BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ELECTRONIC MEDICAL RECORD

    MDR report key: 5479532 · Received March 1, 2016

    Report

    Report Number
    MW5060731
    Event Type
    Injury
    Date Received
    March 1, 2016
    Date of Event
    February 11, 2016
    Report Date
    March 1, 2016
    Manufacturer
    EPIC
    Product Code
    NSX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    1

    Narratives

    Description of Event or Problem · 1

    BLOOD CULTURES WERE ORDERED AS PART OF A FEVER WORK UP. THE RESULTS WERE RANDOMLY AND INTERMITTENTLY ELECTRONICALLY TRANSMITTED TO THE EHR DATA STORAGE LIBRARY, BUT THERE WAS NOT ANY WARNING OR NOTIFICATION THAT A POSITIVE BLOOD CULTURE WAS REPORTED. MORE THAN 24 HOURS ELAPSED BEFORE ANY CLINICIAN KNEW AND ANTIBIOTICS STARTED. THE DELAY, COMMONLY CAUSED BY SILENT DELIVERY OF LIFE CRITICAL RESULTS, WAS LIFE THREATENING IN THIS CASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    128942 ELECTRONIC MEDICAL RECORD MDDS/EHR NSX EPIC

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Life Threatening| O