BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CPOE DEVICE

    MDR report key: 3289329 · Received August 12, 2013

    Report

    Report Number
    MW5031422
    Event Type
    Injury
    Date Received
    August 12, 2013
    Date of Event
    August 9, 2013
    Report Date
    August 11, 2013
    Manufacturer
    PRO TOUCH/KINDRED
    Product Code
    OUG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PATIENT WAS SUFFERING FROM MULTI-ORGAN FAILURE. A CHEST RADIOGRAPH WAS ORDERED USING THE HOSPITAL'S CPOE DEVICE. THE CHEST RADIOGRAPH WAS NOT DONE BECAUSE THE ORDER WAS NEVER RECEIVED BY THE INTENDED RECIPIENT, THAT BEING THE RADIOLOGY DEPARTMENT. SUCH INTEROPERABILITY FAILURES ARE WIDESPREAD AND RESULT IN DELAYS OF TREATMENT OF THE CRITICALLY ILL PATIENTS. THE RADIOLOGY SYSTEM IS A GENERAL ELECTRIC MEDICAL SYSTEM DEVICE KNOWN AT THE CENTRICITY RA 600. THE CPOE DEVICE IS SPECIFIED BELOW. REASON FOR USE: RADIOLOGY SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    386211 CPOE DEVICE EHR OUG PRO TOUCH/KINDRED

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Life Threatening| O