FDA Adverse Event Summary report: N

EHR

MDR report key: 13059754 · Received December 20, 2021

Report

Report Number
MW5106188
Date Received
December 20, 2021
Report Date
November 24, 2021
Manufacturer
OMNICELL
Product Code
OUG
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

THERE HAVE BEEN THREE OCCURRENCES REPORTED BY OUR NURSING STAFF OF OUR OMNICELL AUTOMATED DISPENSING CABINETS DISPLAYING DISCONTINUED MEDICATIONS ON THE NURSING UNIT CABINET MANY MONTHS AFTER THE ORDER WAS DISCONTINUED. TWO OCCURRENCE WERE IN XXX 2021 AND THE THIRD WAS THIS MONTH, XXXXXX 2021 (6 MONTHS AFTER). IN THE MOST RECENT CASE, THE NURSE REPORTED THE ISSUE AND OMNICELL NEEDED TO BE CONTACTED TO RESOLVE THE ISSUE AS OUR EHR NO LONGER DISPLAYED THE DISCONTINUED MEDICATION TO RESEND THE DISCONTINUE MESSAGE. IN THE MOST RECENT CASE, BECAUSE THE PATIENT ALSO HAD AN ACTIVE ORDER ON THE PROFILE THE INCORRECT MEDICATION DOSE WAS GIVEN TO THE PATIENT BEFORE THE ISSUE WAS IDENTIFIED. THERE WAS NO PATIENT SAFETY IMPACT IDENTIFIED. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1939624 EHR MEDICAL DEVICE DATA SYSTEM OUG OMNICELL
1939625 EHR MEDICAL DEVICE DATA SYSTEM OUG OMNICELL
1939647 EHR MEDICAL DEVICE DATA SYSTEM OUG OMNICELL

Patients

Seq Age Sex Outcome Treatment
1 Unknown