Prescribing safety

Aids, not authorities

Angel's safety features inform the prescriber; they never overrule one. Every warning can be overridden by the doctor in the room — and the override is recorded, so the record shows the decision was made, not missed.

The medicines registry

Prescription search runs against the drug registry for your clinic's country — for Egypt, the Egyptian registry with local trade names. It's reference data maintained by Angel; you don't manage it.

Looking a drug up

The Medicines page — More → Medicines on the phone — is that registry on its own, away from any prescription: for the moment you want to know what a substance is, or what class a brand belongs to, before writing anything.

Type two letters or more. The search reads brand name, active substance and ATC code at once, and Arabic names too — spelling variants (ا / أ‎, ه / ة‎) make no difference, so a name typed one way still finds a row spelled the other. Twenty matches show at a time; when the registry holds more, the list says so, and a narrower term brings the rest within reach.

Open a result for its active substance and class, the plain-language summary if prescribing assist is on, and links to the authoritative sources — those links are there either way.

When something is missing you're told which: a substance with no summary generated yet, one our drug reference doesn't recognize, a medicine with no active substance recorded — and, if the lookup itself couldn't reach us, that too, with a retry. A failed search never reads as "no such medicine" — that is the one thing a drug reference must not say when it simply couldn't answer.

Alongside the registry, the page lists what this clinic has typed by hand before, under Prescribed here before — the same list the prescription picker offers. Those names have no registry row behind them, so they don't open; what they tell you is the spelling your clinic already uses, and how often it has been written.

When the registry lacks a drug

A brand released last month, an import a patient brought back, a compounded preparation — no registry carries everything. So when a search comes back empty, the picker offers to prescribe the drug as you type it: the name, and — worth the extra seconds — the active substance, form and strength. The item then behaves like any other: it prints on the PDF, sends by WhatsApp, and shows on the chart, marked not in registry so a reader knows where the name came from.

Two things follow.

It stays inside your clinic. A drug you type is recorded on that prescription line, not added to the national registry — nobody else's search changes because of what you wrote. Your own clinic does remember it: next time anyone here types the first few letters, it comes back under Prescribed here before, in the spelling last used, so one drug doesn't end up in your records four different ways.

The safety checks need the active substance. Allergy and interaction checking works off what a drug is, not what it's called. Enter the active substance and a typed drug is checked almost as closely as a registry one; leave it blank and only the brand name can match — which is exactly why the field is there.

Prescribing assist

With prescribing assist on, medicines carry concise drug information — what it's for, usual dosing, cautions — visible right where you're prescribing. It's a reference surface, like having the monograph open next to you, not a recommendation engine.

Allergy alerts

When a prescription item matches something on the patient's allergy list, Angel warns before the item is added. This is why adding allergies is everyone's job — the alert is only as good as the list.

Interaction alerts

When two items on the prescription are known to interact, Angel flags the pair. As with allergies: a flag, a reason shown, and the doctor decides.

The switches

Both alert types can be switched off in Clinic Settings — but turning one off is owner-only and lands in the audit trail, while turning it back on is owner or admin. See Clinic settings.