Earlier this month, a British news source published an article discussing the 2016 death of a man who was provided the incorrect prescription just days before he died. According to the report, the man had been receiving medication for type II diabetes, heart problems, and glaucoma. He had filled the prescriptions in the past with no problem, but in May of last year he was provided another patient’s prescription. Apparently, the packet containing the pills contained another customer’s prescription with his name on seven different labels; however, the victim’s name was printed on the outermost packaging.
An investigation was conducted into the fatal pharmacy error, and it was discovered that the filling technician had opened the interior packet of pills, added additional requested pills, and then sealed the package back up. Apparently, the technician did not notice that the name on the seven labels inside the packaging and the name on the outside packaging did not match. And neither did her supervisor.
After the error occurred, but before it was discovered, the man began complaining of chest pain and having a difficult time breathing. Two days after the error, he passed away. The coroner’s report indicated that the prescription error at least “hastened” the man’s death. However, the prosecuting authority determined that there was insufficient evidence to pursue criminal charges. Since the accident, the branch where the error occurred has stopped assembling medication packets on location.