EJF Archive

We can eradicate preventable medication errors like Emily's through your support

Being part of the solution to eradicate preventable medication errors like Emily's, is what the Emily Jerry Foundation strives to do daily. This video tells the very compelling story of how Chris Jerry turned his family's personal tragedy into the foundation's mission which honors his daughter and carries her onward in our hearts. See https://emilyjerryfoundation.org to see what our programs and initiatives are doing to save lives. Please consider making a donation at https://emilyjerryfoundation.org/donate-now.

Advocacy Heals U with Joni Aldrich and Chris Jerry

When we lose our loved one, we are often left thing "What Am I Going To Do Next?" Author and Radio Show Host Chris Jerry and Joni Aldrich both understand what it means to lose a love one and how Advocacy Heals U!

Full Episode of Fox News Reporting, Danger, Beware of the Doctor

Full Episode of Fox News Reporting, Danger, Beware of the Doctor with Bill Hemmer.

Chris Jerry spreads a message of hope at UPMC

After losing his 2-year-old daughter tragically to a medication error, Chris Jerry's message is of hope, forgiveness, compassion and collaboration. His nonprofit, the Emily Jerry Foundation, is focused on raising awareness of system issues in healthcare and finding solutions.

Huffington Post Interview

Chris Jerry's interview about Emily by the Huffington Post.

The RFID in Healthcare Consortium Announces Intelligent Hospital Award Recipients

The RFID in Healthcare Consortium Announces Intelligent Hospital Award Recipients Industry Awards Recognize Leaders in Advanced Healthcare Technology Solutions The RFID in Healthcare Consortium (RHCC) and Intelligent Hospital.org announced the following nine awards for 2014 and their recipients: Improving Regulatory Compliance was awarded to Wake Forest Baptist Medical Center of Winston-Salem, North Carolina. Conrad Emmerich, associate vice president for resource management and enterprise visibility; Beverly Essick, D.O.M. and director of clinical compliance and regulatory services; and Mary Jagim, associate director, Office of Enterprise Visibility, will receive the award. The award for Improving the Patient Experience: Care and Safety was awarded to Children’s Hospitals and Clinics of Minnesota in Minneapolis, Minnesota. Receiving the award were Bobbie Carroll, senior director of patient safety and clinical informatics, and Sarah Giga, MS, manager, clinical systems integration. For his team, Dr. Joseph P. Drozda, Jr., director of outcomes research, Mercy, based in Chesterfield, Missouri,received the award for the Most Innovative Use Case. Most Innovative Use of Business Intelligence was awarded to Christiana Care Health System, Newark, Delaware. Receiving the award were Leslie Mulshenock, director, Christians Care’s Heart and Vascular Interventional Services; and Matthew P. Esham, the manager for the Heart and Vascular Information Technology Department. Carleen Penoza, director of infomatics, received the Most Innovative Use for Physical Security award for Beaumont Health System of Royal Oak, Michigan. Conrad Emmerich received the Best Comprehensive Integration award for Wake Forest Baptist Medical Center. The GRAND AWARD 2014 was awarded to Children’s Hospitals and Clinics of Minnesota. Receiving the award were Bobbie Carroll, Senior Director, Patient Safety and Clinical Informatics,Sarah Giga, M.S., Manager, Clinical Systems Integration. The EDUCATION AWARD 2014 was awarded to Emily Jerry Foundation - Chris Jerry, Founder, Emily Jerry Foundation. The C SUITE AWARD 2014 was awarded to Philip Fasano, Executive Vice President and Chief Information Officer, Kaiser Permanente. Award recipients were invited to participate in the Intelligent Hospital Awards program at the Healthcare Information and Management Systems Society (HIMSS14) conference and exhibition. The program was held February 24, 2014, at 5:00pm in Exhibit Hall E (8265) at the Intelligent Hospital Pavilion’s Leadership Theater. During the event, recipients were honored, and the 2014 RHCC/Intelligent Hospital GRAND AWARD was announced. The GRAND AWARD was selected from the recipients of the six awards. The judges for the second annual Intelligent Hospital Awards were as follows: Georgia Tech Professor Gisele Bennett; Southern Methodist University associate professor; Daniel W. Engels, University of California-San Francisco Professor Donna Hudson; University of Wisconsin Distinguished Researcher Alfonso Gutierrez; and consultant and retired Lucent Technologies manager, John W. Walz. Members of the Awards Committee are solution leaders from Ascom Patient Systems (US),Brother Mobile Solutions, Inc., Cardiopulmonary Corporation, CareFusion,Clinical Computer Systems, Ekahau, HP Enterprise Services, IEEE, MEPS Real-Time, Inc., Omnicell, Inc., pdc Healthcare, Skylight Healthcare Systems, Inc., Skytron LLC (US), STANLEY Healthcare, US Department of Veterans Affairs, WaveMark.

