Pharmacy Errors and Children

Study Finds Small Doses of Drugs From Syringes Could Cause Medication Error in Children

February 4, 2011 | Lebowitz & Mzhen

As our Baltimore County pharmacy error attorneys discussed in a recent blog, according to a recent study by the Agency for Healthcare Research and Quality (AHRQ), medical errors are a leading cause of personal injury and death in this country, and rates for possible adverse drug events were three times higher with children than adults in hospitals, with an even higher rate for infants in intensive care units.

In a new study, published in the Canadian Medical Association Journal, a report found that preparing small medication dosages from syringes for infants and children can be dangerously inaccurate and cause medication dosing errors.

According to the report, in administering potent drugs to young patients, small doses are often prepared from medication stock of less than 0.1 milliliter (mL) in size, but the current equipment used to administer the drug does not allow for the correct and accurate measuring of drug volumes that are less than 0.1 mL.

Dr. Christopher Parshuram, the author of the study, who works in the University of Toronto’s Department of Pediatrics and directs the University of Toronto Center for Patient Safety’s Pediatric Patient Safety Research, stated that medications regularly requiring small doses include narcotics and sedatives that are extremely powerful, such as morphine and fentanyl—both drugs that as our Maryland medication error attorneys have reported in a recent blog, have a high-risk for medication mistakes which could lead to patient injury or wrongful death.

CVS Pharmacy Misfill Mixes up Child’s Hyperactivity Drug with Methadone

December 22, 2010 | Lebowitz & Mzhen

In recent news that our Baltimore pharmacy error attorneys have been following, a nine-year-old child in Las Vegas reportedly received an accidental pharmacy misfill at a local CVS Pharmacy, after his hyperactivity medication was filled with methadone, a drug frequently used to treat withdrawal and dependence problems with people who are addicted to Heroin.

Tammy Jordan claimed that her son, Kyren, an active kid, is sometimes prescribed the drug Methylphenidate, to help treat his hyperactivity disorder. Jordan claims that she didn’t even check after picking up the prescription from CVS, as this was a common medication for her son.

According to KTNV.com, Jordan reportedly noticed that after Kyren had been taking the prescription misfill for an entire month, he couldn’t sit still, and couldn’t tell his mother why. A few weeks later, after dropping off the medication at Kyren’s school, the nurse called Jordan, and was alarmed that Kyren was taking Methadone and not Methylphenidate—the medication that the nurse regularly gave to the child.

Jordan claims that she was shocked by the medication error, and stopped Kyren from taking any more of the drug. He reportedly went through a period of withdrawal, but made a full recovery with no injury. Once Kyren recovered, she reportedly approached CVS, where the pharmacist on duty took the bottle and peeled off the first label, revealing that another label had been mistakenly placed on top of Kyren’s medication.

The state Board of Pharmacy is reportedly looking into the prescription drug misfill, to decide what exactly what happened, and how to prevent prescription filling errors from happening in the future.

In a recent blog our Baltimore pharmacy error injury lawyers discussed tips for preventing pharmacy misfills when picking up your child’s prescription at the pharmacy, including verifying the medication, always double checking the name on the prescription, the dosage, usage, and whether the drug is suitable for your child’s weight and size.

Children’s Hospital Launches Initiative to Prevent Medication Error

November 1, 2010 | Lebowitz & Mzhen

After two children died from medication errors at Seattle Children’s Hospital over a period of 18 months, as our Baltimore, Maryland medication error injury lawyers recently discussed in a blog, the staff of the hospital held a special ‘Zero Errors Initiative’ Patient Safety Day on Saturday, to prevent tragic medication errors like these from happening to children in the future.

According to the Seattle Post Intelligencer, over 550 physicians, staff, pharmacists, and nurses convened at the hospital for special patient safety sessions, focusing on training designed to prevent future incidents of medication and pharmacy errors.

Pat Hagan, the president of Children’s Hospital reportedly stated that these tragedies and the harm that was done to these children by the hospital will never be forgotten. Hagan said this has been a profound tragedy for the families, and for the hospital staff, and that this feeling will propel the hospital to continue to find ways to prevent life-threatening medication errors from happening.

The sessions during the safety training day included topics such as strengthening the safety of verbal orders, standardizing children’s medications located on care units, prescribing, dispensing and administering medications that are high-risk, improving communication between providers when handing off patients, and patient safety training with the use of simulation.

