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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CERNER CORP. HNAM PHARMNET MEDICATION MANAGER SOFTWARE

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CERNER CORP. HNAM PHARMNET MEDICATION MANAGER SOFTWARE Back to Search Results
Event Date 01/11/2005
Event Type  Malfunction  
Event Description

When a new order is placed in pharmnet medication manager, and the user selects to change product details using the manual product select function, this may create the potential for overdosing or underdosing if that inpatient pharmacy order is then converted to an outpatient order and a requisition is printed. This is a result of a synonym id being used incorrectly during the conversion process. Corner has not been made aware of any adverse patient care events that resulted form this issue.

 
Manufacturer Narrative

Cerner has written an audit that will query the client database to identify if this issue is occuring at the site. Cerner has distributed a software notification to all potentially impacted client sites. The software notification includes a description of the issue and will advise clients a software correction is available, how to obtain the correction and to implement these software modifications into their production. A software release has been developed and is available to address the issue for all sites that could be potentially impacted.

 
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Brand NameHNAM PHARMNET MEDICATION MANAGER
Type of DeviceSOFTWARE
Manufacturer (Section F)
CERNER CORP.
2800 rockcreek pkwy.
kansas city MO 64117
Manufacturer (Section D)
CERNER CORP.
2800 rockcreek pkwy.
kansas city MO 64117
Manufacturer Contact
shelley looby
2800 rockcreek pkwy
kansas city , MO 64117
(816) 201 -1368
Device Event Key564426
MDR Report Key574578
Event Key546112
Report Number1931259-2005-00001
Device Sequence Number1
Product CodeLNX
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other
Remedial Action Modification/Adjustment
Type of Report Initial
Report Date 01/31/2005
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received02/02/2005
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? No
Was Device Evaluated By Manufacturer? Yes
Date Device Manufactured08/01/2001
Is The Device Single Use? No
Is this a Reprocessed and Reused Single-Use Device? No
Is the Device an Implant? No
Is this an Explanted Device?
Type of Device Usage Invalid Data

Patient TREATMENT DATA
Date Received: 02/02/2005 Patient Sequence Number: 1
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