An incoming refill request needs to be matched to a patient first and then to an existing active medication. The problem is the match process does not pick up differences in the two.
For Ex.
Incoming: Atenolol 50 mg, take one tab daily
can be easily matched to any of the following
1. Atenolol 50 mg, take half tablet daily
2. Furosemide 40 mg daily
It does not compare either the drug or the dose. That beats the purpose of matching. Once you match, the incoming eRx goes through. This causes a potential for error and I think is a important patient safety issue.
Lot of times we change the dosing of drugs on a given patient during visits without send a new prescription to the pharmacy. If the incoming prescription gets renewed again it could be a problem.
