SURESCRIPTS *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-02-04 for SURESCRIPTS * manufactured by Surescripts.

Event Text Entries

[5558106] The pt was admitted on (b)(6) for a lung mass, admitted to hospice on (b)(6) 2014 and expired on (b)(6) 2014. The pt's claim history stated cardizem tablet 120 mg take 1 tablet everyday and was filled for the 120 mg immediate release tablets, 90, by (b)(6) pharmacy on (b)(6) 2014. The pt's home medications were listed as the cardizem tablet 120 mg daily by the nurse, the physician via cpoe converted the home medication to an inpatient medication, and the pharmacist verified the order without questioning the order, even though a first databank dose warning displayed saying that once daily was less than the 3-4 times daily frequency range. I called dr (b)(6) and he thought he had prescribed the 24 hour cd capsule. He then blamed (b)(6) and e-prescribing as being the cause of the error. I don't know how this appears in his software, but the delineation evidently is not clear enough and he states that he got no warning like we did on the frequency. I suspect that this isn't the first time that this error has occurred, but it appears that there is some kind of flaw in cardizem displays. Sincerely (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5041233
MDR Report Key4577336
Date Received2015-02-04
Date of Report2014-11-04
Date Added to Maude2015-03-10
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional0
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSURESCRIPTS
Generic NameE-PRESCRIBING
Product CodeNSX
Date Received2015-02-04
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorOTHER
Device Sequence No1
Device Event Key0
ManufacturerSURESCRIPTS
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2015-02-04

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