The Emily Jerry Story: Presented by the RI & MA Society of Health-System Pharmacists

The Emily Jerry Story: Presented by the RI & MA Society of Health-System Pharmacists

Chris Jerry, The Emily Jerry Foundation, Part 1 on Emily's Story, Preventable Medical Errors

My guest for Episode #203 (and an upcoming Part 2) is Chris Jerry, founder of The Emily Jerry Foundation. The foundation was created in the aftermath of the tragic death of his daughter, Emily - a preventable medical error caused by a number of factors and bad systems. You can read Emily's story here. I first learned about this tragedy a few years back and I blogged about it: "A Pharmacist's Jail Cell Interview -- What Good Does Blame Do?" Some people ask, "Why are you defending a pharmacist who screwed up and killed a sweet little girl?" The main victims were, of course, Emily and her family. That doesn't mean that a simplistic response of punishing and jailing one person will do anything to protect other patients in the future... and Chris Jerry agrees with that view. I saw Chris speak at a conference earlier this year and we finally found an opportunity to record a podcast after talking about this for a few years off and on. The story is powerful and I admire Chris for his work and advocacy to help others — as a way of honoring Emily and her life and memory. In this first part, Chris tells the story of what happened. I'll release the remaining audio as either one or two more parts in future podcast episodes.

Surfing the Healthcare Tsunami: Chris Jerry & Eric Cropp Unseen Footage

In May of 2011, Dr. Charles Denham of TMIT brought Chris Jerry and Eric Cropp together for the very first time for an interview, since Emily Jerry's tragic death. Emily died from a medication error that occurred only days after her second birthday in 2006. Shortly after establishing The Emily Jerry Foundation in 2009, Chris had explained to a number of people, including Dr. Denham, how and why he felt so strongly about publicly forgiving Eric for the death of his beautiful little girl Emily. Many people simply could not comprehend or understand why, as Emily's father, he would ever want to take such a drastic step. This story is highlighted in the Discovery Channel feature titled "Surfing the Healthcare Tsunami: Bring Your Best Board." This video shows extended unseen footage that was not used in the final cut of the show. This has been generously provided to The Emily Jerry Foundation by the producers of the program.

Chris Jerry Forgives Pharmacist

Chris Jerry forgives pharmacist convicted in his daughter's death in this live TV interview.

Honorary NOAPRx Membership to Christopher S. Jerry

Honorary NOAPRx Membership to Christopher S. Jerry

Emily Jerry medication error protest video

An emotionally moving protest video regarding the Emily Jerry medication error.

Teary druggist jailed in death

CNN's David Mattingly talks to a jailed pharmacist who served a six-month sentence for involuntary manslaughter.

Kelly Jerry Discusses Emily's Law

Kelly Jerry speaks immediately following the signing of Emily's Law.

Note: Scroll to the bottom of this page for solution videos

Other Medication Error Stories

LaShinda Flagg discusses medication errors she has witnessed

LaShinda Flagg discusses medication errors she has witnessed at her place of employment as a risk manager.

Antibiotic Investigation by NewsNet5 Cleveland

Family of Mentor woman suspect popular antibiotic prompted highway death: Mentor - The mother of a Mentor woman describes alarming changes in her daughter after being prescribed a popular antibiotic that she suspects played a role in her daughter's death. 47-year-old Deana Poghen was struck and killed on I-90 in Mentor last Christmas Eve. Florence Summers suspects Cipro, one of the nation's most widely used antibiotics, caused serious side effects that contributed to her death. "She was beautiful, she was vibrant and happy," said Summers, "she loved life--and lit up a room when she came in." But our exclusive investigation found that within months--it all began to unravel. "If she would take a shower, her skin would hurt," said Summers, "she lost the sensation of warmth and cold." Read the full report by NewsNet5 in Cleveland, Ohio: http://www.newsnet5.com/news/local-news/investigations/family-of-mentor-woman-suspect-popular-antibiotic-prompted-highway-death

