When you record a positive administration outcome (Given, Double-verified, etc.), Carerealm cross-checks the medication against everything else the supported person is currently prescribed. If a known interaction exists, a warning fires before the recording is accepted.
Severity tiers
Severity | Behaviour |
|---|---|
Critical | Combination is contraindicated. Requires senior approval to override; the realm setting can also hard-block administration entirely. |
Major | Significant risk. Override requires a reason. |
Moderate | Default minimum severity shown. Warning + optional reason. |
Minor | Information only. Often suppressed below the severity threshold. |
Where the interactions come from
Built-in dictionary — a curated set of common drug-class interactions ships with Carerealm.
Realm-wide additions — admins can add custom interactions for their service in Admin → Settings → E-MAR defaults.
Per-{{area}} additions — moderators can add interactions specific to one supported person (e.g. recorded as part of their MAR).
Heads up — Carerealm's interaction checker is a safety net, not a clinical decision-support tool. It does not connect to DailyMed, BNF, NICE or any external drug database. Always defer to the prescriber.
Severity threshold setting
Each realm sets a minimum severity that surfaces warnings — default moderate. Interactions below this threshold are still recorded in audit logs but don't interrupt the recorder. Tune it in Settings → Patient Safety.
Overriding
When you override an interaction warning, the override goes to Override Logs with your name, the reason, and (for critical interactions) the senior who approved.