FDA Adverse Event Injury Summary report: N

HNA MILLENNIUM POWERCHART

MDR report key: 560694 · Received October 22, 2004

Report

Report Number
MW1033741
Event Type
Injury
Date Received
October 22, 2004
Date of Event
October 15, 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 HEIGHT INTO POWER CHART SYSTEM ON ADMISSION, BOTH METRIC AND ENGLISH MEASURE ENTERED (175.3 CM AND 519.5") WHEN HEIGHT IS TRANSMITTED TO PHARMACY SYSTEM (MGR V.4.02.1215) THE HEIGHT VALUES ARE ADDED TOGETHER (351.8 CM) CAUSING OTHER DEMOGRAPHICS USED FOR PHARMACY DOSING TO BE INCORRECTLY CALCULATED BY THE SYSTEM (BSA, IBW, CRCL). IF WRONG VALUES ARE USED, CAN CAUSE SERIOUS HARM TO PTS.

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 76 YR Required Intervention