$TXT Created by MCDANIEL,DEANN at CMLCACHE.ISC-BIRM.VA.GOV (KIDS) on Wednesday, 08/29/07 at 10:51 ============================================================================= Run Date: OCT 29, 2007 Designation: PSJ*5*148 Package : PSJ - INPATIENT MEDICATIONS Priority: EMERGENCY Version : 5 SEQ #175 Status: Released Compliance Date: NOV 01, 2007 ============================================================================= Associated patches: (v)PSJ*5*110 <<= must be installed BEFORE `PSJ*5*148' Subject: PATIENT DEFAULT STOP DATE/TIME Category: - Routine - Enhancement () Description: ============ A site reported a problem with the stop date/time on pending and pending renewed orders. The Pharmacist's User Manual states: "When the SAME STOP DATE ON ALL ORDERS parameter is set to yes, the module will assign a default stop date for each patient. This date is initially set when the first order is entered for the patient. A new default stop date is assigned for the patient when an order is renewed and the order's stop date plus three days is greater than the current default stop date. This date is shown as the default value for the stop date of each order entered for the patient. However, if a day or dose limit exists for the selected Orderable Item, and the limit is less than the default stop date, the earlier stop date and time will be displayed." The way the screen defaults in pharmacy for finishing would lead the pharmacist to finish the new order prior to finishing the renewals. This creates the potential for medication orders to default to an "incorrect" stop date/time. This problem caused a patient to completely miss receiving a newly ordered medication, as the new order expired prior to the first scheduled dose time. The following example shows the way the screen displays the orders from the PENDING/NON-VERIFIED option: - - - - - - - - - - - - - - - - - A C T I V E - - - - - - - - - - - - - - 1 MULTIVITAMINS TAB C 04/01 04/08 R Give: 1 TABLET PO QAM (07) - - - - - - - - - - - - - - - - P E N D I N G - - - - - - - - - - - - 2 CAPTOPRIL TAB ? ***** ***** Give: 25MG PO QAM (07) - - - - - - - - - - - - P E N D I N G R E N E W A L S - - - - - - - - 3 MULTIVITAMINS TAB ? ***** ***** P 04/06 Give: 1 TABLET PO QAM (07) This patch corrects the problem by reversing the order in which the PENDING and PENDING RENEWALS are displayed. With the entries reversed the user will finish the PENDING RENEWAL order first, followed by the PENDING order, and the correct stop date/time will be displayed. HD0000000138249, PSI-06-043 This problem has been identified as a potential patient safety issue. The patch has been reviewed by IV&V and their test results confirm that the patch corrects the patient safety issue. When looking at orders on a patient that have been ordered via CPRS, the orders now show up in the following order: Long Profile: ACTIVE PENDING RENEWAL PENDING NON-ACTIVE Short profile ACTIVE PENDING RENEWAL PENDING Associated Remedy Tickets: ========================== HD0000000138249 Associated PSIs: ================ PSI-06-043 Test Sites: =========== Palo Alto HCS, CA Maryland HCS Amarillo, TX Oklahoma City, OK Fayetteville, NC Boise, ID Puget Sound HCS Installation Instructions: ========================== This patch can be installed with users on the system. Installation will take less than 1 minute. Suggested time to install: non-peak requirement hours. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSJ*5.0*148): a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 4. Use the Install Package(s) option and select the package PSJ*5.0*148. 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. Example Installation: ===================== Select Installation Option: INSTall Package(s) Select INSTALL NAME: PSJ*5.0*148 Loaded from Distribution 1/2/05@11:49:25 => PSJ*5*148 This Distribution was loaded on Jan 02, 2005@11:49:25 with header of PSJ*5*148 It consisted of the following Install(s): PSJ*5.0*148 Checking Install for Package PSJ*5.0*148 Install Questions for PSJ*5.0*148 Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// COMPUTER ROOM PSJ*5.0*148 -------------------------------------------------------------------------- Install Started for PSJ*5.0*148 : Jan 02, 2005@11:49:44 Build Distribution Date: Jan 02, 2005 Installing Routines: Jan 02, 2005@11:49:45 Updating Routine file... Updating KIDS files... PSJ*5.0*148 Installed. Jan 02, 2005@11:49:45 Install Message sent #190567 -------------------------------------------------------------------------- [------------------------------------------------------------] 100% | 25 50 75 | Complete [------------------------------------------------------------] Install Completed Routine Summary: ================ The second line now reads as follows: ;;5.0; INPATIENT MEDICATIONS ;**[patch list]**;16 DEC 97 CHECK^XTSUMBLD results: Before After Routine Patch Patch Patch List ========================================================================= PSJLMHED 14767933 15195564 4,58,85,110,148 Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0; INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSJLMHED Before: B25663526 After: B27197793 **4,58,85,110,148** Routine list of preceding patches: 110 ============================================================================= User Information: Entered By : CRUMLEY,JAMIE Date Entered : MAY 19, 2005 Completed By: FARMER,LINDA Date Completed: OCT 29, 2007 Released By : LESIEUR,SHIRLEY Date Released : OCT 29, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT