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Drug Overrides and SP 11

Bugs, Known Issues, Open Cases

Last Post by Anonymous 1 second ago

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burnsh

(@burnsh)

Posts: 155

Estimable Member

Topic starter

Has anyone successfully opened the document or video about drug overrides in SP 11 that GE sent on Friday?

What we are seeing in our test DB with SP 11 doesn't look good and we couldn't fix it by changing user preferences, but maybe GE has some magic instructions in the document they seem still to be editing. Please share if you've seen them. Thanks, Harriett

Posted : December 6, 2015 3:32 pm

JBell

(@jbell)

Posts: 285

Honorable Member

I did see them. It was basically to set the preferences for drug interactions at the highest level possible for each option. Also check the food and ethanol interaction. You will still get some interaction issues but not as many.

Another option, depending on your clinic decision was to give everyone override capability in security just incase they have a note they cannot sign off on due to overactions.

I hope this helps

Posted : December 6, 2015 3:41 pm

JBell

(@jbell)

Posts: 285

Honorable Member

I just noticed you said you tried user preferences and it did not work. The other suggestion was to go into administration > chart then choose drug interaction override reason and also set those to the highest level. This should also help reduce the number of interactions. Maybe this will help.

Posted : December 6, 2015 3:45 pm

burnsh

(@burnsh)

Posts: 155

Estimable Member

Topic starter

Thanks for the reply - did that work for you? We tried those things and it didn't work for us...so far.

Posted : December 7, 2015 3:02 am

dduschel

(@dduschel)

Posts: 207

Reputable Member

As far as I know from my testing even the minimum settings (preferences) will require over rides on many patients. We tested and opted to cancel our upgrade Saturday. I think I heard that all upgrades to 11 are canceled pending a fix but I don't know that for sure.

Posted : December 7, 2015 3:25 am

mfornkahl

(@mfornkahl)

Posts: 132

Estimable Member

The preferences in GE did not seem to help that much. I received the following email which helped tremendously.
To further reduce the override prompts the customer can also disable drug contraindications for drug-problem, drug-age, and drug-gender on the JBOSS JMX Console. The instructions are in the SP 11 Release Notes in the Use JBOSS JMX Console section under Disable or enable contraindications. The customer would need to set each one to False.

Posted : December 7, 2015 7:30 am

[email protected]

(@jracineemh-org)

Posts: 9

Active Member

I have tested the Patch for the override issue and it appears to work in our demo system.

Posted : December 8, 2015 4:19 am

kmarsh

(@kmarsh)

Posts: 85

Estimable Member

We have been testing SP 11 with the patch that was release on Monday. Before applying the patch, we could set the Drug Interaction Overrides (not the user preferences) to 'Not Required'. 'Not Required', according to the GE's Step by Step Guide, "will not require any user to override a medication regardless of the degree" of severity, contraindication, or drug/allergy criticality. We also set user preferences to the hightest, least restrictive level. The 2 of use who were testing, were able to sign documents without having to do overrides. Exactly what we wanted. After the patch was applied and we tested for a couple of days we noticed that some of the issues with the Problem descriptions were appearing again so we asked to have the patch removed. It was but now we can't sign documents without doing overrides AND the problem list still is a mess. I think we will be cancelling our upgrade to SP 11 even though we have been warned about the "implications of not proceeding" - not sure what exactly that means.

Posted : December 10, 2015 2:28 pm

dduschel

(@dduschel)

Posts: 207

Reputable Member

KMarsh,
Can you please be more specific in regards to the problem description issues you are seeing? Have you applied the November KB to that test system? Are you talking about the advanced search or just the regular search?

ps does anyone else find it hard to follow these posts being out of order?

Posted : December 11, 2015 5:09 am

Rhomi

(@rhomi)

Posts: 12

Active Member

Does anyone know exactly what changed in the drug interactions for all these overrides to be occuring now?

Thanks!

Posted : December 14, 2015 7:21 am

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