UTAH HIGH SCHOOL HONOR STUDENT IN COMA AFTER PHARMACY ERROR

Earlier this week a story on ksl.com, a Utah television station, reported that an eighteen-year-old honor student received a potentially lethal dose of oxycodone for strep throat and has been in a coma since April 30. The teen, Jessie Scott of Draper, Utah, was given a teaspoon of concentrated oxycodone hydrochloride for pain due to strep throat, when the actual prescription called for a five-milligram dose. The Wal-Mart pharmacy that filled the prescription, was supposed to dilute the concentrated medication before dispensing it to Jessie, but it failed to do so. Jessie received 20 times’ the prescribed dosage due to Wal-Mart’s negligence. As of a result of the pharmacy’s horrific error, a few hours after taking the lethal dose, Jessie Smith’s organs began to fail, he was placed on a ventilator, and one of his lungs collapsed.

Our thoughts and prayers are with Jessie Scott and his family.

TEXAS NEWBORNS DIE FROM ALLEGED HEPARIN OVERDOSE

Pharmacy error, mistake, negligence… whatever you want to call it, is becoming a national epidemic. How many more babies and young people have to get injured or die before something is done to address it? Last week, yet another report filed in Texas of newborns receiving an adult dosage of Heparin, the blood thinning medication, leading to terrible tragedy, only this time, the babies did not survive. Unlike the overdose that occurred involving actor Dennis Quaid’s newborn twins, the Texas overdose was not due to a labeling error, rather, it was apparently due to a mixing error by a hospital’s pharmacy. That hospital was Christus Spohn Hospital South in Corpus Christi, Texas. According to a recent AP article, on July 4, 2008, 17 newborns received 100 times the appropriate dosage of the drug. Of the 17, two died, three were released, and the remaining 12 are in the hospital’s NICU.

Kiii.com, a television station in Texas, further reported that the premature twins, a boy and a girl born to Eric and Erica Garcia, were transferred to Christus Spohn after birth  and allegedly died from the Heparin overdose. While the hospital is not admitting responsibility for the twins’ death since they were born four weeks early, they are investigating the matter. It is of note that two of the staff pharmacy employees have taken temporary leave.

Our hearts go out to the Garcia family during this difficult time.

3 Month Old Florida Baby Victim of Pharmacy Error

A large chain pharmacy commits another mistake by mislabeling a three month old's prescription with the wrong dosage.  I used the word mistake here because it is a well known way to describe pharmacy errors but the truth is that the words "pharmacy mistake" sound way too innocuous for these situations. 

This time, in a  recent article on FoxNews.com, the victim was a baby with a sinus infection. The parents filled a doctor's prescription for Histacol DM syrup at a Palm Coast, Florida Walgreen's store. The dosage of the medication was to be a quarter of a milliliter. The prescription was erroneously filled by a Walgreen's pharmacy, who wrote the  dosage at a quarter teaspoon, six times the prescribed amount of medication.  Upon taking the first dosage, the baby became unresponsive and was rushed to the hospital, where doctors were able to stabilize the child. In a typical move,  Walgreen's offered $2,000 to make this bad story disappear, which the family refused.

My experience with clients who have fallen victim of "pharmacy error" or "pharmacy mistake" at the hands of the large drugstore chains has taught me that Walgreen's would have made any settlement conditional upon the family signing a strictly enforced confidentiality agreement. This is of course done to shield pharmacy's from bad publicity and to prevent the public from knowing the truth about the frequency at which these mistakes occur.  Good for the Ruddell family who decided to go public with their story in order to inform others about what happened and to try to help save others from the same mistake.