Royal Pharmaceutical Society for instance yet the costs are the opposite way round... #ValueForMoney?
#BOPA2023 - Wales feels more joined up than England
ShinyBlackShoe
