Z-0033-06

Baxter''s Patient Care System (BPCS) software, composed of Pharmacy Management - Inpatient - product code...

Name: Z-0033-06 Baxter''s Patient Care System (BPCS) software, composed of Pharmacy Management - Inpatient - product code...
Creator: Baxter Healthcare Corp.
Published: 2005-06-16
License: https://open.fda.gov/license/

Baxter Healthcare Corporation / initiated 2005-06-16 / Terminated

FDA source

Baxter Healthcare Corp. began a recall of Baxter''s Patient Care System (BPCS) software, composed of Pharmacy Management - Inpatient - product code 2M5013, Point of Care - product code 2M5014 and... on 2005-06-16. The reason FDA records is "If a pharmacy end user alters the Administration Unit of Measure (AUOM) of an ordered drug, the AUOM will display incorrectly on the Medication Administration Record for the patient, possibly leading to medication errors". As of 2026-09-10, the recall status on record is Terminated.

Recall record

Recall number: Z-0033-06
Status: Terminated
Initiated: 2005-06-16
Posted: 2005-10-08
Terminated: 2008-02-06
Recalling firm: Baxter Healthcare Corporation
Product: Baxter''s Patient Care System (BPCS) software, composed of Pharmacy Management - Inpatient - product code 2M5013, Point of Care - product code 2M5014 and Management Reports - product code 2M5015; Baxter Healthcare Corporation, 1 Baxter Parkway, Deerfield, IL 60015, USA, made in Canada
Product code: NSX
Reason for recall: If a pharmacy end user alters the Administration Unit of Measure (AUOM) of an ordered drug, the AUOM will display incorrectly on the Medication Administration Record for the patient, possibly leading to medication errors.
FDA root cause: Other
Action: Urgent Device Correction recall letters dated 6/16/05 were sent to the direct accounts on the same date via first class mail. The letter describes the issue with the Administration Unit of Measure (AUOM), and informed the accounts that changing the AUOM of an ordered drug presents a patient safety issue resulting in a potential for a medication error. The accounts were requested to eliminate or minimize any further AUOM changes until a software upgrade is available. If an AUOM change is required the pharmacy end user must contact the Baxter Patient Care Helpdesk at 1-877-835-2727 prior to any changes being made. A Technical Bulletin was provided with the letter to guide the pharmacy end user through the process of an AUOM change with the aide of a Client Support Specialist.
Quantity in commerce: 5 units
Distribution: Missouri, Massachusetts, Vermont, California and Canada.
Product codes and lots: Software version 4.1-77, 4.0-66 and 3.4-18.24

Product code NSX

The FDA recall record names no cleared device, and no clearance has been matched to it.

MDM coverage of this record lists here, newest first.

About this record

Sourced from the FDA device recall database and the FDA enforcement reports, both ingested from openFDA. The recall record supplies the product, the reason and the product code; the enforcement report supplies the classification. The two datasets are exported by FDA on different days, and the date above is the older of the two, so nothing on this page is newer than it says.

MDM adds the root cause tag, derived from FDA’s own root cause text, and the cross-links to the product code, the clearances named on the record and MDM coverage. Where a recall has not been joined to an enforcement report, no classification is shown.

Data as of 2026-09-30, the FDA export date for this dataset. Page last changed 2026-09-05. View this recall on fda.gov (opens on fda.gov)