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A study by Regenstrief Institute and U.S. Department of Veterans Affairs investigators provides the first in-depth look at how health care providers react to medication alerts generated by electronic medical record systems. The researchers plan to use...
About Apex Custom Software, Inc.

Who we work with:

Apex creates solutions for all sizes of hospitals from small community hospitals to integrated healthcare organizations. In addition, we develop software and services to pharmacies, the government, payors, manufacturers, and other healthcare affiliates.

What makes us unique:

Apex software is quick to implement, easy to use, and very intuitive. Data is shared securely via industry standards and is fully HIPAA compliant. Founded in 1997, Apex Custom Software, Inc. is privately owned. We develop, install, and support all our applications in-house. Our team includes clinicians, developers and workflow experts and we are dedicated to improving outcomes at a reasonable price.

Apex Custom Software Staff

Apex Custom Software is home to both clinical healthcare providers and cutting edge software engineers. Our staff leverages both disciplines to create a user friendly highly scalable solution. We have over 50 years of hands on clinical practice in our staff and our engineers are well versed in SQL Server, ASP.NET, Java, C#, HL-7, XML parsing, NCPDP, NPI, and HIPAA privacy standards. Our clinicians have practice experience in nutritional support, oncology, pharmacology, procurement and inventory management, retail pharmacy, and large academic teaching hospital management. Our team works closely with the client to ensure all possible business needs are addressed.

Improving Medication Alerts In Electronic Medical Record Systems

A study by Regenstrief Institute and U.S. Department of Veterans Affairs investigators provides the first in-depth look at how health care providers react to medication alerts generated by electronic medical record systems. The researchers plan to use this information to improve the design of medication alerts and diminish the phenomenon known as alert fatigue, where providers can become desensitized and may start unintentionally ignoring some important warnings.

For this study, the researchers observed providers as they treated patients to learn about the strengths and weaknesses of medication alerts.

Medication alerts provide the health care team with computer-generated information on a variety of drug-related issues. Among the most common medication alerts are warnings about patient allergies, drug interactions and duplicate prescriptions. The alerts, critical to patient safety, can be triggered by many factors including the prescription of a new medication or a change in a patient's laboratory test results.

Read more... [Improving Medication Alerts In Electronic Medical Record Systems]
Code of Federal Regulations from Dept. of Justice - DEA

Section 1304.11 Inventory Requirements

(a)General requirements. Each inventory shall contain a complete and accurate record of all controlled substances on hand on the date the inventory is taken, and shall be maintained in written, typewritten, or printed form at the registered location. An inventory taken by use of an oral recording device must be promptly transcribed. Controlled substances shall be deemed to be “on hand” if they are in the possession of or under the control of the registrant, including substances returned by a customer, ordered by a customer but not yet invoiced, stored in a warehouse on behalf of the registrant, and substances in the possession of employees of the registrant and intended for distribution as complimentary samples. A separate inventory shall be made for each registered location and each independent activity registered, except as provided in paragraph (e)(4) of this section. In the event controlled substances in the possession or under the control of the registrant are stored at a location for which he/she is not registered, the substances shall be included in the inventory of the registered location to which they are subject to control or to which the person possessing the substance is responsible. The inventory may be taken either as of opening of business or as of the close of business on the inventory date and it shall be indicated on the inventory.

Read more... [Code of Federal Regulations from Dept. of Justice - DEA]
Neonatal Extravasation


Approximately 4% of neonates develop skin necrosis as a result of extravasation of an intravenous infusion. A small but significant proportion of these infants develop long-term cosmetic or functional compromise as a result of the injury. Extravasation may occur due to either the cannula piercing the vessel wall or from distal venous occlusion causing backpressure within the vessel.Peripheral and central venous catheters are both capable of causing extravasation. A Cochrane review shows that centrally placed catheters undergo extravasation as frequently as peripheral.

Read more... [Neonatal Extravasation]

We are using Narcotic Assistant by Apex Custom Software within Mercy and it has greatly improved our audit trail and workflow process. Their solutions are designed for specific needs at resonable prices. 

Jeff Amstutz RPh
Pharmacy IS Coordinator
Mercy Health Partners


Parkland Health & Hospital System

National Institute of Health

Community Health Systems

Mercy Health

Mylan Pharmaceuticals

Singapore General Hospital