Errors in local pharmacies

New Study Finds Electronic Medication Error Rates Consistent with Handwritten Prescriptions

July 1, 2011 | Lebowitz & Mzhen

In recent news that our Pharmacy error injury attorneys have been following, a new study from the Journal of the American Medical Informatics Association found that prescriptions sent electronically to pharmacies by doctors are almost as likely to have errors as the prescription medication orders handwritten by doctors.

The study examined 3,850 electronic prescriptions that a commercial pharmacy retain chain received over a period of four weeks in 2008. Out of the 3,850 e-prescriptions studied, researches found that 12%, almost 500, contained a total of 466 prescribing errors.

The researchers noted that their findings on e-prescribing error rates are consistent with their earlier study and research for error rates on handwritten prescriptions. Out of the 466 electronic prescribing errors discovered, only one-third of them could have caused patient harm or personal injury.

According to Bloomberg, the results undermine the safety benefits expected from e-prescribing, especially as the federal government paid over $158.3 million to doctors and hospitals in the beginning of 2011 to encourage doctors to switch over to electronic health records, as a way to reduce healthcare costs and eliminate medical and medication errors. The report found that although many providers are rapidly adopting electronic health records and e-prescribing, many of the expected benefits of the electronic computerized prescribing will not take effect if the electronic prescribing applications are not able to catch medication errors, or in fact cause medication errors.

FDA Warns of Confusion between Risperdal and Requip, Leading to Medication Error

June 27, 2011 | Lebowitz & Mzhen

The Food and Drug Administration recently issued a warning about the potentially dangerous medication errors occurring with the drugs Risperdal (risperidone) and Requip (ropinrole)—with 226 reports of patients accidentally receiving the wrong drug, causing sickness and at least one death.

Risperdal (risperidone) is an antipsychotic used for the treatment of schizophrenia, autism side effects and bipolar disorder, and is reportedly being confused with Requip (ropinirole), a drug used for the treatment of Parkinson’s disease and Restless Legs Syndrome, that acts in place of dopamine.

According to the Food and Drug Administration report, the medication errors are happening as a result of the drug name similarity as well as the similarity in generic drug labels and packaging, with overlapping drug characteristics such as the drug strengths, and dosing intervals. Other errors have reportedly stemmed from illegible handwriting on prescriptions.

Patients who were victims of the medication errors have reportedly experienced confusion, tiredness, hallucinations, and an altered or changed mental status, among others health problems.

The FDA warns patients who are taking the generic versions of Requip or Risperdal to notice the name and appearance of their medication, to know exactly why they are taking the drug, and to ask any questions and to report any difference in medication appearance to their pharmacists—to avoid pharmacy misfills or medication errors.

Walgreens Pharmacy Misfill Causes Dosing Error

June 21, 2011 | Lebowitz & Mzhen

In a recent pharmacy misfill news story that our Maryland pharmacy error injury lawyers have been following, a pharmacy customer has received an apology from a local Walgreens pharmacy, after receiving refills of a medication that contained a dosage that was ten times stronger than what the doctor had prescribed.

The pharmacy misfill reportedly took place repeatedly for around a year, where Larina Helsom took a 50mcg tablet twice a day instead of a 5mcg dose. The medication reportedly caused the Helsom to suffer from chest and esophageal spasms that were so painful she couldn’t talk or breathe. When they first started happening, Helsom thought that she was dying.

After months of taking the prescription misfill, Helsom reportedly went through several hospitalizations for the spasms, along with other prescribed medications to control the symptoms. Once the drug misfill was discovered, her doctor advised that Helsom stop taking the drug immediately.

The Arizona State Pharmacy Board is reportedly now investigating Walgreen’s pharmacy misfill, to decide whether negligence was a factor in the mistake. Last year, the pharmacy board reportedly received 131 complaints about pharmacies statewide. Walgreens claims that the prescription dose at issue was within the normal range of dosing for this drug.

Prescription Error Overdose Leads to Paralysis, Victim Hopeful for Recovery

May 19, 2011 | Lebowitz & Mzhen

Our Maryland pharmacy misfill injury attorneys have been following the recent developments in the tragic Walmart prescription error incident from 2008 that caused a teenager to suffer a pain medication overdose that led to paralysis.

When Jessie Scott was 18, and suffering from strep throat pain, his doctor prescribed a low-dose of the pain reliever, oxycodone hydrochloride. After receiving the prescription from Walmart, Jessie’s mother administered one dose to her son.

In a grave prescription drug error, the Walmart pharmacist reportedly failed to dilute the drug, and the prescribed dosage of 5 milligrams was actually around 100 milligrams, causing a prescription drug overdose. Jessie went into a coma, suffered organ failure and paralysis.

