Roughly 150 Patients Harmed by Flaw in the New VA Medical Records System, Watchdog Finds —...

A report published Thursday by the VA's Office of Inspector General found that the Oracle Cerner Millennium electronic health records system used at the facility contained an overflow bucket for orders or referrals that didn't match up with the system's drop-down menu of file destinations.
But physicians and hospital staff weren't aware of the folder, referred to as the "unknown queue," so when they ordered any follow-on appointments, specialty care or lab work that didn't match a destination, the orders effectively disappeared from their view.
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So an electronic "file 13"??

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"A glitch in the Department of Veterans Affairs' new electronic medical records system caused harm to at least 149 patients at the VA's Spokane, Washington, hospital, including a suicidal veteran forced to call the VA's crisis line in desperation after his psychiatry referral was lost.

A report published Thursday by the VA's Office of Inspector General found that the Oracle Cerner Millennium electronic health records system used at the facility contained an overflow bucket for orders or referrals that didn't match up with the system's drop-down menu of file destinations.

But physicians and hospital staff weren't aware of the folder, referred to as the "unknown queue," so when they ordered any follow-on appointments, specialty care or lab work that didn't match a destination, the orders effectively disappeared from their view."...