BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HNA MILLENNIUM POWERCHART

    MDR report key: 555335 · Received October 18, 2004

    Report

    Report Number
    MW1033655
    Event Type
    Injury
    Date Received
    October 18, 2004
    Date of Event
    October 6, 2004
    Report Date
    October 16, 2004
    Manufacturer
    CERNER CORP.
    Product Code
    LNX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    MEDICAL RECEPTIONIST ENTERED PT'S DEMOGRAPHICS IN POWERCHART, BOTH ENGLISH AND METRIC HEIGHT MEASURES WERE ENTERED. DATA FOUND IN BOTH POWERCHART FLOW SHEET AND PHARMACY SYSTEM. AN ADDITIVE VALUE OF THE METRIC AND ENGLISH CONVERTED TO METRIC BY SYS. THIS PRESENTED PHARMACIST WITH FOUR ERRONEOUS VALUES TO DOSE MEDICATION BY, THE FALSE HEIGHT, AND CALCULATED BSA, IBW, AND CRCL CALCULATED BY SYS USING BAD HEIGHT. THIS HAS POTENTIAL FOR SERIOUS, POTENTIALLY LIFE-THREATENING MEDICATION ERRORS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HNA MILLENNIUM POWERCHART COMPUTER AND SOFTWARE, MEDICAL LNX CERNER CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Required Intervention