| DESCRIPTION OF ENHANCEMENTS |
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*328 does not
Bank software functionality, therefore RISK is none.
1. If any of the above routines are mapped, disable mapping for them.
2. Use the 'INSTALL/CHECK MESSAGE' option on the PackMan menu. This
option will load the KIDS package onto your system.
3. On the 'Kernel Installation & Distribution System' Menu (KIDS),
select the 'Installation' menu.
4. From this menu, you may then elect to use the following options
(when prompted for the INSTALL NAME, enter LR*5.2*328):
a. Print Transport Global
b. Backup a Transport Global
c. Compare Transport Global to Current System
d. Verify Checksums in Transport Global
Use the 'Verify Checksum in Transport Global' option and verify that
all routines have the correct checksums.
VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes
5. Use the 'Install Package(s)' option under the 'Installation' menu
and select the package 'LR*5.2*328'. When prompted 'Want KIDS to
INHIBIT LOGONs during the install? YES// choose 'NO'. When prompted
'Want to DISABLE Scheduled Options, Menu Options, and Protocols?
YES//', choose 'NO'.
During install KIDS will place the "Accession order then immediately
enter data option [LR ACC THEN DATA] out of order.
6. On a mapped system, rebuild your map set.
made, no specific validation requirements exist as a result of installation
Note: Routine LR328 will be deleted after successful patch installation.
INSTALLATION EXAMPLE
====================
Select Installation Option: 6 Install Package(s)
Select INSTALL NAME: LR*5.2*328 Loaded from Distribution Loaded from
Distribution 4/21/05@16:56:33
of this patch.
=> LR*5.2*328
This Distribution was loaded on Apr 21, 2005@16:56:33 with header of
LR*5.2*328
It consisted of the following Install(s):
LR*5.2*328
Checking Install for Package LR*5.2*328
Will first run the Environment Check Routine, LR328
Sending install started alert to mail group G.LMI
--- Environment Check is Ok ---
Install Questions for LR*5.2*328
Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO
Want KIDS to INHIBIT LOGONs during the install? YES// NO
Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO
Install Started for LR*5.2*328 :
Apr 21, 2005@16:58:02
Build Distribution Date: Apr 21, 2005
Installing Routines:
Apr 21, 2005@16:58:02
Nature of Problem:
Running Pre-Install Routine: PRE^LR328
*** Pre install started ***
*** No action required ***
*** Pre install completed ***
Installing PACKAGE COMPONENTS:
PSI-04-059 identified a patient safety issue identified during the
Installing OPTION
Apr 21, 2005@16:58:02
Running Post-Install Routine: POST^LR328
*** Post install started ***
*** No action required ***
testing phase of the Laboratory Electronic Data Interchange (LEDI III)
*** Post install completed ***
Sending install completion alert to mail group G.LMI
Updating Routine file...
Updating KIDS files...
LR*5.2*328 Installed.
Apr 21, 2005@16:58:03
contain any changes to the VISTA BLOOD BANK Software as defined by VHA
software patches LA*5.2*64 and LR*5.2*286.
Install Message sent #XXXX
Install Completed
Two test sites reported an undefined error related to the variable SEX
which contains the patient's sex. During analysis of the reported error,
it was determined, by the laboratory development team, that the variable
that referenced the patient's sex was being killed between accessions when
a laboratory order created two or more accessions.
The problem occurs when laboratory users enter laboratory test results
using the VistA Laboratory option "Accession order then immediately enter
DIRECTIVE 2004-053 titled VISTA BLOOD BANK SOFTWARE VERSION 5.2.
data [LR ACC THEN DATA]". If the laboratory order being processed
creates two or more accessions, the second and any subsequent accessions,
may calculate age and/or sex based normals and abnormals incorrectly.
We believe this to be a pre-existing problem; however, we cannot
determine how long the problem has been occurring. It is unknown as to
whether any specific incidents have occurred if any. Also, but most
importantly, no patients were harmed.
Solution:
The LR*5.2*328 patch was developed which will set patient's demographics
between processing of accessions when using the "Accession order then
immediately enter data [LR ACC THEN DATA]" option. This will ensure that
the patient's age/sex is defined before calculating any age/sex based
normals and determining abnormality flags.
The routine LRFAST is modified to define the applicable patient
demographic values for sex, date of birth, and age when processing each
accession associated with the order.
EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*328 does not
ASSOCIATED E3R
--------------
None
ASSOCIATED REMEDY
---------------
None
ASSOCIATED PSI
alter or modify any software design safeguards or safety critical elements
---------------
PSI-04-059 PATIENT SAFETY ISSUE: Laboratory, 11/3/2004 5:20:06 PM
TEST SITES
----------
Durham VAMC
Manchester VAMC
Milwaukee VAMC
North Chicago VAMC
functions.
ROUTINE SUMMARY
===============
The following routines are included in this patch. The second line
of each of these routines now looks like:
<tab> ;;5.2;LAB SERVICE;<patchlist>;Sep 27, 1994
Checksum Checksum
Routine Name Before Patch After Patch Patch List
------------ ------------ ----------- ------------
LR328 N/A 4831454 **328** (Deleted by KIDS)
LRFAST 19472230 19464995 **100,121,201,286,291,328**
List of preceding patches: 291
Sites should use CHECK^XTSUMBLD to verify checksums.
INSTALLATION INSTRUCTIONS
-------------------------
RISK ANALYSIS: Changes made by patch LR*5.2*328 have no effect on Blood
The install time for this patch is less than 5 minute. This patch
can be installed when Laboratory users are on the system.
Suggested time to install: non-peak requirement hours.
NOTE: Kernel patches must be current on the target system to avoid
problems loading and/or installing this patch.
Patch installation needs to be coordinated with the Laboratory
Information Manager (LIM/ADPAC).
|
