$TXT Created by F at CLN1G1.AAC.DOMAIN.EXT (KIDS) on Monday, 02/03/20 at 09:43 ============================================================================= Run Date: FEB 27, 2020 Designation: PSO*7*583 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #478 Status: Released Compliance Date: MAR 29, 2020 ============================================================================= Subject: DOSE AND DISPENSE UNIT DISCREPANCY REPORT Category: - Routine Description: ============ This patch will address the following issue: INC6715041 - software problem -- instructions (#TABS PER DOSE) got altered on prescriptions with renewals. RX 4879200 -TO RX 4879200A,B,C Patient Safety Issues (PSIs): ----------------------------- HITPS-6775 Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC6715041 - software problem - instructions (#TABS PER DOSE) got altered on prescriptions with renewals. RX 4879200 -TO RX 4879200A,B,C Problem: -------- The CPRS patch OR*3*440 was released Back in 2017 to address a problem with the Ward Clerk Menu [OR MAIN MENU WARD CLERK] option that was causing some Outpatient Pharmacy orders and prescriptions to have the wrong dispense units. Although the patch seems to have resolved the problem by preventing new orders with this issue from being created it did not go far enough to prevent that existing orders with the issue could be copied or renewed and pass the problem forward the problem to newly created orders. Resolution: ----------- The patch will generate a list (see example below) of potential outpatient prescriptions and will send it via Mailman message to all users that hold the PSNMGR security key. These entries on this list should be analyzed one by one by the Pharmacy ADPAC and a determination should be made as to whether the outpatient prescription dose and dispense units are correct for the dispense drug or not. If it is determined that the prescription dose and dispense unit are incorrect the Outpatient Pharmacy staff should discontinue the prescription and re-renter it with the correct dosing and dispense unit information. List example: --------------------------------------------------------------------------- PATIENT (L4SSN) RX # DISPENSE DRUG DOSE ORD. UNITS STRENGTH --------------------------------------------------------------------------- Division: CHEYENNE VAM&ROC PSOPATIENT,ONE (3202) 2298748 ACETAMINOPHEN 325MG TAB 325 1 999 PSOPATIENT,THREE (7894) 2298875 ACETAMINOPHEN 325MG TAB 325 1 999 Division: GREELEY CLINIC PSOPATIENT,TWO (1234) 2298877 ACETAMINOPHEN 325MG TAB 325 1 999 3 prescriptions found. Technical Resolution: --------------------- Created post-install routine PSO583PI loop through the PRESCRIPTION file (#52) and check the dose for current prescriptions and the dispense unit and strength of the dispense drug. If a discrepancy is found a prescription is included on the Mailman message sent to the PSNMGR security key holders. Test Sites: ----------- Syracuse Togus Software and Documentation Retrieval Instructions: -------------------------------------------------- N/A Installation Instructions: -------------------------- This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. Staff should not be processing prescriptions while patch is being installed. This patch should take less than 5 minutes to install. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. From this menu, you may select to use the following options: when prompted for INSTALL NAME, enter the patch # PSO*7.0*583: a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch routines, DDs, templates, etc. c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. From the Installation menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond NO. 7. If prompted 'Delay Install (Minutes): (0-60): 0//' respond 0. Installation Verification ------------------------- Successful installation can be verified by reviewing the first 2 lines of the routines contained in the patch. The second line will contain the patch number in the [PATCH LIST] section. ;;7.0;OUTPATIENT PHARMACY;**[PATCH LIST]**;DEC 1997;Build 3 The option Calculate and Show Checksum Values [XTSUMBLD-CHECK] can be run to compare the routine checksums to what is documented in the patch description. Back-out Procedures ------------------- N/A Validation of Roll Back Procedure --------------------------------- N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSO583PI Before: n/a After: B23699996 **583** ============================================================================= User Information: Entered By : Date Entered : OCT 17, 2019 Completed By: Date Completed: FEB 27, 2020 Released By : Date Released : FEB 27, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT