| DESCRIPTION OF ENHANCEMENTS |
This patch will resolve the following issues:
Medication Administration (PSB)
Duplicate:
-----------
INC17559434 - IV bolus orders showing verified in CPRS but not BCMA
Defect Tracking System Ticket(s) & Overview:
--------------------------------------------
1) INC11926924 - MAD: PSJ*#*### not resolve: order appeared verified by nurse
in BCMA but CPRS it was found not to be.
Problem:
-------
The William S. Middleton Memorial Veterans Medical Center Affairs Hospital
reported that the BCMA nurse verification information was not being properly
reset (removed) after the field DISPENSE DRUG was edited by Inpatient Pharmacy
users through the Inpatient Order Entry [PSJ OE] option. In CPRS the nurse
verification is correctly being reset (removed) after any of the Dispense Drug
field is modified. There was an expectation from the site that PSJ*5*397 would
address this problem, however that patch addressed only edits to the SPECIAL
INSTRUCTIONS field, not the DISPENSE DRUG field. This issue is also being
considered a Patient Safety Issue (PSI) and the number assigned by the Patient
1) INC11926924 - MAD: PSJ*#*### not resolve: order appeared verified by nurse
Safety team is HITPS-7361.
Resolution:
----------
Every time an order update is received from CPRS by Inpatient Pharmacy the
Nurse Verification information (if any) will be invalidated/removed before
updating the incoming data from CPRS. In case CPRS sends new Nurse Verification
information with the order the information will be updated in Pharmacy order
files, which will be reflected in the BCMA application. Depending on how the
site BCMA parameters is set it will require a re-verification of the order in
HITPS-7361 in BCMA but CPRS it was found not to be.
CPRS before it can be administered through the BCMA application.
Technical Resolution:
--------------------
Changed the routine PSJHL4 at line tag ORC+6 and included code to delete/remove
the nurse verification information from the PHARMACY PATIENT file (#55) every
time an update is received from CPRS. Also, the changes introduced in the
routine PSJBCMA2 by PSJ*5*397 to address the incident INC6231181 (HITPS-6742)
have been removed because this new change will better address that issue as
well. A global hard-setting approach was used to avoid some updates from
occurring through Mumps trigger cross-references.
2) INC12777528 - BCMA shows medication as not nurse verified, CPRS shows it as
verified
Problem:
-------
The Minneapolis VA Health Care System reported that a medication order shows
as requiring nurse verification in BCMA while CPRS shows the order have been
nurse verified. After some research it was determined that the BCMA and CPRS
were out of sync regarding the nurse verification due to a hard error <SYNTAX>
2) INC12777528 - BCMA shows medication as not nurse verified, CPRS shows it as
that happened when the Special Instructions field is edited for a complex
order and a semi-colon character (;) was included in the instructions.
Resolution:
----------
The code was changed to prevent the hard error <SYNTAX> whenever the user
includes a semi-colon (;) in the Special Instructions field for complex
orders.
Technical Resolution:
verified
--------------------
Changed the routine PSGOEE at line tag UPD+23 to perform a direct global set
for the content of the SPECIAL INSTRUCTIONS file (#8) in the UNIT DOSE sub-
file (#55.06) in the PHARMACY PATIENT file (#55) instead of using the Fileman
DIE API. This code is used to copy the Special Instructions field content
from one order to the other orders after edits in the case of complex orders.
3) INC17553085 - Error in MIN VistA: RPC+##^PSBCHKIV *PSBIVCHG BarCode
Medication Administration (PSB)
Problem:
-------
Both test sites for PSJ*5*409 (Minneapolis and Madison) reported a hard error
after the patch was released. It was confirmed the error was a direct side
effect of the changes in PSJ*5*409 and that's the reason that patch was
recalled (marked ENTERED IN ERROR on FORUM). It created some incomplete
Activity Log records in the IV ORDER multiple (#55.01) of the PHARMACY
PATINT file (#55) and that's what caused the error.
Resolution:
----------
3) INC17553085 - Error in MIN VistA: RPC+##^PSBCHKIV *PSBIVCHG BarCode
The code in the routine PSJHL4 added by PSJ*4*409 was changed from using
Fileman ^DIE API call to doing a direct (hard-setting) global setting which
prevents some Mumps cross-references from setting the corrupt entries in the
IV Activity Log.
Technical Resolution:
--------------------
The code in the line tag ORC+6 was changed from using a ^DIE call to
performing direct sets to remove the nurse verification for the order.
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