BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HNA MILLENIUM POWERCHART

    MDR report key: 558593 · Received October 22, 2004

    Report

    Report Number
    MW1033654
    Event Type
    Injury
    Date Received
    October 22, 2004
    Date of Event
    October 16, 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

    NURSE ENTERING PT INFO INTO HIM - POWERCHART. UPON ENTERING HEIGHT THEY ENTERED BOTH METRIC AND ENGLISH MEASURES. WHEN THIS DATA COMES TO PHARMACY SYSTEM THE HEIGHT MEASURES ARE ADDED TOGETHER. THIS THEN PRESENTS FALSE INFO FOR PHARMACY TO USE FOR DOSE CALCULATIONS (BSA, IBW, CRCL). THESE COULD LEAD TO SERIOUS OR LIFE THREATENING MEDICATION ERRORS. THE SAME SUMMARY OF HEIGHT IS DISPLAYED ON FLOWSHEET IN POWERCHART.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Required Intervention