Posted On: August 30, 2010

Preventing Prescription Errors: Consumer Reports Health Poll Finds Patients Want More Drug Information

Our Baltimore, Maryland pharmacy error injury lawyers have been following the results of a recent Consumer Reports Health Poll, that found that 65 percent of most Americans feel that drug makers have too much influence on doctors, and that doctors are too quick to prescribe drugs instead of exploring other non-drug options to manage health conditions. The poll also found that as patients, many Americans have a strong desire to acquire more drug information and safety details to prevent prescription errors in the future.

The Consumer Reports Health Poll found that:

• 45 percent of Americans take at least one prescription drug per day on a regular basis, and on average, they take around four prescription drugs.
• 39 percent of American consumers cut costs on personal healthcare in ways that might be dangerous and could lead to personal injury, with 27 percent failing to comply with drug prescriptions. In an effort to save money, 38 percent of individuals under the age of 65 who don’t have prescription drug coverage, failed to even fill the prescription.
• 87 percent of Americans stated that understanding the safety of a prescription drug was very important, and 79 percent of individuals were concerned about dangerous drug interactions. 78 percent worried about drug side effects.
• 47 percent of Americans said they think that pharmaceutical companies sway doctors’ choice of drug administration for patients based on gifts, and 41 percent of people stated that they think doctors tend to prescribe newer drugs that are more expensive.

According to the Institute of Medicine, at least 1.5 million drug errors occur every year in this country—errors that are preventable. John Santa, M.D. M.P.H., and Consumer Reports Health Ratings Center director, claimed in the study that Americans who are taking multiple drugs considered drug safety and side effects to be a high priority. The poll found that safety information provided in the pharmacy, doctor’s office or hospitals is not always comprehensive enough to prevent medication mistakes or drug error, and needs to be addressed.

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Posted On: August 26, 2010

Study Reviews Risk Levels Associated with Pharmacy Drug Dispensing

As Washington D.C. pharmacy error injury lawyers, we have been following recent study results released by the company Centice, that discuss the risk levels associated with drug dispensing processes, and the occurrence of pharmacy errors or misfills.

Centice is a company focused on the chemical verification of dispensed prescription drugs, and has recently published findings from that investigate levels of risk in the dispensing process for prescription drugs from Pharmacy Quality Assurance and Rx Verification Study.

According to the study’s research, after a single pharmacy error in the dispensing process, pharmacists can spend up to fifty hours correcting the dispensing error, or Quality Related Event (QRE).

Centice claimed that when looking at the total prescriptions filled, pharmacy error rates are very small, but when factored into dispensing many prescriptions over a period of time, given average pharmacy filling volumes, any prescription error that leaves the pharmacy can impact customer retention and the financial stability of the pharmacy, and could also lead to potential patient injury or even wrongful death.

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Posted On: August 25, 2010

Family Sues Hospital for Wrongful Death in Morphine Overdose

Our Hartford pharmacy error attorneys have recently been alerted about a wrongful death lawsuit announced last week involving the incorrect administration of morphine, a topic our Maryland attorneys have been reporting on in our Maryland nursing home lawyer blog.

The lawsuit claims that Henry Peters Dyck entered the hospital in July of 2008 with a condition on his right knee called hemarthrosis, that caused pain and bleeding in the joint of his right knee. Dyck was reportedly prescribed 10 - 30 mg of morphine in a liquid form every four hours as needed.

According to the lawsuit, filed by Dyck’s family, one week later, a nurse accidentally gave Dyck a cup of liquid morphine that contained 100 mg, instead of the 10 – 30 mg he was supposed to receive. The dosage was around five times stronger than his prescription called for, and this medication error caused Dyck to go into distress from the morphine poisoning.

The staff at the hospital reportedly tried to reverse the poisoning by pumping Dyck’s stomach, inducing vomiting and flushing his bowels, but the attempts failed, causing Dyck to suffer a heart attack. Dyck died four hours after the morphine overdose.

Dyck’s family claims in the lawsuit that the staff did not give him Naloxone, a drug known to be used as a remedy to stop the lift-threatening effects of morphine. The family alleges that the hospital’s attempts in saving Dyck’s life were not effective, caused him great pain and were physically invasive—all contributing in the end to Dyck’s wrongful death.

