Unable to evidence Infections or Wound's

Incident Report for PCS Australia

Postmortem

Incident Postmortem – mCare 13/11/2024

This is a postmortem of the incident impacting mCare services on the 13th of November 2024.

Timeline of Incident (all times in AEDT)

13th November

  • 23:00 - A release was made with test customers

14th November

  • 00:00 - Release rolled out to first 2 shards
  • 01:00 - Release rolled out to remaining shards
  • 01:35 - bug reported and replicated by the PCS Support Team that there is an issue saving infections / wounds, Support are only able to replicate for infections and at this point belief is that this is the scope of impact, this is escalated to development for remediation
  • 03:48 - Development completed on bug fix, testing started
  • 04:50 – Testing complete, due to time of day and belief of impact to infections only release is made ready and held for next morning

  • 19:30 - Release rolled out to test customers

  • 20:08 - Expedited release process starts rolling out to shards

  • 20:32 - Release to all shards completed, service returned to normal

Root Cause

The root cause of this incident was that a new field was being added to the wound care / infection service to record the reason for a change of status. This field should have been behind a release control. However, it did not function correctly which caused wounds/infections to fail to save as no reason had been supplied in this new field.

Resolution

Once we had identified the release control was not correctly working, we were able to correct the issue and prove through testing that saving wounds / infections would work.

Due to the time of the day we did not want to introduce any other potential issues, that combined with having access to only a limited scope of the impact, the release was held until the next morning when all staff would be available to support.

On the next day we released the fix following an expedited rollout process to reach customers as soon as possible, during this, the full scope of the impact was also realised due to additional support tickets that were raised throughout the night.

Impact of this within mCare

The issue presented as a failure in both infection and wound care saving with staff unable to make changes.

Our Response

Once the issue was identified and the fix fully tested it was too late in the day to release safely, this decision was partially based on the believed scope of impact being limited to just infections.

The next day we released as soon as safely possible to restore functionality.

It was only on this 2nd day that the impact to wounds was also fully understood, if this had been known at the time, an emergency release could have been considered.

Findings

We are replacing the release control functionality within mCare to allow for more granular control and checking, this will ensure that such mistakes of functionality not being correctly guarded, will not happen again.

A replacement solution has been chosen and will be implemented over the next few weeks. The implementation of which will not impact customers using our solutions directly.

We are also changing our release process. The purpose of this is to ensure more detailed testing of such situations takes place, where functionality is locked down, so that even with release control the risk of issues arising is reduced. Furthermore, to support this, an additional test environment is being created to allow for testing in an environment with everything purposefully turned off.

We will also be looking at how we can better identify the scope of impact if such an issue occurs again to better inform the priority of releasing and to allow us to make better informed decisions, we will review all of our build and release processes to identify safer routes for releasing in such cases and we will be looking at improving our policies around such emergency releases.

Posted Nov 21, 2024 - 23:22 AEDT

Resolved

Please note the ability to save wounds and infections is all fixed
Posted Nov 15, 2024 - 08:39 AEDT

Monitoring

The issue around Wounds & infections saving should be all fixed now. Please be aware the fix may still be rolling out to some customers but should be resolved for everyone soon
Posted Nov 14, 2024 - 23:19 AEDT

Update

A fix has started to roll out but will take some time to take affect
Posted Nov 14, 2024 - 22:07 AEDT

Update

We will be rolling out a fix very soon
Posted Nov 14, 2024 - 19:59 AEDT

Identified

The issue has been identified and a fix is being put in place, please note the fix may not be released until after 6pm today
Posted Nov 14, 2024 - 15:16 AEDT
This incident affected: mCare (Monitor).