Woman says Walgreens prescription mistake almost killed her

ORLANDO, Fla. - An Orlando woman said Walgreens mistakenly gave her the wrong pills. Evelyn Singleton said she's been taking the same blood pressure medication for years. So when she noticed her pills were a different size, she assumed she was just given the generic brand. "I probably would've died; would've had a stroke or a heart attack," said Singleton. "That's my life. It's my life." It turns out she was given the same medication at 10 times her normal dose. The incident happened at the Walgreens on the corner of Hiawassee Road and old Winter Garden Road in Orlando. Singleton has since transferred her prescriptions elsewhere. Her attorney says if the pharmacy doesn't make things right, they will go to court. The pills were the same color and had the same markings. "I noticed a difference, but I thought it was generic when I was taking it," said Singleton. She said taking one nearly killed her. "I made it as far as the bed and I fell across the bed," said Singleton. Despite the label on the bottle showing the pills contained 10 milligrams of medication, Evelyn Singleton's husband, Wade Singleton, called the pharmacy technician at the Walgreens and found out his wife had been given the 100 milligram dosage by mistake.


HOPE MILLS, N.C. (WTVD) -- When you go to pick up your medicine from the pharmacy, you expect your prescription to be correct. But for one Hope Mills mom, this was not the case. Norma Segui gave her 11-year-old daughter Kimberleigh her medicine as usual. "She said, 'Mom that medicine tasted funny.' And not paying attention I said, 'Hey it's the same medicine you've always taken,'" Segui said. Kimberleigh said she noticed the medicine tasted sour, and persisted to explain to her mom something was wrong. "Look, these are orange/yellow, they're supposed to be pink," Kimberleigh said. Segui said the correct medicine was supposed to be pink with an X on it, but what Kimberleigh had taken was yellow with a number. "That's when I got nervous," Segui said. She immediately called the Hope Mills CVS Pharmacy at 3966 South Main Street that filled the prescription. "'We'll fix it, just bring the pills,'" Segui said. Segui learned she had been given the wrong dose of the right medicine. The pharmacy gave her 10 milligram tablets instead of 5 milligram. The prescription bottle was labeled correctly, but contained the wrong prescription for Kimberleigh. "I just took it for granted that the pharmacy would give her the right medicine," Sequi said. Segui called her doctor and was relieved to hear that an overdose of the medicine would only make Kimberleigh sleepy and maybe give her an upset stomach at worst. But then she noticed something else was wrong. The bottle included two extra pills. "The mistakes continue, something has to be done before someone dies," Segui said. Segui said when she reported the problem to the Hope Mills CVS, they told her they were short-staffed, which she said was not an acceptable excuse. The Hope Mills CVS replaced and corrected Kimberleigh's prescription. We did some more digging and discovered that state inspectors found expired drugs at the Hope Mills CVS at 3966 South Main Street in 2011. In 2013, the pharmacy got a "letter of warning" after giving a patient 50 milligrams of Topiramate instead of 50 milligrams of Tramadol. Topiramate is for seizures. Tramadol is for general pain. According to the letter of warning, the patient ingested the wrong medicine, but fortunately, wasn't hurt. In a statement about the letter of warning, CVS said, "This incident occurred two years ago with different pharmacy staff. In the rare event of an error, we determine how it happened in order to prevent it from occurring again." When it comes to the mistakes with Kimberleigh's prescription, CVS released this statement: "The health and safety of our customers is our number one priority and we have comprehensive policies and procedures in place to ensure prescription safety. Prescription errors are a very rare occurrence, but if one does happen we determine what happened in order to prevent it from occurring again. We have extended our sincere apologies to the Segui family for the incidents last December and January at our Hope Mills pharmacy. Our district pharmacy supervisor spoke with the family and Kimberleigh's doctor, and we have taken corrective action at the pharmacy to help ensure that prescriptions are dispensed safely and accurately." We contacted the State Pharmacy Board, which investigates prescription mistakes. They said they get about 300 complaints a year, but admit there are probably many more errors than that. Executive Director, Jay Campbell, said they need the public's help. "The reasons we like to know about these issues is to try and determine if there is a deeper problem at a pharmacy and if we find something like that we can take action that can range from reprimand to suspension or revocations of licenses," Campbell said. Campbell suggests customers develop a relationship with their pharmacists and pick one close to their home that they can use year-round. He also said you should always double-check your prescription before leaving the pharmacy and speak up when they ask if you have any questions. Segui said she now takes those extra steps. "Let's say she's 4 years old and she doesn't tell me, mom this tastes funny or if she got somebody else's or if she was allergic to it. It could've been her life, it could've been anyone's life," Segui said. "We can't take it for granted anymore, this was a wakeup call."

