BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CERNER MILLENNIUM POWERORDERS

    MDR report key: 3941063 · Received April 24, 2014

    Report

    Report Number
    1931259-2014-00005
    Event Type
    Malfunction
    Date Received
    April 24, 2014
    Date of Event
    November 14, 2013
    Report Date
    April 23, 2014
    Manufacturer
    CERNER CORP.
    Product Code
    OUG
    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) 2014 TO ALL POTENTIALLY IMPACTED CLIENT SITES. THE SOFTWARE NOTIFICATION INCLUDES A DESCRIPTION OF THE ISSUE, AN ALTERNATIVE TO PREVENT THE ISSUE FROM OCCURRING, CONFIGURATION AND WORKFLOW RECOMMENDATIONS TO REDUCE THE IMPACT IF THE ISSUE OCCURS AND NOTIFICATION THAT A SOFTWARE MODIFICATION IS BEING DEVELOPED TO ADDRESS THE ISSUE FOR ALL SITES THAT COULD BE POTENTIALLY IMPACTED. CERNER CORP WILL PROVIDE A FOLLOW UP REPORT WHEN THE SOFTWARE MODIFICATION IS AVAILABLE.

    Description of Event or Problem · 1

    THE ISSUE INVOLVES CERNER MILLENNIUM POWER ORDERS. THE ISSUE MAY OCCUR WHEN THE USER ATTEMPTS TO CONVERT A SINGLE-INGREDIENT, INTERMITTENT HOME MEDICATION WITH AN IV PIGGYBACK ROUTE TO AN INPATIENT MEDICATION. WHEN THIS OCCURS THE MEDICATION IS NOT SIGNED IF THE ORDER QUALIFIES AS INCOMPLETE TO PHARMACY. PATIENT CARE COULD BE ADVERSELY AFFECTED IF CARE IS DELAYED IF THE ORDERS ARE NOT PROCESSED. CERNER RECEIVED COMMUNICATION OF TWO REPORTS OF MISSED DOSES OF ANTIBIOTICS BUT NO ADVERSE PATIENT OUTCOMES HAVE BEEN ASSOCIATED TO THESE EVENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    248278 CERNER MILLENNIUM POWERORDERS SOFTWARE OUG CERNER CORP. 2012.01 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other