My hospital recently went live with EPIC’s BPAM module, because of which we had to increase the amount of data being sent across the interface (more OBX segments cross into EPIC for the patient/product matching aspect).
The Transfusion Service uses Softbank and we've discovered one the main Soft interfaces into EPIC can only process so many lines of data at one time. How did we discover this? We broke the interface! One massively transfused patient sent across so much data that it crashed.
Soft is currently working on a fix for this, but the main workaround they gave is to limit the number of products you can crossmatch/dispense on each order (recommended max =16) and create a new order when that amount is exceeded.
For most patients this isn’t a problem, however I am at a loss for what to do with the massive bleeders. In order to be electronically crossmatched the red cell product needs to be on the same order number as the Type and Screen. So when a liver transplant takes a turn for the worse and you transfuse 80 crossmatched red cell units emergently, what do you do? It seems ethically wrong to flip to the uncrossmatched status just because the software doesn't like more than 16 units on one order. Another suggestion was to create "fake" type and screen specimens for each set of 16 units, which also doesn't sit well with me.
Does anyone else have Soft and come across this problem?
We are in the process of narrowing our new Blood Bank software down to Softbank or SafeTrace Tx frm Haemonetics. Our new LIS system will be Beaker (our current EHR is Epic). We have heard pros and cons about both systems and are interested in users giving us feedback on their thoughts, especially if they have Softbank as a standalone (i.e., not part of the entire LIS system). All information is welcome.
Our hopsital is in the process of FINALLY implementing a BB module. No more testing book! We have Meditech as our Lab LIS and hospital. So our options are Meditech BB module and Softbank. The IT staff here would love for us to just get the Meditech since interface would not be needed and familar to the staff. I have looked at reviews for both Meditech and Softbank, and saw demos of both. I lean toward the Softbank. The ITstaff is not 100% against Softbank, but want to have good reasons such as areas where Meditech lacks and Softbank has those options. So any feedback on this would be great. And anyone out there who has Meditech LIS who got the Softbank, how did your interface integration go?
Can someone who uses softbank tell me how they control patients arm bands? Who cuts them off and and how do they know when to cut them off? Currently we have a sql report that goes out to nursing units and it displays patients that expire that day (however the time is not specific). Therefore, I have nurses cutting off bands before they are really past the 72 hour window which runs us into problems. Anyone have a good system that works for them??? Thanks!