Pharmacy Error Injury Lawyer Blog

May 22, 2018

Maryland Pharmacy Errors and Steps to Protect Against Medication Errors

While the exact number of Maryland pharmacy errors is disputed, the U.S. Food and Drug Administration offers a conservative estimate of approximately 7,000 deaths per year due to medication errors. Due to lenient reporting requirements in the pharmacy industry and the industry’s interest in keeping errors out of the mainstream news, experts believe that the true number of errors is much higher. Some reports suggest that upwards of 1.3 million people are harmed each year by prescription errors.

Prescription errors have a number of potential causes. However, like most mistakes, the most common cause is that the pharmacist filling the prescription overlooked something they shouldn’t have. Poor communication between health care professionals plays a role in many pharmacy errors. Along those lines, pharmacists will often misinterpret a physician’s abbreviations, either prescribing the wrong medication or the wrong dose. Mistakes are also commonly made involving drugs with similar-sounding names.

Each of these situations involves one common variable: a negligent pharmacist. Undoubtedly, most of the pharmacists who are responsible for pharmacy errors are well-intentioned. However, given the everyday stress and steady workload, many pharmacists end up taking short cuts that can hurt their patients.

May 15, 2018

New Report Indicates Prescription Errors May Claim over 100,000 Lives Annually

by Lebowitz & Mzhen

The chances are that anyone who has dropped off a prescription or refill request to a retail pharmacy has had to wait a considerable amount of time for the pharmacist to fill the prescription. First, the patient must wait in line to drop off the prescription. Then, the pharmacist often tells a patient to come back in at least 30 minutes – sometimes even longer.

While waiting 30 or 45 minutes for a prescription to be filled isn’t a problem for most patients, the fact that a pharmacy is so busy raises some concerns for pharmacy experts. According to a recent news report discussing the prevalence of errors and what can be done to curb them in the future, it is estimated that there are approximately 100,000 deaths caused by pharmacy errors each year. The leading cause of Maryland pharmacy errors is commonly understood to be an overworked pharmacist.

The article details the startling account of a woman who was provided the wrong medication by her local pharmacy. The woman was prescribed the pain medication Gabapentin. Her physician instructed the woman to take the medication three times a day, taking two pills for each dose.

May 8, 2018

Children May Be at Increased Risk for Prescription Errors

by Lebowitz & Mzhen

Prescription errors can have devastating consequences for people of any age. The wrong dosage or medication can have long-lasting consequences and, in some cases, can be fatal. A recent article shows how children may be at greater risk for prescription errors in some circumstances. Since some medication is produced at dosages that are too high for children, they have to be reduced. The process of creating a smaller dosage is another opportunity for prescribers and pharmacists to make mistakes and for miscommunications to occur.

In the case of a Maryland prescription error, a plaintiff must demonstrate that the defendant was negligent by failing to meet the relevant standard of care. An example of this might be a pharmacist’s failure to administer the prescribed dosage. In these cases, a plaintiff may be entitled to compensation for their injuries.

Article Reveals Life-Threatening Errors in Administration of Flecainide to Children

Flecainide, an oral antiarrythmic drug, can be prescribed to treat supraventricular tachycardia or atrial fibrillation. However, it is only available commercially in doses of 50 mg, 100 mg, and 150 mg, so when given to infants and small children, who require smaller doses, it has to be given in the form of a suspension. A recent article discusses how there have been life-threatening errors during the preparation of the suspension, resulting in serious overdoses.

May 1, 2018

Pharmacy Errors May Not Initially Be Easy to Detect

by Lebowitz & Mzhen

When a pharmacist incorrectly fills a patient’s prescription, the problem created is two-fold. First, the patient often ends up taking medication that was not prescribed to them. Of course, depending on the type of medication involved, this can cause serious side effects. In some cases, the damage caused by taking this unprescribed medication can result in life-long effects.

The other danger involved in a Maryland pharmacy error is that the patient is not receiving the medication that they were prescribed. In most cases, a physician prescribes medication to a patient because it is imperative for the patient’s health. If a patient does not take prescribed medication based on a pharmacist’s error, or if the patient takes unprescribed medication due to a pharmacist’s error, the pharmacist may be held liable for any injuries that result.

In some cases, a patient realizes that they have been taking the incorrect medication based on the symptoms they are experiencing or after double-checking the prescription label. However, one of the problems that the victims of pharmacy errors often encounter is that they may not experience symptoms of the error immediately. Or, if they do experience some symptoms, they may not link the new symptoms to an undiscovered pharmacy error.

April 23, 2018

The Effectiveness of a New Law Absolving Negligent Pharmacists of Criminal Liability Is Questionable

by Lebowitz & Mzhen

Medical errors, including Maryland pharmacy errors, are commonly believed to be one of the leading causes of death in the United States. However, the actual number of pharmacy errors is up for debate because, as is the case in Maryland, most states do not require pharmacists to report the vast majority of the errors that occur.

Under the laws of most states, pharmacists need only report errors that end up causing an “adverse medical event.” Essentially, this means that an error does not need to be reported unless the patient suffers some kind of harm as a result of the error. Thus, errors that are caught before the medication is delivered to the patient do not need to be reported.

It is widely believed, however, that the best way to reduce errors is to learn from common mistakes. In most professions, the industry can learn from many common errors as a whole, meaning that pharmacists in Maryland may develop a better way to prevent an error and can share that new method with other pharmacists nationwide. However, in order for that learning process to work, pharmacists must be open about the number and types of errors.

April 16, 2018

How a Physician May Be Responsible for a Maryland Pharmacy Error

by Lebowitz & Mzhen

Most Maryland pharmacy errors occur when an overworked pharmacist receives a correct prescription from a physician and makes an error in filling the prescription. Commonly, these errors include filling the wrong dose of the correct medication, providing the patient with the wrong administration instructions, or filling the prescription with the wrong drug. However, some prescription errors result from a negligent or reckless physician.

Both doctors and pharmacists owe a duty of care to their patients when it comes to prescription medication. However, these duties differ slightly, and for good reason. A pharmacist has no control over the medication a doctor prescribes to his patient, and a doctor has no control over the accuracy of the pharmacist. However, in some cases, these duties overlap.

In a recent article, one pharmacist recounts an error that was made just a few years after he had graduated from pharmacy school. The pharmacist, relatively new at the time, was asked by a physician to prescribe an adult dose of medication to a child. When the pharmacist questioned what he believed to be too high a dose for a child, the doctor assured the pharmacist that it was appropriate because the child was “adult-sized.”

April 9, 2018

Recent Hospital Pharmacy Error Was a Result of System-Wide Failures

by Lebowitz & Mzhen

Earlier this month, a man in a New Zealand hospital died due to opioid toxicity after he was administered what turned out to be a fatal dose of fentanyl. According to a local news report covering the story, the error was a result of system-wide failures across the spectrum of care providers.

The victim of the error was at the hospital for a routine knee surgery. The hospital had just implemented a new e-prescribing system the month before, whereby physicians could order medication at a patient’s bedside with one touch on a computer screen. The physician overseeing the victim’s care was attending to another patient when he remembered to put in an order for the victim’s medication. The physician input the medication order and then returned his attention to the other patient.

The physician, however, failed to switch the computer screen back to the patient who was with him. Thus, when the physician entered a medication order for fentanyl patches that was intended for the other patient, the order was sent to the victim’s file.

April 2, 2018

A Look at Hospital Pharmacy Errors

by Lebowitz & Mzhen

When most people think of picking up a prescription, a retail pharmacy comes to mind. However, each year, a significant portion of the overall prescriptions filled are filled by hospital pharmacies. While there are many similarities between hospital pharmacies and their retail counterparts, there are also major differences that can lead to an increased risk of hospital patients suffering from a Maryland pharmacy error.

According to a recent news report, one of the most likely scenarios in which a hospital pharmacy error occurs is during the transition from the Intensive Care Unit (ICU). Indeed, the report indicates that nearly 50% of all patients transferring out of the ICU experience some kind of pharmacy error.

The Results of the Study

The study, which was led by a clinical pharmacy research specialist, observed nearly 1,000 patients over a one-week period. Each of the patients was transferred from the ICU to another unit within the same hospital. The results were that 45.7% of all patients experienced an error with their medication, averaging about 1.88 errors per patient.

March 26, 2018

A Tragic Pharmacy Error Turns into an Opportunity for Positive Change

by Lebowitz & Mzhen

By some estimates, medical errors are among the top three causes of death in the United States. While the classification of a medical error is broad, including surgical errors and medical malpractice, the classification also includes pharmacy errors. Indeed, there are tens of thousands of pharmacy errors each year, and this number is likely a gross underestimate because nearly all errors that do not result in serious injuries or death go unreported.

When pharmacy errors are reported, authorities take them very seriously. Indeed, a recent article discusses one pharmacist who was found guilty of reckless homicide and imprisoned for six months after an error he made resulted in a young girl’s death. While this is rare, it does happen because the law does not necessarily require intentional conduct to find someone guilty of a homicide.

According to a recent news report, the pharmacist who was responsible for the young girl’s death has tried to turn his life around with the help of a seemingly unlikely friend – the father of the girl who died from the pharmacist’s mistake. In the wake of his daughter’s death, the girl’s father decided that he did not believe the pharmacist intended to cause an error and that he wanted to do what he could to emotionally support the pharmacist while he was in jail. The two men became friends and have since begun to work together to help raise awareness around issues of pharmacy errors.

March 21, 2018

Woman Given Ten Times the Prescribed Dose of Epilepsy Medication Suffers Permanent Symptoms

by Lebowitz & Mzhen

Earlier this month, a local news article covered the story of a woman who suffers from what appear to be permanent symptoms related to an overdose of prescription epilepsy medication. According to the report, the woman was diagnosed with epilepsy years ago and wrestled with various treatments. Eventually, she was prescribed 10 mg of Briviak, an epilepsy medication, twice a day.

The pharmacist to whom the woman took the prescription, however, filled the prescription with 100 mg pills. The woman took the medication as prescribed for three months, refilling the prescription several rimes in that period. Once she discovered the error, the woman’s doctors had to slowly wean her off the medication. Despite that, she still suffers from withdrawal symptoms. In addition, she suffers from permanent pain and twitching. She told reporters that, although she is just 24 years old, she feels as though she is a “75, 80-year old woman.”

The pharmacy responsible for the error acknowledged the mistake, claiming that it was in fact due to human error. The pharmacy has since revised their processes and coached all pharmacists and technicians. The woman told reporters that she understands humans can make mistakes, but she hopes to bring awareness to the issue of pharmacy errors. She has not yet decided if she will pursue a lawsuit against the pharmacy.