Medication Error Newspaper
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Fatal Medication Error Stories
CBS/AP December 4, 2014, 6:11 PM Hospital medication error kills patient in Oregon Comment Share Tweet Stumble Email A hospital in Bend, Oregon, says it administered the wrong medication
Medication Error Stories 2015
to a patient, causing her death.Loretta Macpherson, 65, died shortly after she was given a paralyzing agent typically used during surgeries instead of an anti-seizure medication, said Dr. Michel Boileau, chief clinical officer for St. Charles Health System.He said Macpherson stopped breathing and suffered cardiac arrest and brain damage.Macpherson came into the ER two days earlier with medication recent medical error that made the news 2016 dosage questions after a recent brain surgery.Three employees involved in the error have been placed on paid leave. The organization is conducting an investigation, but doesn't yet know how the error occurred, Boileau said.The investigation is looking at every step of the medication process: from how the medication was ordered from the manufacturer, to how the pharmacy mixed, packaged and labeled the drug, to how it was brought to the nurses and administered to the patient."We're looking for any gaps or weaknesses in the process, or to see if there has been any human error involved," Boileau said.The hospital notified the Deschutes County district attorney, who did not immediately return a call for comment.According to the Bend Bulletin, the doctors determined Macpherson needed an intravenous anti-seizure medication called fosphenytoin, but instead accidentally administered rocuronium, which caused Macpherson to stop breathing and go into cardiac arrest, leading to irreversible brain damage. The hospital took Macpherson off life support Wednesday morning.The patient's son, Mark Macpherson told the newspaper he'd recently moved to closer to car
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Recent Medical Error That Made The News 2015
Info Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial medication error stories nursing journals Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Patient Safety Primer Last Updated: medication error stories 2016 March 2015 Medication Errors Topics Resource Type Patient Safety Primers Safety Target Medication Errors/Preventable Adverse Drug Events Look-Alike, Sound-Alike Drugs More Share Facebook Twitter Linkedin Email Print Background and definitions Prescription http://www.cbsnews.com/news/oregon-hospital-medication-error-kills-patient/ medication use is widespread, complex, and increasingly risky. Clinicians have access to an armamentarium of more than 10,000 prescription medications, and nearly one-third of adults in the United States take 5 or more medications. Advances in clinical therapeutics have undoubtedly resulted in major improvements in health for patients with many diseases, but these benefits have also been accompanied by increased risks. An adverse drug event https://psnet.ahrq.gov/primers/primer/23/medication-errors (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. ADEs affect nearly 5% of hospitalized patients, making them one of the most common types of inpatient errors; ambulatory patients may experience ADEs at even higher rates. Transitions in care are also a well-documented source of preventable harm related to medications. As with the more general term adverse event, the occurrence of an ADE does not necessarily indicate an error or poor quality care. A medication error refers to an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Preventable adverse drug events result from a medication error that reaches the patient and causes any degree of harm. It is generally estimated that about half of ADEs are preventable. Medication errors that do not cause any harm—either because they are intercepted before reaching the patient, or by luck—are often called potential ADEs. An ameliorable ADE is one in which the patient experi
New book: The Digital Doctor: Hope, Hype, and Harm…now availableMar 30, 2015How Medical Tech Gave a Patient a Massive OverdosePablo Garcia went to the hospital feeling fine. Then the hospital made him very sick.The nurses https://backchannel.com/how-technology-led-a-hospital-to-give-a-patient-38-times-his-dosage-ded7b3688558 and doctors summoned to the hospital room of 16-year-old Pablo http://abcnews.go.com/Health/nurse-patient-paralytic-antacid/story?id=14997244 Garcia early on the morning of July 27, 2013, knew something was terribly wrong. Just past midnight, Pablo had complained of numbness and tingling all over his body. Two hours later, the tingling had grown worse.Although Pablo had a dangerous illness—a rare medication error genetic disease called NEMO syndrome that leads to a lifetime of frequent infections and bowel inflammation—his admission to the University of California, San Francisco Medical Center’s Benioff Children’s Hospital had been for a routine colonoscopy, to evaluate a polyp and an area of intestinal narrowing.At 9 o’clock that night, Pablo took all medication error stories his evening medications, including steroids to tamp down his dysfunctional immune system and antibiotics to stave off infections. When he started complaining of the tingling, Brooke Levitt, his nurse for the night, wondered whether his symptoms had something to do with GoLYTELY, the nasty bowel-cleansing solution he had been gulping down all evening to prepare for the procedure. Or perhaps he was reacting to the antinausea pills he had taken to keep the GoLYTELY down.Levitt’s supervising nurse was stumped, too, so they summoned the chief resident in pediatrics, who was on call that night. When the physician arrived in the room, he spoke to and examined the patient, who was anxious, mildly confused, and still complaining of being “numb all over.”He opened Pablo’s electronic medical record and searched the medication list for clues that might explain the unusual symptoms.At first, he was perplexed. But then he noticed something that stopped him cold. Six hours earl
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