Scott, who is now 20 years old, has reportedly experienced some remarkable changes physically and psychologically, making incredible strides since the horrific incident that caused his disabilities. Thanks to a court prescription error lawsuit settlement with Walmart, Jessie’s parents were able to build an area in their house with special accommodations that allow him to be transported from room to room. He can now raise his arms, hold his head upright, wiggle his toes, and even kick. Although the odds seem to be against him, Jessie holds out hope that he will walk again.

Lack of Medication Adherence Can Cause Serious Medication Reactions and Injury

May 16, 2011 | Lebowitz & Mzhen

The Institute of Medicine, reports that every year, 1.5 million people are injured by medication-related events. According to an article in the Wall Street Journal (WSJ), that our Baltimore medication error injury attorneys have been following, a recent report from the Agency for Healthcare Research and Quality (AHRQ), found that the number of patients treated in hospitals across the country for illnesses and personal injuries from incorrectly taking medications like sedatives, blood thinners, corticosteroids and other drugs, increased over 50% from 2004 to 2008.

The report also found that over 800,000 U.S. patients were also treated in emergency rooms across the country in medication-related events, stemming from the incorrect usage of antibiotics, insulin, painkillers, and cardiovascular and other drugs. The WSJ looked at some of these individual drugs, to examine how they can cause personal harm or injury if taken incorrectly. According to the report:

• Antibiotics can cause an allergic reaction if taken incorrectly, and can also fail to properly fight infections. Also, when taking antibiotics, patients are generally cautioned to limit sun exposure, as it can cause extreme sunburns.
• Painkillers can cause breathings problems or even death if taken with alcohol or other sedatives or painkillers. OTC products that contain the ingredient acetaminophen can harm the liver if taken with a combination of opioid-acetaminophen drugs.
• Antidepressants and tranquilizers, if taken incorrectly, can lead to panic attacks and suicidal tendencies or actions.
• If taken erroneously, corticosteroids prescribed for asthma, arthritis, transplant patients, ulcerative colitis, and other conditions, can worsen other health conditions, like high blood pressure, blood sugar problems, ulcers, and diabetes, and can also lead to withdrawal if a patient stops taking them suddenly.
• Insulin, if not taken as prescribed, can both increase or reduce a patient’s blood-sugar levels, leading to shock and other health complications.
• If a patient fails to take blood thinners correctly, a high dose that is too high can cause bruising, excessive bleeding, whereas a dose that is too low can cause clotting. Effectiveness of the drug can also be threatened when interacting with other medications.
• Blood pressure drugs can also, if the medication is taken erroneously, cause a spike in blood pressure, and an overdose can cause chest pain, dizziness, shortness of breath, a fast or abnormally slow heartbeat, and can also cause coma.
• Cancer drugs, when taken in error, can cause fever, nausea and vomiting, shortness of breath, diarrhea, cause confusion and fatigue, and when an overdose is taken, can even cause death.

NCL Campaign to Improve Medication Adherence and Patient Safety

May 15, 2011 | Lebowitz & Mzhen

As our attorneys reported in a recent Rockville, Maryland pharmacy misfill blog post, according to the National Consumers League (NCL), around three out of four consumers in this country admit they don’t take their prescription drug medication as directed—causing an increase in medication error and injury that has a huge impact on patients and the healthcare industry.

To combat medication error, the NCL has launched a national multi-media medication adherence campaign this month with the Agency for Healthcare Research and Quality (AHRQ), that will aim to raise patient awareness on the importance of taking medication as directed.

According to the NCL, when consumers fail to take medications as instructed by their healthcare professionals, it creates a problem that impacts not only the patient, but the caregivers, employers, researchers, health care practitioners, and tax payers as well. Nonadherence to prescribed medications can also result in injury or death.

Research presented by the league shows that one in three prescriptions never get filled, with 1/3 and 2/3 of hospital admissions linked to medication errors that stem from poor drug adherence. The total cost for nonadherence leads to a reported $300 billion a year.

The campaign will strive to enhance patient safety and improve the healthcare system, encourage health practitioners to properly and effectively communicate the importance of prescription medication adherence to patients, and raise awareness of the problem through public education and a national campaign.

FDA Redesigns Pharmacy Packet Inserts to Avoid Medication Error Injury

May 9, 2011 | Lebowitz & Mzhen

According to a recent article in the Wall Street Journal, a new national initiative is underway to make prescription medications clearer, and to decrease the rise of medication error that lead to hospitalizations and emergency room visits from patients who take their medication incorrectly—which according to the National Community Pharmacists Association happens to three out of every four Americans.

The U.S. Food and Drug Administration (FDA) is reportedly planning to test a new one-page information sheet to replace the many leaflet inserts and medication guides that are widely used in retail pharmacy chains across the country. And the U.S. Pharmacopeial Convention, the organization responsible for setting quality standards that are enforced by the FDA for the strength, purity and quality of medicines, has also developed a new program to create national standards for prescription labels, which currently vary greatly from pharmacy to pharmacy. The national label standard would require clearer instructions on the medication dosage, the medication timing and clearly state the purpose of the medication—to reduce medication and pharmacy error injury.