Pharmacy Error Gives Wrong Drug to Premature Babies

October 29, 2010 | Lebowitz & Mzhen

In a blog from earlier this year, our Washington D.C. pharmacy error injury attorneys discussed Dennis Quaid’s high profile lawsuits against Baxter Heathcare Corporation, that were filed after his newborn twins were given a near-fatal overdose of Heparin, a blood thinner. The medication error was allegedly due to a mistake with Baxter’s look-alike labels, and the twins were given 10,000 units of Heparin instead of 10 units of Hep-Lock, originally prescribed to treat a staph infection.

In a recent medication error in Saskatchewan, Canada, four premature infants in the neonatal intensive care unit at Royal University Hospital were prescribed the drug Heparin, the blood thinner used to prevent clots, and were mistakenly given insulin with the brand name Humulin R, and that was reported to have a similar looking label.

The pharmacy mistake was discovered because all infants were in the same unit, and their conditions were reportedly deteriorating in similar ways due to the insulin, which caused them to have dangerously low blood sugar levels. The infants mistakenly received the insulin in their IV infusion instead of Heparin.

In the review of the incident, the mistake was reported to be caused by an over crowded space in the pharmacy, a possible labeling error that was missed during the many safety checks, or an issue of look-alike labels.

Reporting Children’s Medication Errors Can Help in Prevention

October 1, 2010 | Lebowitz & Mzhen

A recent news article reports that medication errors are among the most common mistakes made by healthcare practitioners—and also among the most under reported.

In a tragic medication error from last year, a child at Seattle Children’s Hospital died from a medication error allegedly involving Calcium chloride. The hospital reported its mistakes to the health department and has acknowledged them publicly. Calcium chloride, the medication that reportedly caused the child’s death, is listed on the Institute for Safe Medication Practices’ (ISMP) class of pharmaceuticals as one of the institute’s “high-alert” medications.

According to the Agency for Healthcare Research and Quality (AHRQ), medical errors are one of the leading causes of death and injury in the U.S. The AHRQ reported in a recent study that rates for potential adverse drug events in hospitals were three times higher with children than adults, with an even higher rate for infants in intensive care units.

According to Dr. Allen Vaida, executive vice president of the Institute of Safe Medication Practices (ISMP), acknowledging medication errors and reporting them is the most important step toward prevention. Vaida claims that children are especially vulnerable to drug overdoses in hospitals because of calculation errors that can occur with medications. Nurses must administer the medication dosages according to a child’s body weight and other necessary factors, that can lead to medication mistakes. He claims that in situations like this, it is important to share information about the medication errors that do occur, as reporting them can prevent errors from happening in the future.

DEA Fights Prescription Drug Errors and Abuse with National Take-Back Initiative

September 28, 2010 | Lebowitz & Mzhen

In recent pharmacy injury news, that our Baltimore, Maryland attorneys at Lebowitz and Mzhen Personal Injury Lawyers have been interested in, the U.S. Drug Enforcement Agency (DEA) recently held a nationwide prescription drug “take-back” day. The event was designed to curb health hazards and medication errors that can occur when people hold on to expired medications or throw away unwanted drugs.

According to the DEA, prescription drugs in home medicine cabinets are at great risk for misuse, abuse and theft, as reports show that a large majority of prescription medication errors and abuse come from the drug cabinets of friends and families. The initiative was also striving to combat drug abuse with kids, who are reportedly finding old unused drugs in homes, and bringing them to school, or parties to get high—resulting in tragic drug error injury.

Last week in a medication error in Washington State, nine teenagers were hospitalized after taking prescription medications that were found in homes and passed around at a school bus stop. The kids reportedly took painkillers and anti-depressants. In another case in Philadelphia, an 18-year old accidentally overdosed on a pain reliever medication found at home.

The DEA initiative set up around 4,000 “take-back” drop off sites across the country to encourage people to drop off drugs, where no questions were asked. People were encouraged to either remove the medication labels or to cross out personal information before dropping the drugs at the site.

Walgreen’s Pharmacy Error Sends Two-year-old Child to the Hospital

September 14, 2010 | Lebowitz & Mzhen

In a recent news story that our Baltimore, Maryland pharmacy error injury attorneys have been following, a two-year-old child was rushed to the hospital, after a prescription error was made at a Jersey City Walgreen’s pharmacy, while dispensing the boy’s allergy medication prescription.

According to the Jersey Journal, the father of the young boy reportedly went to the Walgreen’s Pharmacy to pick up the prescription for his son’s hydrocortisone prescription, to treat his allergies. The pharmacy gave the father the correct medication for his child, and in addition, the wrong prescription for 10mg of oxycodone, a powerful pain medication that had been filled for a patient who shared the same last name and first initial as the boy.

