| DESCRIPTION OF ENHANCEMENTS |
Description:
NO YES All med routes from dosage form
display. Default med route
pre-populates the selection box.
NO NO All med routes from dosage form
display. Nothing pre-populates the
selection box.
Additionally, this patch will provide a new option called Default Med
Route For OI Report [PSS DEF MED ROUTE OI RPT] that will be added to the
Problem:
Medication Routes Management [PSS MEDICATION ROUTES MGMT] menu. The site
can use this report to identify the current default medication route for
the orderable item. Here is an example of the report:
DEFAULT MED ROUTE FOR ORDERABLE ITEM REPORT JUN 17,2009 PAGE 1
OI NAME DOSAGE FORM ASSOCIATED ROUTES DEFAULT ROUTE DRUG
--------------------------------------------------------------------------
--------
IBERET LIQUID ORAL (BY MOUTH) IBERET-500 ORAL
IBUPROFEN TAB ORAL (BY MOUTH) IBUPROFEN 600MG
IDOXURIDINE OINT,OPH RIGHT EYE
LEFT EYE
BOTH EYES IDOXURIDINE 0.5%
IMIPRAMINE TAB ORAL (BY MOUTH) IMIPRAMINE 25MG
IMIPRAMINE 50MG
INDOCYANINE INJ,SOLN INTRAMUSCULAR
INTRAVENOUS INTRAVENOUS INDOCYANINE 25MG
INSULIN INJ INTRAMUSCULAR
Currently, for unit dose orders and Outpatient Pharmacy orders, all
INTRAVENOUS
ORAL
SUBCUTANEOUS INTRAVENOUS INSULIN LENTE
INSULIN NPH
medication routes for the dosage form of the orderable item are being
displayed in CPRS as possible medication routes to be selected. Even if
an orderable item is to be given only Intramuscular (IM), the provider
sees a dropdown list to select a potentially inappropriate medication
route of Subcutaneous (SC) or Intravenous (IV).
===========
Resolution:
-----------
This enhancement affects both Inpatient Medications unit dose orders
entered via the Inpatient Medications order dialog in CPRS as well as
Outpatient Pharmacy orders entered via CPRS. A new parameter will be added
to the PHARMACY SYSTEM file (#59.7) to support this functionality (see
below). With this parameter set to YES, CPRS order dialogs will display
only the default medication route for the orderable item in the medication
route selection list in CPRS if a default medication route is defined in
the PHARMACY ORDERABLE ITEM file (#50.7). If there is no default
medication route defined for the orderable item, then the current
functionality will be retained and all possible medication routes for the
dosage form will be displayed to the provider for selection in CPRS.
Routine PSSJORDF will be modified for this enhancement.
This enhancement adds the DEFAULT MED ROUTE FOR CPRS field (#80.7) to the
PHARMACY SYSTEM file (#59.7) to support the functionality of this patch.
The field will serve as a toggle, allowing the site to choose whether they
want to implement the features of this patch in their system. This field
is maintained by the Pharmacy System Parameters Edit [PSS SYS EDIT]
This enhancement is an interim resolution approved by the Inpatient
option. The default for this field is YES when first accessing this field
from this option. This field may be set to YES or NO. An example of
setting this to YES appears below.
Example screen:
Select Pharmacy Data Management Option: Pharmacy System Parameters Edit
PMIS PRINTER: NULL DEVICE//
PMIS LANGUAGE: English//
WARNING LABEL SOURCE:
Medications Workgroup and Pharmacy Legacy Quarterly Enhancement (PLQE)
CMOP WARNING LABEL SOURCE:
OPAI WARNING LABEL SOURCE:
AUTOMATE CPRS REFILL:
DEFAULT MED ROUTE FOR CPRS: Y YES
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
--------------------------------------------------------------------------
59.7,80.7 DEFAULT MED ROUTE FOR CPRS 80;7 SET
User Group for Patient Safety Issue PSI 08-026, PSPO #852 as described in
'0' FOR NO;
'1' FOR YES;
LAST EDITED: MAY 28, 2009
HELP-PROMPT: Enter Y to display only the default med route
in CPRS or N to continue with the current
functionality.
DESCRIPTION: This field should be marked "YES" if the site
prefers the MED ROUTE field (#.06) in the
PHARMACY ORDERABLE ITEM file (#50.7) to
Remedy Ticket HD233682. This patch will help mitigate incorrect medication
appear as the default/only entry during CPRS
order entry. If no default medication route
is defined in the PHARMACY ORDERABLE ITEM
file (#50.7), then the routes from the DOSAGE
FORM file (#50.606) will display.
This field will affect only orders entered
via the Inpatient Medications dialog or the
Outpatient Medications dialog in CPRS. It
will not impact IV Fluids entered via CPRS or
routes being displayed for selection in the Computerized Patient Record
orders entered via backdoor Pharmacy.
TECHNICAL DESCR: Set of codes. "YES" to display only the
default med route in CPRS and "NO" to
continue with the current functionality.
The following table summarizes the functionality of this patch.
**NOTE** This patch will be exported with the new parameter set to YES.
Default OI Med
System V. 3.0 (CPRS).
Site Parameter Route Defined CPRS Med Route Selection List
-------------- -------------- -----------------------------
YES YES Default med route is the only route in
selection list. Default med route
pre-populates the selection box.
YES NO All med routes from dosage form
display. Nothing pre-populates the
selection box.
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