Patients Inbox Care team Prescriber check Try a list Population Graph Evaluation How it works

Connecting

Synthetic data only. Domino is decision support for clinicians to review, not medical advice. It never tells anyone to stop or change a medicine.

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Event-driven agent

Before you prescribe

Type the drug you are about to add. Domino asks the graph whether it would treat a side effect of something the patient already takes, pile onto an existing problem, or complete a dangerous combination. Add it anyway, and the Detective re-runs on its own and proposes a review task.

PatientNew prescription

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Before the prescription is written

Four questions, one graph, about a tenth of a second.

01
Is it treating a side effect?
Does the new drug treat something another of their medicines causes, scored by timing, frequency and other reasons, exactly as a review would.
02
Does it pile on?
Can it cause a problem that another drug is already being used to treat?
03
Does it complete a combination?
The triple whammy, bleeding, sedation and potassium stacks, matched by drug class in the graph.
04
Does it add burden?
Anticholinergic load, Beers criteria, class conflicts with what they already take.

Pick a patient and start typing a drug, or try one of the examples. Nothing is written until you choose to add it.

CDS HooksThe same check, inside the prescriber’s EHRDomino is also a CDS Hooks service: an EHR asks it as an order is chosen or signed, and gets standard cards back. Try it in a demo EHR.