FDA Adverse Event Injury Summary report: N

ASAP MODULE OF EMR

MDR report key: 5018380 · Received August 17, 2015

Report

Report Number
MW5055554
Event Type
Injury
Date Received
August 17, 2015
Date of Event
January 21, 2015
Report Date
August 17, 2015
Manufacturer
EPIC
Product Code
MMH
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
1

Narratives

Description of Event or Problem · 1

PATIENT WITH MULTIPLE MYELOMA ON CHEMOTHERAPY. AT ROUTINE CLINIC VISIT NOTED TO BE WEAK AND SWEATY, SO TRANSFERRED TO ER FOR EVAL AND TREATMENT. IN ER FOUND TO BE HYPOTENSIVE, TACHYCARDIC, CONFUSED, FEBRILE, PRESUMABLY DUE TO SEPSIS / SEPTIC SHOCK. DURING RESUSCITATION, UNABLE TO ENTER ORDERS FOR FLUIDS, MEDICATIONS, LAB WORK, X-RAYS IN THE TACHYCARDIC BECAUSE "CHART IS OPEN BY (B)(6) IN (B)(6) CLINIC WORKSTATION (B)(6)". CALLED CLINIC BUT CALL WENT TO VOICE MAIL. CALLED IT HELP DESK WHO SAID CALL CLINIC, THEN SAID THERE WAS NOTHING THEY COULD DO. WOULD NOT EVEN GO TO CLINIC TO SHUT DOWN WORKSTATION BECAUSE NUMBER PROVIDED DID NOT CORRESPOND TO THEIR WS IDS. ASKED OUR DEPT ADMINISTRATOR TO TAKE ON PROBLEM AS WE WERE BUSY W/ DIRECT CARE. AFTER ABOUT AN HOUR, PROBLEM EVENTUALLY WENT AWAY, ALTHOUGH DON'T KNOW WHY. PT GOT FLUIDS AND SOME (BUT NOT ALL) DRUGS, BUT COULD NOT GET LABORATORY OR RADIOLOGY RESULTS W/O A VALID ORDER IN SYSTEM. IT ALLEGEDLY REPORTED TO VENDOR, NO CORRECTIVE ACTION FORTHCOMING. CONCOMITANT MEDICAL PRODUCTS AND THERAPY DATES: NA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
542195 ASAP MODULE OF EMR EMR ORDER ENTRY MMH EPIC

Patients

Seq Age Sex Outcome Treatment
1 55 YR Life Threatening| R