Prescribing Safety Alerts

Medication alerts

When you add or edit a coded medicine, Jump checks it against First Databank (FDB), a drug database maintained against dm+d, and shows any warnings before the medicine is saved.

What is checked

Jump screens the medicine against what is already on the patient's record:

• Allergies, including cross-sensitivity. A penicillin allergy flags related antibiotics, not only penicillin itself.
• Interactions with the medicines the patient already takes, and with anything else you are adding at the same time.
• Contraindications and precautions against the conditions on the patient's problem list, and against their age and sex (for example "Children under 12 years").
• Duplicate therapy, where two medicines would double up the same ingredient or class.

The dose is not checked against its licensed range. That check is not available for dm+d-coded medicines, and the drawer says so under Not checked.

Free-text medicines, and anything FDB does not hold, are not screened. Jump tells you when that is the case.

Reading an alert

Alerts appear in the medication drawer, on the details step, once you have picked a medicine.

• Red alerts need a recorded reason before you can continue: allergies (shown as Sensitivity), contraindications, and the most serious interactions.
• Amber alerts are advisory: precautions, moderate interactions and duplicate therapy. Read them, then carry on as normal.
• Interactions carry a grade from Low risk to High risk.

Click any alert to open it. You will see FDB's description of the problem and which medicines are involved, marked as the one you are adding, one also being added, or one already on the record.

If nothing is found, the drawer shows Screened · no alerts.

Continuing past a red alert

If you have a clinical reason to go ahead:

1. Click Acknowledge & override.
2. Enter your reason, at least 10 characters.
3. Click Record override, then Override & add.

The override and your reason are kept on the record.

When the check cannot run

If FDB cannot be reached, Jump shows Not screened and says why. It never shows a clear result it did not get. You can click Check again, or confirm I understand this has not been screened to carry on. The medicine is then saved with a note that it was not screened, and the reason.

About First Databank

FDB has been added as a sub-processor for Jump. Screening sends FDB the patient's age, sex, weight, conditions, allergies and medicines, without their name or any other direct identifier. FDB process this in the UK.

Turning it off

FDB screening is on for every practice by default. If your practice would rather opt out, someone with permission to manage settings can turn it off:

1. Open Apps from the workspace switcher.
2. Open the First Databank app.
3. Switch it off and confirm.

When it is off, prescriptions are not screened against FDB, and FDB's dose suggestions and dispensing labels are not shown. Nothing else screens the medicine while FDB is off, so the drawer shows Not screened and you confirm that before carrying on. You can turn it back on at any time from the same place.

When an allergy can't be checked

FDB can only check an allergy that is coded in a form it recognises. When one isn't, the drawer tells you which allergy was not checked, using its note or category if it has no name of its own, so you know what to check by hand.