Hospital Pharmacy Errors

Medication Error Injury Prevention—Study Recommends Knowing Your Pharmacist

October 26, 2009 | Lebowitz & Mzhen

A recent American Pharmacists Association (APhA) survey, that our Maryland Pharmacy Error Injury Attorneys have been following, revealed that 1.5 million people are injured by medication-related errors every year. The APhA commissioned the consumer survey, led by Harris Interactive, to investigate how consumers interact with their pharmacists, and how building relationships with pharmacists can avoid patient error and reduce medication mistakes and pharmacy misfills.

The APhA always recommends that people carry an updated list of their current prescription medications, over-the-counter (OTC) drugs, herbal supplements and vitamins. The list should include the name of the medications, the dosage, as well as the conditions that the medications treat. Any patient allergies should also be included in the list.

The study reports that while a large percentage of Americans have an up-to-date list of medications, only 28% of consumers actually carry the list with them at all times—an act that could prevent personal injury and medication mistakes, by providing emergency personnel and pharmacists with lifesaving information regarding drug names, proper dosing, allergy information, and drug interactions and side effects.

According to Kristen Binaso, pharmacist and national APhA spokesperson, until electronic medical records are used as the standard in sharing patient information in the health care industry, consumers should protect themselves by keeping a current medication list with them at all times, to show the doctor and pharmacist—to avoid the risk of improper dosing, medication duplication, pharmacy misfill, and harmful drug side effects and interactions. In a recent post, our Maryland Mistake Attorneys further discussed how these electronic health records will help pharmacists and doctors to eliminate medication errors.

Next to doctors, pharmacists are the second most trusted health care providers and trained medication experts, yet the survey found that 77% of consumers do not know their pharmacists names, and only 40% of consumers have asked their pharmacists valuable questions about their medication needs.

Cardiac Medication Dosing Errors Reported Most Commonly With Infants

October 23, 2009 | Lebowitz & Mzhen

As Maryland Medication Mistake Attorneys, we have been following a recent article from Cardiology Today, revealing that cardiac medication mistakes are reported most commonly with infants—in community hospitals, university hospitals, and pharmacies.

The results of a study showed that diuretics and antihypertensive agents are the most commonly reported drugs that are improperly dosed with infants—frequently prescribed by doctors for pediatric patients with heart disease. According to the article, these drugs have the potential for more widespread use because of neonatal care advances, and the increasing incidence of metabolic syndrome and childhood obesity.

Diuretics and antihypertensive agents are considered by many to be safe, because of their frequent use by doctors, but according to the research, it would be much more beneficial for the physicians, clinicians and pharmacists to have accurate information on the assessments of harm rates, and the groups of infant patients who are at particular risk—to prevent serious medical mistake errors and injury with children.

The most harmful error reports came from reported dosing error of the heart condition drugs: nesiritide, calcium channel blockers, milrinone, digozin, and antiarrhythmic agents.

According to the results from voluntary CV medication error reports that were submitted to a medication error database from the years 2003 and 2004, 50% of the total errors reported occurred in children younger than 1 year of age, and 90% of the error reports occurred in infants younger than 6 months of age.

In the 1,424 causes reported, the most frequent causes of medication error or pharmacy misfills were:

• Human error
• Improper dosing
• Missed or double doses
• Misunderstanding of drug orders
• Mathematical errors which include dilutional errors

Maryland Medication Error Prevention Checklist

March 11, 2009 | Lebowitz & Mzhen

Sometime ago, we posted an article on our Maryland truck accident blog that highlighted some of the steps accident victims should take if they are victims of a Maryland truck accident. Our Maryland pharmacy error attorneys have prepared a similar list to help our readers reduce their risk of injury caused by medication errors. We suggest that our readers do the following:

1. When you are given a prescription at the pharmacy, check the label very carefully especially checking the name of the medication and dosage;

2. if the prescription is a refill, examine the pills to ensure that they look like the pills from the prior prescription;

Hospital Pharmacies Require Experienced Hospital Pharmacists

December 29, 2008 | Vadim A. Mzhen

The Federal District Court in Northern Ohio recently decided an employment law case that highlights the potential for frequent hospital pharmacy errors committed by inexperienced hospital pharmacists. In Colvin v. Veterans Administration Medical Center, the Federal District Court decided that a hospital properly dismissed an inexperienced hospital pharmacist for his repeated errors while dispensing medication to hospital patients.

In a lawsuit against Ohio’s Veterans Administration Medical Center (“VAMC”), Deon Colvin (“Colvin”) claimed that the hospital breached the parties’ contract when it fired Colvin in May, 2003. Colvin began working at the VAMC in June 2002, and after a seven week orientation period, began working in the hospital pharmacy on the midnight shift, where Colvin was the only pharmacist on duty.

In his complaint, Colvin stated that he was “ill prepared to work the night shift by himself because he had little experience working in a hospital environment where many of the practices, procedures and medicines were different from that which he was used to dispensing at a pharmacy in a retail environment.” During his first few weeks on the midnight shift, Colvin made three signification errors: first, he dispensed ten boxes of syringes of injectable morphine, where the physician’s order called for only ten syringes; second, he dispensed an insulin prescription without including important special instructions; and third, Colvin failed to find and correct a doctor’s error in an order for the blood-thinner, heparin

The Veterans Administration Hospital fired Colvin as a result of these medication errors, and Colvin subsequently filed suit in federal court. The Federal Court agreed with VAMC that Colvin’s errors constituted serious mistakes that justified his termination. The Court granted summary judgment in favor of VAMC, and it threw out Colvin’s lawsuit against the hospital.

While it is clear that the hospital needed to protect its patients by firing the negligent pharmacist, the Maryland medication error attorneys believe that the Veterans Administration Hospital was also negligent in hiring and placing an inexperienced hospital pharmacist alone in the pharmacy without the support and supervision of more senior pharmacists.

Maryland Hospital Pharmacy or Local Drugstore Errors: The Case to Be Made

December 26, 2008 | Lebowitz & Mzhen

Yesterday, a potential client called me concerning injuries that she sustained when a pharmacist employed by a Baltimore hospital had made a pharmacy error which resulted in her being given the wrong medication for an extended period of time. This middle aged woman explained that she received the wrong antibiotic which failed to control her infection. She explained that she was stuck in the hospital for many extra days as a result of the pharmacy error, and that she was unable to be with her family on Thanksgiving.

Before telling me the facts of this case, this potential client asked me a very appropriate question: “What do I need to show in order to win my case?”

Pharmacy misfill cases are tort cases, or cases brought pursuant to the negligence laws of the state of Maryland and the District of Columbia. There are four basic elements to every successful negligence case:

Duty: Hospital or drugstore pharmacists are professionals who must fill prescriptions in a reasonably competent manner. The pharmacist must fulfill his or her duties carefully, and with a close attention to detail.

Breach of Duty: A pharmacist’s failure to fill a prescription accurately (or provide competent advice). Carelessness, distractions or allowing a pharmacy technician to perform the activities properly reserved for the pharmacist are common causes for a breach of duty.

Causation: As a result of the carelessness of the pharmacist, the wrong medicine is given, and the customer or patient sustains injuries, harms, losses or damages.

Damage: Injuries, harms and losses, including a prolonged recovery from surgery, illness or sickness, death, disability and impairments that can be temporary or permanent, lost wages and additional medical bills, are all common forms of damages