Critical Issues NewsFlash - Prescriber Is No Longer Alerted on Subsequent Prescriptions or Renewals after the Prescriber Overrides the First Drug-to-Allergy Alert

Potential Patient Safety

Prescriber Is No Longer Alerted on Subsequent Prescriptions or Renewals after the Prescriber Overrides the First Drug-to-Allergy Alert

Release Date

July 29, 2020

Known Issue #

KI194641

Issue

In NextGen® Office EHR, after the prescriber overrides a drug-to-allergy alert for the first time, the prescriber is no longer alerted on subsequent prescriptions or renewals. Prescribers cannot see when this was overridden from EHR. If, in the future, the prescriber prescribes the medication that triggered the initial drug-to-allergy alert again, the prescriber will not receive an alert even though the patient’s allergic condition remains.

Steps to Reproduce

To override the drug-to-allergy alert for the first time

1. In the patient chart, click the Medication List tab.
2. Select the Prescribing Dr.
3. Click New Medication.
4. Search and select a medication that the patient is allergic to.
5. Enter the Medication Sig information.
6. Click Save.
7. You receive a Drug-to-Allergy Interaction alert. Click an Override reason.
8. Click Save.

To represcribe the medication

1. Click the Medication List tab.
2. Select the Prescribing Dr.
3. Select the check box for the medication.
4. Do one of the following:
   • To eprescribe the medication, click ePrescribe and then Transmit.
   • To print the prescription, click Print and then Print.

To approve a pharmacy renewal

1. On the top toolbar, click  or click Pharmacy Alerts on the bottom toolbar. Note: If you have a pharmacy alert, the icon has a red indicator.
2. Click the Pharmacy Messages tab.
3. Pharmacy renewal drugs are marked with in the Drug column. Click the patient's name.
4. Click Approve.

Action Required

Before represcribing or approving a pharmacy renewal, the prescriber must confirm that the patient does not have any medication allergies by checking the Allergies page in the patient’s chart.

Status

This issue was fixed on July 14, 2022.

Clients who are experiencing this issue can link their practice to this issue via the NextGen Healthcare Success Community homepage (https://www.community.nextgen.com). Just navigate to the Known Issues tab, select the Known Issue which is affecting your practice, and check the This Known Issue Affects me check box. A case will be created on your behalf and you will be kept updated on the status of this issue