Pharmacy Error Injury Lawyer Blog

Can a Pharmacy’s Overreliance on Technology Put Maryland Patients at Risk?

July 4, 2019 | Lebowitz & Mzhen

As the population increases, more people are filling prescriptions. This results in an increased burden on Maryland pharmacists. Indeed, many experts believe that this increased workload is the leading cause of pharmacy errors. To help pharmacists efficiently fill prescriptions, many pharmacies rely heavily on technology, including e-prescribing, electronic databases, and software designed to bring pharmacist’s attention to potential adverse interactions.

For the most part, technology makes it possible for pharmacists to do their job. However, there is a concern that an overreliance on technology may put patients in jeopardy. According to a recent news report, all patient records were inadvertently deleted after an IT error at a university pharmacy. Evidently, the lost data included prescription and refill history and insurance information for all customers. Pharmacy staff estimate that the affected number of patients is somewhere around 50,000.

As a result of the error, the pharmacy’s databases must all be rebuilt. This requires pharmacists manually enter in all patient data, including insurance information and prescription history. Patients are being asked to call their physician and have them reorder all necessary prescriptions. For now, there have not been any reported pharmacy errors that have occurred as a result of the loss of patient data.

Maryland Patients Should Be Cautious of Adverse Interactions Between Prescription Drugs and Over-the-Counter Supplements

June 26, 2019 | Lebowitz & Mzhen

Prescription drugs are designed to make people feel better. However, each year, thousands of people suffer adverse reactions when they take certain substances at the same time. These events are referred to as adverse interactions. Often, the most dangerous Maryland drug interactions are between two prescription substances; however, as a recent article points out, prescription medication can also interact with over-the-counter supplements.

Supplements exist in a bit of a legal and regulatory gray area in that they are not FDA-approved to treat or diagnose any condition. In fact, the FDA is specifically prohibited from reviewing supplements for safety or efficacy. Thus, what consumers get when they purchase a supplement is somewhat a mystery and can vary depending on the manufacturer.

While the information provided by a supplement manufacturer is likely based on some type of study or belief, it is not scientifically proven. And because the FDA does not regulate supplements, there is no consistency in how they are manufactured. This means supplements that are marketed under the same name but sold by different manufacturers can have drastically different ingredients. There can even be inconsistencies between batches of supplements from the same manufacturer.

What to Do Following a Maryland Pharmacy Error

June 19, 2019 | Lebowitz & Mzhen

Medical mistakes, including pharmacy errors, are among the leading causes of death in the state. Notwithstanding the data showing that preventable medication errors affect nearly 7 million patients per year, most people maintain an “it could never happen to me” approach when thinking about these potentially dangerous errors. However, the reality is that anyone can fall victim to a Maryland pharmacy error.

Not all pharmacy errors are harmful, and fewer yet are fatal. In fact, most pharmacy errors are caught by another pharmacist or the patient. Of the patients who end up bringing the incorrect prescription home and taking it, few will experience immediate side effects. That, however, does not mean that the un-prescribed medication will not cause the patient harm; only that there are no immediate effects.

The best way to avoid suffering the ill effects of a Maryland pharmacy error is to prevent the mistake from happening in the first place. Of course, the duty to prevent a mistake does not ultimately rest with the patient; however, patients should still double-check all prescriptions and seek a consultation with a pharmacist when taking new prescriptions.

Maryland Pharmacy Errors Caused by Medications with Adverse Interactions

June 12, 2019 | Lebowitz & Mzhen

Included among the responsibilities of a Maryland pharmacist is the duty to ensure that the medication provided to a patient does not negatively interact with the patient’s other prescriptions. Prescription medications contain powerful drugs and many prescription medications should not be taken with other prescription medication or even over-the-counter medications.

There are several types of drug interactions, including pharmacodynamic and pharmacokinetic interactions. A pharmacodynamic interaction occurs when two medications that react with the same receptor site are taken at the same time. Pharmacodynamic interactions result in the ingested medications having a greater (synergistic) or decreased (antagonistic) effect, depending on the specific medications involved. Pharmacodynamic interactions can be fatal.

Pharmacokinetic interactions occur when one drug affects the body’s ability to absorb, metabolize, distribute, or eliminate another medication. For example, calcium can bind to some medications, reducing their absorption. Thus, patients are advised not to take the HIV medication Tivicay at the same time as Tums because the calcium in Tums can lower the amount Tivicay that is absorbed into the patient’s system. In this situation, doctors suggest patients take the two medications at staggered times throughout the day.

Maryland Pharmacy Errors Affecting Child Patients

June 4, 2019 | Lebowitz & Mzhen

When a pharmacist makes a mistake in the process of filling a patient’s order, there is a high likelihood that the patient will experience adverse effects or symptoms. Occasionally, a Maryland pharmacy error results in permanent injuries or even death. The extent of the damage caused by a pharmacy error depends on several factors, including the type and dose of medication that was given to the patient, as well as the patient’s age and health.

Pharmacy errors involving children and the elderly tend to be the most serious because these populations have fragile immune systems and may not be able to effectively communicate what they are feeling. While the burden to double-check all prescriptions often ends up resting with the adults who supervise young children and the elderly, the actual duty rests with the pharmacist to get it right in the first place.

As medical professionals, pharmacists have a duty to their patients. This duty requires pharmacists to accurately fill prescriptions and offer consultations to patients who seek advice. When a patient is harmed due to a pharmacist’s mistake, that patient is entitled to pursue a claim against the pharmacy, seeking compensation for the injuries caused by the error.

