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 |