Reason/Issue |
FORUM is a software system intended for use in storage, management, processing, and display of patient, diagnostic, video and image data and measurement from computerized diagnostic instruments or documentation systems through networks. It is intended to work with other FORUM applications.
FORUM correctly displays the optical coherence tomogram (OCT) retinal B-scan when initially rendered, but a different B-scan tomogram is potentially displayed on subsequent renderings within a user session.
Therefore, in certain circumstances an incorrect OCT retinal B-scan tomogram scan may be displayed when retrospectively reviewing the available scans.
This gives rise to a risk of a healthcare professional making a medical decision for the patient after viewing the wrong scan to what they requested.
No incidents have been reported in Australia or New Zealand. |