| DESCRIPTION OF ENHANCEMENTS |
Description:
schedules entered for IV Piggyback orders via the CPRS IV Fluids Dialog.
presents the user with the error message, "Your infusion rate is in an
invalid format", and the order cannot be completed.
Resolution:
-----------
If the order has a fractional infusion rate < 1 ml/hr, the order must
contain a leading zero, and the system will view the infusion rate as
valid. (example - infusion rate must be 0.9 ml/hr to be valid)
The coding will affect routines PSIVSP, PSIVCHK, and PSIVORE.
If the user creates a schedule using the schedule builder, and uses the
new format of Day of Week@Schedule (example: MO-WE-FR@BID), and if the
root schedule (MO-WE-FR) exists in the ADMINISTRATION SCHEDULE File
(#51.1), when the order is viewed in backdoor pharmacy, the
administration time(s) for the order will be null.
Problem:
--------
Admin times are null if a Day of Week schedule created via the schedule
===========
builder in CPRS exists in the ADMINISTRATION SCHEDULE File (#51.1).
Resolution:
-----------
In PSGS0, do not QUIT before the admin times are set if the schedule
is a Day of Week schedule, even if it exists in the schedule file.
2. The second issue, Remedy Ticket HD246438 and its duplicates, is also
logged as Patient Safety Issue PSI-08-068,PSPO #782. This is an issue
with an invalid frequency for IV Piggyback orders. This issue has existed
prior to the release of CPRS GUI v27, but the sites are reporting an
increase in the occurrence of the problem after the install of CPRS GUI
v27. For unknown reasons, the frequency of some IV Piggyback orders is
null when it should contain a value.
No site or developer has been able to
reproduce this issue at-will, and there does not appear to be any
pattern to the processes or procedures that precede the occurrence of this
problem. With this patch, if the frequency for an IV Piggyback order is
This patch contains four Inpatient Medications V. 5.0 fixes that sites
null, and it should contain a value, the code will attempt to directly
set an appropriate frequency into the PHARMACY PATIENT File (#55) upon
verification of the order, and upon the order becoming active.
Problem:
--------
The frequency is being set to null very sporadically for IV Piggyback
orders. No root cause is known.
Resolution:
logged during the compliance date period for the CPRS (Computerized
-----------
During the verification process, if the IV is intermittent, and the
frequency is null, attempt to re-set the frequency based on the name
of the schedule as well as other variables that should
contain the value of the frequency. These changes are in routine
PSIVORFB.
3. The third issue, Remedy Ticket HD274682 and its duplicates, is an
undefined variable error in the new Meds Tab sort for CPRS. The root
cause of the problem is that a pointer to the PHARMACY ORDERABLE ITEM File
Patient Record System) GUI v27 release.
(#50.7) is missing in either the NON-VERIFIED ORDERS File (#53.1) or the
PHARMACY PATIENT File (#55). Because the pointer does not exist, when
a temporary global is being built to display the orders for the patient,
an undefined variable error occurs.
Problem:
--------
Very old orders exist in the system that do not contain a pointer to
the orderable item. When the new Meds Tab sort routines attempt to
use the pointer value as a subscript in a ^TMP global setting, and the
pointer's value is null, a null subscript error occurs. This causes
a hard error in CPRS and shuts CPRS down.
Resolution:
-----------
If the pointer to the orderable item does not exist, the routines will
use the phrase "Orderable Item Not Found" as the subscript value in place
of what should be the name of the orderable item. This allows the Meds
Tab sort routines to process without error, and the patient's medications
appear without problems on the CPRS Meds tab. The updated routines are
PSJORRO, PSJORRN, and PSJORRN1.
4. The fourth issue addressed by this patch is Remedy Ticket HD280040,
which deals with an inconsistency between CPRS and backdoor pharmacy
with respect to continuous IV orders.
If the IV order originates from CPRS, a
fractional infusion rate of < 1 ml/hr (0.9 ml/hr for example), backdoor
pharmacy allows the infusion rate, and the order can be finished and
1. The first issue, Remedy Ticket HD280022, pertains to Day of Week
verified without issue. However, if the order originates from backdoor
pharmacy, a fractional infusion rate < 1 ml/hr is not accepted, and the
user is presented a message "Invalid Infusion Rate", and they cannot
finish and verify the order. This patch will make backdoor pharmacy
behave consistently with CPRS.
Problem:
--------
If an order is entered via backdoor pharmacy for a continuous IV, and the
order is created with a fractional infusion rate of < 1 ml/hr, the system
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