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We were scheduled to upgrade to SP 11 this past weekend. We received an e-mail from GE the night before the upgrade about a defect in the SP. The defect causes a mandatory drug-to-drug allergy override on EVERY document created. These overrides have to be done by the physician. The work around GE provided is to either 1) route ALL documents to the provider to sign off on the override, or 2) give EVERY user access to drug-to-drug allergy overrides.
We decided that this was too big of an issue to continue on with the upgrade to SP 11. GE did not have a time frame on when this issue would be resolved.
Posted : December 7, 2015 4:31 am
Those are some pretty lame workarounds.
We've struggled with drug overrides for literally years. They pop up far too often even when no changes have been made to drugs (examples include phone notes and Release of Information). Staff dealing with ROIs or scheduling are not really clinical and aren't really qualified to do the override. The physicians certainly don't want to deal with the increased number of documents on their desktop.
Here's to hoping they give this functionality a complete once over and get it right. If messages are popping up all the time and listing every drug, including those that don't even need an override, the tendency is to click the select all, override, and not even pay attention to what it's trying to tell you. I think they called it "dialog fatigue" or something to that effect.
Posted : December 7, 2015 4:47 am
Wow,
Thanks for the heads up.
Posted : December 7, 2015 4:49 am
Just wanted to share that we DID proceed with our upgrade this weekend and so far the experience has not been bad. The drug interaction issue will not pop up on EVERY patient – only those patients for which a drug interaction override has been performed in the past. I can tell you that this has been tested by myself and several of my staff and we have yet to see the drug interaction window.
Also, GE already has a fix which they are testing right now.
One more note about this issue, our clinic chose to give staff the ability to override the interactions several years ago. The staff chooses the override reason of “Patient is being monitored” and proceeds. Our logic behind this decision is that even though the provider may not be the one who overrides the interaction, the provider is monitoring the patient while in treatment.
Hope this helps.
Posted : December 7, 2015 7:14 am
I feel like we saw this when we updated to SP10 - at least very close to how it is being described. I wonder why we were so special to see it early...
Just to add - we did report this to GE and after they finally understood what we were saying they said it would be fixed in SP11. How ironical. (wow, I didn't realize that was a real word!).
Posted : December 7, 2015 8:57 am
Is "Not Required" an option for each of the overrides still? From what everyone is saying, it seems like they have made overrides mandatory.
Posted : December 7, 2015 9:03 am
GE just posted an SP11 patch onto the support site a few moments ago.
Unclear if this allows you to go back to having no Overrides at all and not get any pop-ups at all or if the patch just addresses unwanted food/ethanol interactions.
That's a fairly quick turnaround.
Posted : December 7, 2015 10:04 am
Based upon the dll patches, at this point we plan to go forward with EMR 9.8 SP11 this coming weekend.
Love to hear from anyone running SP11 with the patch, who has an opinion on that.
Posted : December 8, 2015 11:03 am
We have SP11 in our test system and plan to upgrade on the 16th. Not sure I want to go forward, but what choice do I have since they have MU and PQRS fixes in them.
The "Not Required" option is explained in contradictory ways by GE. The Help file says that "Not Required" will show all interactions regardless of severity or criticality, etc. The step-by-step guide that they put out says that "Not Required" will not require any user to override the interaction regardless of the severity or criticality, etc. Which is it GE? From my testing, it is door number 1 and it requires more overrides. Trying to determine if it's supposed to work one way or the other.
Posted : December 10, 2015 1:29 pm
Not Required in System settings means that you are not required to supply an over-ride reason. You will still get the visual alert ther there is a contraindications based on your prefrences, but the system will not pop up and warn you that you have to provide an over-ride reason. I agree that to read it is confusing.
Posted : December 11, 2015 3:12 am
