BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUNRISE

    MDR report key: 3305468 · Received August 20, 2013

    Report

    Report Number
    MW5031572
    Event Type
    Injury
    Date Received
    August 20, 2013
    Date of Event
    August 19, 2013
    Report Date
    August 20, 2013
    Manufacturer
    ALLSCRIPTS
    Product Code
    NSX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT'S MEDICATION LIST AND OTHER ACTIVE ORDERS DID NOT APPEAR ON THE DOCTOR'S ORDER SECTION ON THE CPOE SYSTEM RENDERING IT IMPOSSIBLE FOR THE DOCTOR TO CONFIRM, ALTER, AND RECONCILE THE MEDICATION LIST. THE UP TO DATE MEDICATION LIST APPEARED ON THE NURSES' CPOE SYSTEM UNDER ORDERS. IT IS NOT CLEAR WHY THE MEDICATION LIST ON THIS PT WAS SEQUESTERED. FOR OBVIOUS REASONS, THIS DEFECT IN THE CPOE IS POTENTIALLY LIFE THREATENING WHEN THE DOCTOR(S) DO NOT HAVE ACCESS TO THE CURRENT MEDICATION LIST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    401818 SUNRISE CPOE/EHR NSX ALLSCRIPTS

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Life Threatening| O