MCKESSON

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-04-15 for MCKESSON manufactured by .

Event Text Entries

[18601973] Our hospital uses an electronic medication record manufactured by mckesson. There have been numerous occasions of medications being missed completely or delayed because of this program. Frequently the system will advise that there are no medications due at a particular time, but, then, later advise that there are late medications that were actually due at that time. There have been frequent occurrences of medications being "dropped" off the electronic mar resulting in the pt not receiving doses for several days or even the entire hospitalization. I could go on and on about the problems with this system, but there seems to be no resources for us to compare electronic medication dispensing programs and no monitoring or mandatory reporting of adverse events for these systems that are widely used throughout our healthcare system. There is also no "in house" quality monitoring of this system.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: MW5006274
• MDR Report Key: 1029670
• Date Received: 2008-04-15
• Date of Report: 2008-04-15
• Date Added to Maude: 2008-04-22
• Event Key: 0
• Report Source Code: Voluntary report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 0
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 0
• Event Location: 0
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: MCKESSON
• Generic Name: HORIZON ADMINRX
• Product Code: NZH
• Date Received: 2008-04-15
• Operator: HEALTH PROFESSIONAL
• Device Availability: Y
• Implant Flag: N
• Date Removed: B
• Device Sequence No: 1
• Device Event Key: 998473
• Manufacturer Address: ONE POST ST SAN FRANCISCO CA 94104 US

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Other	2008-04-15