FDA Adverse Event Malfunction Summary report: N

CERNER MILENNIUM POWER ORDERS

MDR report key: 4008905 · Received June 27, 2014

Report

Report Number
1931259-2014-00007
Event Type
Malfunction
Date Received
June 27, 2014
Date of Event
April 14, 2014
Report Date
June 27, 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 AND NOTIFICATION THAT A SOFTWARE MODIFICATION IS BEING DEVELOPED TO ADDRESS THE ISSUE FOR ALL SITE S 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 MILLENNIUM POWER ORDERS USED FOR ORDER MANAGEMENT BY PHYSICIANS AND CLINICIANS. THE ISSUE MAY OCCUR IF POWERORDERS IS DEPLOYED WITH THE IGNORE PROFILELOCK PREFERENCE SET TO 1 (ON) AT THE DEFAULT LEVEL AND SET TO 0 (OFF) AT THE NURSE UNIT OR FACILITY LEVEL. WITH THIS CONFIGURATION ALL ASPECTS OF INTERACTION CHECKING ARE NOT PERFORMED IN THE UNIT OF FACILITY INCLUDING DRUG-DUPLICATE, DRUG-DRUG, DRUG-ALLERGY, AND DRUG-FOOD INTERACTIONS FOR MEDICATIONS, CONTINUOUS INFUSIONS, AND NEW INTERMITTENT SUPPORT. PATIENT CARE COULD BE ADVERSELY AFFECTED IF PATIENT RECEIVES DUPLICATE ORDERS OF THE SAME MEDICATION, A MEDICATION TO WHICH THE PATIENT IS ALLERGIC, OR A MIX OF DRUGS THAT DUPLICATE OR REACT WITH EACH OTHER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
376419 CERNER MILENNIUM POWER ORDERS SOFTWARE OUG CERNER CORP. 2012-01 NA

Patients

Seq Age Sex Outcome Treatment
1