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Posted On: August 16, 2010

ISMP Licenses MEDcounselor Drug Information to Prevent Medication Error

According to a press release that our Baltimore pharmacy error attorneys have been following, Gold Standard/Elsevier, a drug information and medication management solution developer, has licensed MEDcounselor Drug Information modules to the Institute for Safe Medication Practices (ISMP) for its consumer website, ConsumerMedSafety.org.

The ISMP is certified by the federal government as a non-profit safety organization of physicians, pharmacists and nurses that strive to prevent medication error and adverse drug events. ISMP offers confidentiality and legal protection for patients who submit safety and medication error reports, and claims that Gold Standard’s MEDcounselor modules are a valuable tool to help consumers become more engaged with their health care, and to make more informed medication decisions—which could prevent medication errors, and patient injuries and deaths on a worldwide basis.

The MEDcounselor modules available through ConsumerMedSafety.org include:

• Drug Information: When typing in the first three letters of the name of a drug, patients and consumers have access to medication information like side effects, important usage, and drug interactions for every prescribed prescription drug in the United States. Over-the-counter (OTC) drugs, vitamins, and nutritional supplements are also included in this information.
• MEDcounselor is written to comply with all national standards for Consumer Medication Information (CMI) and is available in both Spanish and English languages to avoid medication error.
• Drug IDentifier: If capsules or tablets become separated from the original package or container, consumers will be able to identify the drugs quickly by entering the imprint or marking that usually appears in the form of numbers. Patients can also select from thirty colors and twenty-five drug tablet/capsule shape choices for identification.
• Drug Interactions: Consumers and patients will be able to access possible drug interactions between prescription drugs, OTC medication, herbal and nutritional supplements, as well as any food intake, caffeine, alcohol and tobacco products that may interfere with the drug. Drug interaction alert include severity ranking that is color-coded for ease of use, and increases the clarity for the user.

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Posted On: August 3, 2010

Promoting Electronic Prescribing in Physician Practices

As our attorneys from Lebowitz and Mzhen, LLC discussed in a recent blog, although e-prescribing usage has increased in recent years, many local doctors claim that the current e-prescribing systems, although helpful for reducing medication errors, can lead to more mistakes in prescribing.

According to Todd Rowland, M.D. and director of medical informatics for Bloomington, Hospital in Indiana, although the majority of electronic health records systems offer electronic prescribing as an option, some still charge a fee to doctors who use the electronic transmissions for prescriptions. In some instances physicians can send the prescriptions by fax for free, but then get charged to send prescriptions electronically. He also said that physicians are on tight time schedules, and systems that are new require additional steps, that are often overlooked.

Rowland also claimed that right now, many e-prescribing systems have unnecessary drug interaction alerts that pop up while a doctor is prescribing. He claims that as doctors have time-sensitive practices, the e-prescribing should provide high quality information, that prevents medication error, but also fits into their practice, without slowing them down.

Last year, the Center for Medicare and Medicaid Services (CMS) promoted the switch to electronic prescribing by paying doctors a bonus for e-prescribing. By 2012, doctors who are not e-prescribing with be financially penalized by the federal government. As we reported in a recent blog, President Obama’s economic stimulus this year included over $19 billion for health information technology, to help doctors and hospitals pay for the cost of electronic medical records systems and to help improve the safety, quality and efficiency of healthcare.

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Posted On: August 2, 2010

E-prescribing Usage Increases with Doctors, but Not Without Problems

As our Washington D.C. Pharmacy Error Injury Attorneys reported in a recent blog, physicians who are not prescribing medications electronically, or e-prescribing, by 2012 will be financially penalized by the federal government.

Although the use of electronic prescribing has increased in years, and evidence shows that e-prescribing can reduce pharmacy misfills that can lead to patient injury or even wrongful death, many local doctors reportedly clam that overall acceptance of this important technology is lagging.

According to a study published last week by the Washington-based think tank, the Center for Studying Health System Change, less than one-third of this country’s physicians in office settings, are e-prescribing. The study also revealed that even fewer physicians that were e-prescribing were using the beneficial aspects of the system, like searching for serious drug interactions and using the system to cross reference patient insurance for prescription drug verifications to ensure health plan payment coverage. The study also found that even fewer doctors who used the electronic system would actually prescribe medications electronically, opting to use the fax machine instead for prescription submittal.

The Institute of Medicine (IOM) claims 1.5 million people in this country are injured by preventable medication errors, with nearly 7,000 deaths every year.

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