The Potential Causes of Maryland Pharmacy Errors

May 28, 2019 | Lebowitz & Mzhen

Medical errors are consistently ranked as one of the leading causes of death in the United States, with some estimating that as many as 440,000 people die each year from preventable medical errors. One of the more common medical mistakes are pharmacy errors that occur in retail and hospital pharmacies. Pharmacy errors can be harmful not only when patients have a negative interaction with the unprescribed drug but also when a patient fails to get the necessary medication.

Pharmacists are highly educated and well-trained medical professionals, like doctors, dentists, or nurses. Because of this, pharmacists have a professional duty to ensure that their patients are provided the correct medication, in the right dose, with the appropriate instructions. When a pharmacist makes an error, and a patient suffers as a result, the patient may be able to pursue a Maryland pharmacy error lawsuit against the negligent pharmacist as well as the pharmacy where the error occurred.

Given the prevalence of pharmacy errors, significant effort has been devoted to understanding the cause of these errors. It has been determined that certain medications are more likely to be involved in a medication error. Typically, these are medications that have similarly spelled or pronounced names as other drugs. Industry professionals call these look-alike sound-alike drugs, or LASA drugs. The most dangerous LASA drugs are those that share their names with drugs that have adverse interactions with other commonly prescribed drugs. A few examples of LASA drugs are:

Maryland Pharmacy Errors at Compounding Pharmacies

May 21, 2019 | Lebowitz & Mzhen

Most Maryland pharmacies receive medication from a manufacturer or reseller and then fill prescriptions as patients present them. For the most part, pharmacies are not responsible for creating the medications that they provide to patients. Some patients, however, have unique needs that are not met by commercially available drugs. For example, a young child may need a very small dose of a medication that is only available in adult doses, or a patient may be allergic to a particular ingredient in a medication.

While compounding pharmacies fill a much-needed role for some patients, they also present unique risks. Generally, compounding pharmacists attempt to mimic the effects of a particular medication while making some adjustments to the formulation. Because compounding pharmacies create custom prescriptions for patients on an as-needed basis, their product is not FDA-tested or approved.

A recent news report discusses a compounding pharmacy medication error that nearly claimed the life of the patient who thought she was taking the medication as directed. Evidently, the patient suffered from a rare disease called Hashimoto’s disease, a condition in which a patient’s immune system attacks the thyroid, resulting in insufficient hormone levels. As a result of her condition, the woman was prescribed thyroid medication by her physician.

The Impact Technological Advancements Have on Maryland Pharmacy Errors

May 13, 2019 | Lebowitz & Mzhen

Over the past few years, local Maryland pharmacies have seen a gradual increase in the number of prescriptions that are filled each year. However, pharmacies have been slow to adjust the number of pharmacists with this increase in demand. As a result, pharmacists are dealing with increased workloads.

For quite some time, experts have agreed that as a pharmacist’s workload increases, the likelihood of an error also increases. Some believe that new technology can help pharmacists more accurately and quickly fill prescriptions. According to a recent industry news report, by using state-of-the-art technology to fill orders, pharmacists can free up nearly 90 minutes per day.

Generally, when appropriate technology is used to fill prescriptions, there seems to be a reduction in the error rate. However, some skeptics point to the learning curve that implementing new technology presents, raising a concern that patient safety may be jeopardized as pharmacists get accustomed to frequent changes in the workplace.

Pursuing a Claim after a Fatal Maryland Pharmacy Error

May 7, 2019 | Lebowitz & Mzhen

The idea of being given the wrong medication by a pharmacist may seem like a remote possibility for most patients; however, studies show that hundreds of pharmacy errors occur every day. While most of these errors are either caught in time or do not result in serious harm to the patient, Maryland pharmacy errors present a serious risk of illness or death.

When a patient dies from a medication error, the patient’s family can pursue a Maryland wrongful death claim against all responsible parties. Depending on the circumstances surrounding the error, responsible parties may include the pharmacist, a hospital nurse or doctor, and even the pharmacy or hospital where the error occurred.

Maryland wrongful death lawsuits must be brought by a primary beneficiary, if one exists. A primary beneficiary is defined as a husband, wife, parent, or child of the deceased. If no primary beneficiary exists, then a secondary beneficiary can bring a claim. Secondary beneficiaries are those who are “related to the deceased person by blood or marriage who was substantially dependent upon the deceased.”

How Advances in Technology Can Reduce the Number of Maryland Pharmacy Errors

April 26, 2019 | Lebowitz & Mzhen

For decades, Maryland medication errors have been one of the leading causes of death across the state. For about as long, the pharmacy industry has been trying to come up with ways to reduce these errors, both in terms of their frequency and seriousness. Technological advancements have played a significant role in the reduction of Maryland pharmacy errors, ranging from electronic prescribing, to automatic warning systems that indicate when a patient may be at risk for particularly dangerous interactions.

All technological advancements, however, are not without their own set of risks. In fact, there is a major concern that placing too much reliance on computer systems may prevent the next generation of pharmacists from fully understanding the nuances of their profession. This is especially a problem if a computer system crashes or is otherwise unavailable, perhaps during an emergency.

Notwithstanding the potential concerns of around the use of technology, it is perhaps the best hope to improve the healthcare system. For example, according to a recent news report, an Israeli doctor recently developed a program that is designed to catch prescription errors early on in the process, before the medication is provided to the patient. The doctor looked at how the typical prescription error occurred, noting that there were several points along the way where an error should be noticed. However, due to what he called systemic failure, these errors were routinely being missed.