Crystal Williams, the boy’s mother, reportedly gave her two-year-old child one of the Oxycodone pills, and after ten minutes was alarmed when the child looked dangerously sleepy. Williams then realized the serious pharmacy error that had occurred, after reading the label on prescription bottle—discovering that her child had been given a drug with someone else’s name on it.

Upon discovering the pharmacy error, Williams dialed 911, and rushed her child to the hospital where doctors reportedly gave him shots to keep him alert. A few hours later he was transferred to an intensive care unit at a different hospital. According to Michael Curci, the pharmacy director for LibertyHealth, which operates the Medical Center where the boy was originally taken, an excessive amount of oxycodone can be life threatening, as it can cause respiratory depression and the inability to breathe.

Medication Mistake Causes Accident Death and Takes Toddler’s Life

June 18, 2010 | Lebowitz & Mzhen

Recently our attorneys at Lebowitz and Mzhen Personal Injury Lawyers discussed the topic of medication mistakes with children in a blog, after actor Dennis Quaid filed another lawsuit against Baxter Healthcare Corporation, after his twins were given a near fatal dose of medication in the hospital.

Sadly, in another children’s medication mistake incident that our attorneys have been following, a 19-month child in Omaha recently died after being given medication in a hospital that was improperly administered into her body.

The child, Alicia Coleman, was born twelve weeks premature, and battled a gastrointestinal disorder, but had been a fighter from the start according to her mother, Dominique Coleman, and was reportedly getting stronger with improved health. Coleman claimed that doctors had even recently claimed that her daughter’s medications would soon be cut in half, as the child was just starting to walk and talk.

Coleman claims that after dropping her daughter off at Children’s Home Healthcare’s World, where Alicia was due to receive medication, a nurse mistakenly made a medication error while giving the child a drug that was supposed to slow the absorption of food in her system. Instead of putting the drug into Alicia’s feeding tube, the drug was reportedly put into a tube that was the central line to the child’s heart, causing a seizure and cardiac arrest.

Actor Dennis Quaid Sues Baxter Healthcare Again Over Near-Fatal Drug Error

May 28, 2010 | Lebowitz & Mzhen

In recent news that our Washington D.C. Medication Error Attorneys have been following, Hollywood actor Dennis Quaid has filed another lawsuit against Baxter Healthcare, Corporation after his newborn twins were given a near-fatal overdose of Baxter’s medication in a Los Angeles hospital.

In the high profile incident, Quaid’s newborn twins were given an overdose of the medication Heparin, a blood thinner, due to an alleged medication mix-up of Baxter drugs that that have similar looking labels with hard-to-read fine print. The twins were incorrectly given 10,000 units of the drug Heparin, instead of the 10 units of Hep-Lock that was orginally prescribed to treat a staph infection.

After the dismissal of a similar lawsuit filed against Baxter in Illinois, Quaid is going after Baxter again, filing a second lawsuit in Los Angeles Superior Court. Quaid claims that the healthcare corporation acted negligently, and did not recall the 10,000 Heparin vials or warn hospitals and medical providers of the possibility for drug error after similar medication mistakes had occurred, resulting in the injury and wrongful deaths of infants.

The complaint claims that Baxter was obliged to alert hospitals and healthcare providers about the previous drug errors, and correct the labels to prevent the medication errors from happening in the future.

Second Major Recall for J&J—FDA Found Manufacturing Violations in Children’s OTC Drugs

May 6, 2010 | Lebowitz & Mzhen

In a recent blog, our Washington D.C. Pharmacy Error Attorneys discussed the U.S. Food and Drug Administration’s (FDA) push for a broad recall of over-the-counter (OTC) products by Johnson & Johnson (J&J) in January—in an effort to maintain the health and safety of the consumer and to prevent OTC medication errors, after customers complained of moldy, musty smells in the drugs, that were caused by trace amounts of a chemical used when shipping the products.

The FDA announced this week that the administration has pushed J&J to begin another recall of certain children’s OTC liquid medicines—because of reported manufacturing deficiencies and violations found by federal health regulators during a routine inspection at a drug facility in Washington Pa—that could affect the quality, purity and potency of the products.

According to the FDA and the J&J unit, McNeil Consumer Healthcare, consumers should stop using all unexpired lots of both children’s and infant’s Tylenol, Zyrtec, Benedryl, and Motrin, because some the drugs reportedly may contain a larger concentration of the active drug than specified on the package. The recall also includes products that may contain inactive ingredients, other potentially solidified product ingredients, or other manufacturing residues that could include particles like tiny metal specks—that may not meet the testing requirements.

McNeil stated although there is only a remote possibility for serious medical problems, consumers should stop using the drugs, to avoid personal injury or illness in children.