Chyna's Death Was From Accidental Overdose of Medication: Manager

Chyna's manager said Wednesday he believes the pioneer wrestling star died of an accidental overdose of Ambien and Valium. "She accidentally and unintentionally misused her legally prescribed medication over the course of 2-3 weeks. It's an epidemic," manager Anthony Anzaldo said in an email. Chyna, born Joanie Laurer, was billed by the WWE as the "Ninth Wonder of the World" during her wrestling career. The Los Angeles Times first reported the manager's comments. Image: Joan Laurer Joanie Laurer, the former pro wrestler known as Chyna, flexes her biceps as she arrives at the 31st annual American Music Awards in Los Angeles in 2003. Kevork Djansezian / AP — file Chyna died last week at age 46 in her Redondo Beach, California, home. The Los Angeles County Department of Medical Examiner-Coroner has not yet ruled on a cause of death. It said a ruling is deferred pending additional investigation.

Man claims CVS mistake cost him his sight

HOUSTON — A man has sued CVS Pharmacy claiming he was blinded in his left eye after a pharmacist mistakenly gave him anti-bacterial ear drops to treat an eye infection. Claudis Alston, 65, suffers from a variety of ailments including kidney failure. But in 2012, he sought treatment at Houston Methodist Hospital for an eye condition and was diagnosed with pink eye/conjunctivitis. Medical records show he was given a prescription for a common conjunctivitis treatment – cortisporin ophthalmic suspension. He got that prescription filled at a local CVS Pharmacy. In the lawsuit filed this week, Alston's attorney displayed the original packaging and instructions that came with the solution CVS gave him. Instead of cortisporin opthalmic suspension, the packing says it contains neomycin-polymyxin-HC. It is a treatment for bacterial ear infections. The packaging identifies it as an "EAR SOLN." But the instructions say, "INSTILL 3 DROPS IN EACH EYE TWICE DAILY FOR 5 DAYS." "Immediately after he instilled the drops he became just beside himself and was like 'this really hurts," said Alston's caretaker and legal guardian Jameena Crookshank. "He was immediately struck with pain and irritation in his eye," said attorney Randall Sorrels. Alston said he immediately rushed back to the hospital emergency room. Doctors have confirmed that Alston is now blind in his left eye. Documentation in medical journals and pharmaceutical websites for the ear infection treatment clearly state that it should never be placed in the eye. Now Alston's attorneys are trying to get answers from CVS. "We've heard nothing back from CVS," said Sorrels who says they first contacted CVS headquarters in Rhode Island more than two months ago. "This suit was filed the day before yesterday. Maybe you all can get a response from CVS," he said to reporters at a Thursday news conference. KHOU-TV did receive a brief response from CVS: "As this matter involves pending litigation, we are unable to comment." "He used to be fully capable of operating day to day on his own," said Crookshank, who says problems with pain and with depth perception are plaguing Alston now. "And now he looks to me to support him in everything that he does." "We hope the court system will bring some justice to Mr. Alston," added Sorrels, who says he has no indication the pharmacist in question was ever reprimanded or retrained after the mistake. Texas law limits malpractice claims like this, even with the loss of an eye or limb, to a maximum of $250,000. A court date for the lawsuit has not yet been set.

Is Medication to Blame for Glenn Frey’s Death?

The Doctors discuss the loss of music legend Glenn Frey, who recently passed away at the age of 67. Frey reportedly suffered rheumatoid arthritis. Was medication to blame for his death?

