BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HNA MILLENIUM POWERCHART

    MDR report key: 558600 · Received October 25, 2004

    Report

    Report Number
    MW1033653
    Event Type
    Injury
    Date Received
    October 25, 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

    PRACTITIONER ENTERED PT HEIGHT INTO POWERCHART SYSTEM IN BOTH METRIC AND ENGLISH MEASURE. THESE VALUES THEN POSTED IN PHARMACY SYSTEM AS THE SUM OF THE NUMBER IN METRIC. THIS SYSTEM ERROR THEN CREATES OTHER VOILATION ERRORS BY THE SYSTEM, WHICH YIELDS FALSE BSA, IBW, AND CRCL - ALL THESE VALUES ARE USED BY PHARMARICIST TO VERIFY OR CALCULATE MEDICATION DOSES. THE FALSE INFO HAS POTENTIAL FOR SERIOUS MEDICATION ERRORS.

    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 55 YR Required Intervention