| DESCRIPTION OF ENHANCEMENTS |
1. The Pharmacy Ordering Enhancements (POE) project provides enhancements
Inpatient Medications and Outpatient Pharmacy applications. This project
directly supports Computerized Patient Record System (CPRS), which is a
key component of Veterans Health Administration's (VHA) plan to expand
support for clinical operations. Additionally, order checks will be
provided for medication orders for which a dispense drug has not been
selected during the CPRS order entry process. It is also intended as a way
to help meet the goal outlined in Objective 8, Action 1 in the
Prescription for Change, which outlines the need to coordinate
national/Veterans Integrated Service Network (VISN) formularies and share
drug treatment guideline information. This project will promote system-
to Pharmacy Data Management (PDM) V. 1.0, Inpatient Medications V. 5.0,
wide sharing of drug reviews and treatment guidelines thereby enhancing
patient safety.
This project consists of four patches that work together to accomplish
these goals listed in order of install:
PSO*7*46
OR*3*94
PSS*1*38
PSJ*5*50
Outpatient Pharmacy V. 7.0, and Order Entry/Results Reporting (OE/RR) V.
2. A problem was reported by a site when an order was placed through the
Inpatient Medications dialogue. When pharmacy finished the order, they
were prompted to finish as either IV or Unit Dose. If the user chose to
finish this as an IV, a new order was created. With the installation of
the POE project a new order will no longer be created. This patch corrects
this problem. NOIS# WNY-0498-10040.
3. A problem was found when entering a "P" at the Start Date/Time prompt
for a Unit Dose order. The user always received the message "No other
3.0 medication ordering dialogues to eliminate redundant entry of drug
order found with this drug.", even if there was another order with the
same orderable item. This patch corrects this problem.
4. Inpatient Medications will be adding a new parameter to the PHARMACY
SYSTEM file (#59.7). The parameter will be 'CALC UNITS NEEDED PRN ORDERS'.
The parameter will allow for the calculation of UNITS NEEDED on the Pick
List for orders with PRN in the schedule. Currently orders with PRN in
the schedule are shown on the Pick List with a UNITS NEEDED of 0. This
functionality was requested in E3R #12078, which had been reviewed and
approved by the Inpatient Medications E3R Workgroup and assigned a
information during medication order entry, provide a more consistent
priority of low. With the changes in CPRS for the POE project to include
the PRN button, it was felt that this should be addressed now since the
potential exists for Inpatient Medications to receive more orders with PRN
in the schedule.
5. A problem was reported by a site where they had a schedule of
APPLY@09/REMOVE@21 in their ADMINISTRATION SCHEDULE file (#51.1) and the
admin times were not defaulting into the order when it was finished. This
patch corrects this problem. NOIS# SPO-0101-50812.
medication order entry process, provide expanded order checking, display
6. A problem was reported by a site where they had a schedule of Q3MONTHS
in the ADMINISTRATION SCHEDULE file (#51.1) and the frequency was
calculated as 1440, which would be a daily schedule. Changes were made in
Pharmacy Data Management (PDM), Bar Code Medication Administration (BCMA),
and Inpatient Medications to tighten up the code, which calculates the
frequency of the orders. This patch corrects the Inpatient Medications
portion of the problem. PSS*1*38 addresses the same issue in PDM. NOIS#
SHE-1200-51826.
7. E3R# 15571 asks that the Pick List round up the units per dose to the
documented drug formulary statuses and corresponding
next whole number if it is not a whole number and use this to calculate
the number of doses needed for an order.
restriction/guidelines to the provider and pharmacist at the time of order
entry, and improve the process of medication order transfer between
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