Currently, in pharmacies across the country, consumers may receive three different forms of drug information and pamphlets with their prescription medication—drug package inserts that are written by the drug manufacturer with FDA approval, drug guides for specific classes of drugs and products that are required by the FDA, and third-party consumer medical information. And according to the WSJ, recent FDA studies have shown that the drug information offered to consumers does not provide reliable understanding with the people taking the drugs, and is often conflicting in instruction, or even inaccurate, which could lead to patient harm or injury.

According to a recent FDA risk-communication advisory panel, more than half of adults misread or misunderstand one or more of common drug prescription precautions or warnings. In one study, patients were found to better understand language on warning labels that was simple and specific, like “use only on your skin” as opposed to “for external use only.” For consumers with lower English literacy skills, picture icons were provided, like a sun with a black bar, with the phrase, “limit your time in the sun.”

CVS Pharmacy Error Leads to Amoxicillin Overdose in Child

May 6, 2011 | Lebowitz & Mzhen

In our last Washington D.C. pharmacy error injury lawyer blog, our attorneys discussed the dangerous problem of pharmacy misfills with children, and how important it is for parents to check prescriptions before leaving the pharmacy to make sure that their child has the right medication.

Other important information for parents to double check with the doctor and pharmacist is the child’s medication dosage and instructions, as a single error could lead to improper medication dosing, and possible injury.

In recent pharmacy mistake news in North Carolina, a 9-year-old child was prescribed the antibiotic amoxicillin for an ear infection. The doctor had prescribed 7 milliliters twice a day, but the CVS pharmacist who filled the prescription reportedly instructed Melissa Fink to give her daughter 7.5 teaspoons—which amounts 37 milliliters–or 5 times the recommended dosage of the doctor.

When Fink’s daughter became worse, and the bottle was nearly empty only two days of giving her the medicine, Fink’s doctor realized the medication error, and advised her to bring her child in immediately. Thankfully the antibiotic overdose did not cause major harm or injury, but according to the Carolinas Poison Center, amoxicillin overdoses can be serious and lead to dehydration or kidney failure.

Walgreens Pharmacy Misfill Leaves Toddler With Dangerous Drug

May 4, 2011 | Lebowitz & Mzhen

Our Baltimore medication error attorneys have been following a recent pharmacy misfill incident that reportedly sent a Colorado Springs mother into great shock—as she nearly gave her small child an epilepsy drug that had been accidentally given to her by the pharmacist at a local Walgreens.

According to KDRO News, Channel 13, Kathy DeRosa went to pick up her son’s Motrin flu medication from the Walgreen’s pharmacy. The prescription reportedly had her 2-year-old’s name on it, along with medication information about the drug. Upon returning home, DeRosa noticed that bottle was smaller than the usual Motrin that she previously received for her son, and after investigating the bottle, she realized that the drug give to him was Levetiracetam—a drug used for epilepsy. DeRosa immediately called the Walgreens pharmacy manager about the prescription error and they brought the correct medicine to the house, apologizing for the dangerous mistake.

Levetiracetam, the drug mistakenly given to DeRosa’s son, is reported to have many potential side effects including fever, hallucinations a drop in white blood count and breathing difficulty, and is not intended to be used for children under the age of four. DeRosa claims that had her son taken the medication he could be in the emergency room, as he has asthma.

According to DeRosa, this pharmacy misfill shows parents the importance of carefully reading the labels on their children’s prescription bottles before leaving the pharmacy, and to check for potential prescription error. Had it not been for the change in bottle shape, DeRosa said they could be in a very serious situation right now.

Benefits of Robo Pharmacy Technology in Reducing Prescription Errors

April 1, 2011 | Lebowitz & Mzhen

In a recent Maryland pharmacy error injury lawyer blog entry, our attorneys discussed automated hospital pharmacies the use robots instead of people for tasks that are traditionally manual—in an effort to eliminate medication errors that could cause patient harm or personal injury.

According to the Medical Center of the University of California, San Francisco (UCSF), a hospital that recently implemented an automated hospital pharmacy–the benefits of using an robots instead of people are:

• Robots will help take over the manual medication dispensing tasks traditionally performed by pharmacists and nurses, who will in turn have more time to work with physicians to decide what the best patient drug therapy is, and will have more time to monitor each patient for any clinical responses or adverse reactions to medicine.
• The new pharmacy will provide pharmacy students with a strong training ground in the safe medication distribution systems of the future.
• The pharmacy will also enable the center to study new forms of medication delivery in order to share this groundbreaking information with other hospitals all over the country.

• Out of the 350,000 doses prepared by the robo-pharmacy since 2010, there has not been a single medication error or pharmacy misfill.

According to UCSF, the automated medication dispensing system will allow pharmacists to use their expertise in pharmaceutical care to make sure that each patients receives medication therapy that is catered to their individual needs, in a safe and effective way.