MalfunctionNZH
CERNER BRIDGE MEDICAL MEDPOINT
Received Nov 25, 2008 · Event occurred Oct 14, 2008
Report 1250243 · MDR key 1250243
Device
Generic name
Medication Administration System
Manufacturer
Cerner CorporationModel number
*Catalog number
*
Lot number
*
Product problems
- Display Difficult to Read
Patient
62 YR
- Underdose
Narrative
Description of Event or Problem
DURING A MEDICATION PASS, THE BAR CODE SCANNER FAILED AND THE NURSE WAS UNABLE TO SCAN THE PATIENT'S ID/MEDICATION. THE DEVICE FAILED AND THERE WAS NOT ENOUGH TIME TO TROUBLESHOOT OR RESET THE DEVICE. THE MEDICATION HAD TO BE GIVEN STAT AND THE ERROR OCCURRED WHEN THE SCANNER FAILED AND THE RN WASN'T ABLE TO VERIFY THAT THE WRONG DOSE WAS BEING GIVEN TO THE PATIENT.