FDA Adverse Event
Malfunction
Summary report: N
CERNER BRIDGE MEDICAL MEDPOINT
MDR report key: 1250243
·
Received November 25, 2008
Report
- Report Number
- 1250243
- Event Type
- Malfunction
- Date Received
- November 25, 2008
- Date of Event
- October 14, 2008
- Report Date
- November 25, 2008
- Manufacturer
- CERNER CORPORATION
- Product Code
- NZH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- KY, US
Narratives
Description of Event or Problem · 1
DURING A MEDICATION PASS, THE BAR CODE SCANNER FAILED AND THE NURSE WAS UNABLE TO SCAN THE PATIENT'S ID/MEDICATION. THE DEVICE FAILED AND THERE WAS NOT ENOUGH TIME TO TROUBLESHOOT OR RESET THE DEVICE. THE MEDICATION HAD TO BE GIVEN STAT AND THE ERROR OCCURRED WHEN THE SCANNER FAILED AND THE RN WASN'T ABLE TO VERIFY THAT THE WRONG DOSE WAS BEING GIVEN TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CERNER BRIDGE MEDICAL MEDPOINT | MEDICATION ADMINISTRATION SYSTEM | NZH | CERNER CORPORATION | * | * | |
| 2 | BT FOCUS SCANNER WITH 9535 CRADLE | BAR CODE SCANNER | NZH | HONEYWELL, METROLOGIC DIVISION | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR |