FDA Adverse Event Injury Summary report: N

CERNER MILLENNIUM PHARMNET INPATIENT

MDR report key: 2020667 · Received March 7, 2011

Report

Report Number
1931259-2011-00004
Event Type
Injury
Date Received
March 7, 2011
Date of Event
February 15, 2011
Report Date
March 7, 2011
Manufacturer
CERNER CORP.
Product Code
LNX
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CERNER DISTRIBUTED A PRIORITY REVIEW FLASH NOTIFICATION ON (B)(4) 2011 TO ALL POTENTIALLY IMPACTED CLIENT SITES. THE SOFTWARE NOTIFICATION INCLUDES A DESCRIPTION OF THE ISSUE AND A SCRIPT THAT CAN BE RUN TO DETERMINE IF THEY ARE AFFECTED BY IT. A SOFTWARE MODIFICATION WILL BE DEVELOPED ONCE THE SOURCE OF THE DEFECT IS KNOWN. A FORTHCOMING FLASH WILL COMMUNICATE THE CORRECTION FOR THIS ISSUE TO ALL SITES THAT COULD BE POTENTIALLY IMPACTED. CERNER CORPORATION WILL PROVIDE A FOLLOW-UP REPORT WHEN THE SOFTWARE MODIFICATION IS AVAILABLE.

Description of Event or Problem · 1

THE ISSUE INVOLVES CERNER'S SOLUTION PHARMNET INPATIENT, AND AFFECTS USERS THAT UTILIZE THE (B)(4), PHARMACY BATCH PRESCRIPTION AND REFILL WORK QUEUE FOR NEW ORDERS ENTRY, ORDER MODIFICATION, ORDER VERIFICATION, RESUMPTION, OR REFILL PROCESSING. THE SYSTEM DOES NOT PERFORM CLINICAL CHECKING OR PHARMACY ORDERS CONTAINING INGREDIENTS RELATED TO A CORRUPTED ORDER CATALOG FIELD. PT CARE COULD BE ADVERSELY AFFECTED IF CLINICIANS IGNORE THE SYSTEM ALERT THAT CLINICAL CHECKING CANNOT BE PERFORMED ON AN AFFECTED INGREDIENT. THIS ISSUE COULD RESULT IN A MEDICATION OVERDOSE THAT COULD ADVERSELY IMPACT PT CARE. CERNER HAS RECEIVED COMMUNICATION ON AN ADVERSE PT EVENT AS A RESULT OF THIS ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CERNER MILLENNIUM PHARMNET INPATIENT SOFTWARE LNX CERNER CORP. NA

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| L