FDA Adverse Event Summary report: N

CURAD SIZE D COMPRESSION STOCKINGS

MDR report key: 8228498 · Received January 7, 2019

Report

Report Number
MW5082944
Date Received
January 7, 2019
Report Date
May 23, 2018
Manufacturer
UNK
Product Code
FQL
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE FACILITY RECEIVED AN ORDER FOR CURAD 20-30MMHG SIZE D COMPRESSION STOCKINGS. HOWEVER, THE ORDER SHOULD HAVE BEEN FOR A SIZE A COMPRESSION STOCKING. INVESTIGATION RESULTS: AFTER A REVIEW OF THE ABOVE ISSUES, THE FOLLOWING WAS DETERMINED. TYPE OF MEDICATION ERROR: INCORRECT PRODUCT; WAS THE MEDICATION ADMINISTERED TO THE RESIDENT? NA. AREA WHERE ERROR OCCURRED: DATA ENTRY AND INITIAL REVIEW MEDICATION (S) / PRODUCT(S) INVOLVED: CURAD SIZE D COMPRESSION STOCKING VS CURAD SIZE A COMPRESSION STOCKINGS, ORDER ERROR POTENTIAL: LOW ROOT CAUSE: THE MEASUREMENTS ON THE PRESCRIPTION WAS CLEARLY WRITTEN. IN ACCORDANCE WITH POLICY AND PROCEDURE, THE DATA ENTRY TECHNICIAN SHOULD HAVE ENTERED THE CORRECT SIZE ACCORDING TO THE MEASUREMENTS ON THE ORDER. IN ACCORDANCE WITH POLICY AND PROCEDURE, THE PHARMACIST SHOULD HAVE VERIFIED THE CORRECT SIZE ACCORDING TO THE MEASUREMENTS AND DEVIATED FROM ESTABLISHED POLICY AND PROCEDURE BY APPROVING THE ORDER AS CORRECT. THE DATA ENTRY TECHNICIAN AND PHARMACIST WERE NOT IN PRESENT TIME WITH THE PRESCRIPTION. (B)(6); ACCESS NUMBER: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
15040 CURAD SIZE D COMPRESSION STOCKINGS STOCKING, MEDICAL SUPPORT FQL UNK

Patients

Seq Age Sex Outcome Treatment
1