Cerner Millenium

[sarahk]

Cerner Millenium users,

We are having an issue--when a patient is merged (it's the same patient, but different encounters or accounts get merged), Cerner wipes out the historical blood type. This happens even if one encounter has a blood type and one does not. With the increasingly strict requirements about having more than one blood type for transfusion, this is problematic. Has anyone else seen this issue and (more importantly) is there a fix?

[mobea]

Here is what we do:

The Blood Bank receives a report called the BB Review Que when a merge takes place. A supervisor investigates the information on the report by checking in Order Result Viewer, with the new record number, for blood typing results. If results are found then an ABORH History Update is ordered in DOE and the blood type is entered in Result Entry. All print screens are attached to the BB Review Que report.

Hope this helps

[skopti]

We have been on Cerner Millennium since March 2003 and have encountered this isuue all along.

The supervisor reviews the BB Review Que report, investigates and if no blood group is available a no charge ABORH is ordered and resulted.

[jcdayaz]

We have been on Cerner Millennium since March 2003 and have encountered this isuue all along.

The supervisor reviews the BB Review Que report, investigates and if no blood group is available a no charge ABORH is ordered and resulted.

We also have this ridiculous "issue" with Cerner. We are in a group of 4 hospitals in our area. If a patient goes to another hospital for treatment then their blood type gets deleted. We do the same as previous post....we investigate (quite thoroughly) the BB review que every morning. If we determine the person had a BB history at our facility, then we order the ABO/RH no charge and result it.

[AHS_07]

I work for a health system that has 26 hospitals and our registration team has set it up that if a combine is necessary and there is Blood Bank information, the combine must be made into the encounter with the Blood Bank info. It sounds like more of an education issue with the registration department and explaining to them the importance of Blood Bank info. We had to work really hard to explain that to our hospitals and it seems to be working so far.

[MsDuffy]

Cerner Millennium is very particular about how the merges must be done to ensure that the BB History isn't wiped out.

I'd recommend referring to uCern's Reference Pages (formerly known as the Cerner Millennium Support Guides (CMSG) document titled...

All About PathNet Blood Bank Transfusion Patient Combines

[monroe]

Yes, this is still a great big problem with Cerner. Currently, we are having to print the Review Que daily, check to be sure the duplicated accounts are the same patient, place the Blood Type in the Blood Bank comment section. this is a temporary fix and does not address the issue what to do for patients who need the 2nd type verification and actually had it in their history but Cerner wiped it out. I am not a Cerner fan!!!!!

[spin]

Good news... there is a new "Reverse Combine" process availableon 2007.19 and beyond that when enabled will support comvine of a new person record into an old erson record and still maintain the latest demographic data. Have your IT folks check it out.