Medication used in surgery center alleged to have killed Stratford man

STRATFORD--The estate of a Stratford man, who died during surgery at an out-patient surgical center in Trumbull, has filed a medical malpractice lawsuit. The family is accusing the center and the medical team that operated on their loved one with attempting an unauthorized procedure and negligently dosing him with 4 percent Lidocaine, a toxic agent. The suit says the drug was mistaken for another drug. Michael A. Palmer Sr., a 53-year-old father of eight, was undergoing a cervical spine fusion operation in May 2013 at the surgical center when he died. Although Palmer, who was a bus driver for the Connecticut Transit Authority, had asked that the surgery be done at a hospital, members of his medical team persuaded him to have the procedure performed in the outpatient center, in which they were part-owners. “This case, like the widely publicized death of Joan Rivers, highlights some of the problems posed by the proliferation of privately-owned chains of profit-making surgical centers throughout the nation,” said Palmer’s attorney, Michael Koskoff. “This is one of three deaths that we are investigating in surgical centers in Connecticut in just the past two years,” said Koskoff. “Something is clearly wrong with the way these centers are being operated.” During Palmer’s surgery, a medical assistant pressed against a blood pressure cuff, causing a drop in the blood pressure reading. At that point, the lawsuit says, the anesthesiologist negligently administered the 4 percent Lidocaine, which had been stored in the wrong place. “Hospitals have precautions in place to prevent this type of error,” Koskoff said. “This surgical center obviously did not.” After administering the toxic agent to Palmer, he was administered CPR and rushed to St. Vincent’s Hospital where he died. This lawsuit is against Surgical Care Affiliates, LLC, operator of about 185 surgical centers nationwide and the Surgery Center of Fairfield County. Dr. Sandra Joyce Congdon, an anesthesiologist, Dr. Gerard J. Girasole, an orthopedist, and Dr. Abraham Mintz, a neurosurgeon are also named in the suit. Also, groups affiliated with the doctors are being sued: Dr. Girasole and Dr. Mintz were part-owners of the surgical center where Palmer had the fatal procedure, the suit alleges. The lawsuit also alleges that the defendants violated state regulations by permitting the surgery to go ahead even though it was complex surgery that had not been approved or authorized by the center’s governing body. “A conflict of interest may come into play when a doctor has a choice of performing a procedure in his own surgical center, or a hospital,” said Koskoff. “Unless the out-patient center is prepared for the surgery, the hospital is a safer choice.” Palmer, a long-time Bridgeport area resident, was active in the Air National Guard, Mount Aery Baptist Church in Bridgeport, and was a freemason of the highest rank. In addition to his eight children Palmer left behind seven grandchildren. “Surgical centers may be cost-efficient, convenient and safe, but, if tragedies like this are to be avoided in the future, they need to be subject to some of the same controls that apply to our hospitals with increased scrutiny by their administrators and our Department of Public Health,” Koskoff said. “Poorly regulated and supervised surgical centers can be dangerous places.”

Mother blames pharmacy for 8-year-old boy’s death

LOVELAND, Colo. -- An 8-year-old boy suddenly died two weeks ago, and his mother blames the family's pharmacy. Jake Steinbrecher was diagnosed with Sensory Input Disorder at an early age. Children with SID can become overwhelmed if there is too much going on around them. They need a lot of motion and exercise. Jake's mother, Caroline Steinbrecher, said she was against putting Jake on medication, but she said his doctors and teachers insisted. “He needed to be able to sit long enough to learn,” she said. He started taking a pill form of clonidine when he was 4 years old. Doctors prescribed Jake 0.1mg pills and he was supposed to take one-quarter of a pill per dose, or 0.025mg of clonidine per dose. “But then he grew in size and we needed to go to a third,” Steinbrecher said. "And you can’t cut thirds so we went to compounding it.”

Dennis Quaid talks about his twins and medical Negligence

Chances are you probably know someone who has died, or nearly died, because of medical mistakes in a hospital. It's much more common than most people realize, and if it can happen to the children of movie star, at one of the finest hospitals in the country, it can happen to anyone. Dennis Quaid has starred in more than 50 films, but nothing prepared him for the drama and the near tragedy that unfolded last November at Cedars-Sinai hospital in Los Angeles, when his infant twins were given massive overdoses of a blood thinner that nearly killed them. When 60 Minutes first broadcast this story in the spring, Quaid and his wife, Kimberly, had kept most of their thoughts and many of the details private. They decided then to talk about what happened, what caused it, and what needs to be done to keep it from happening to somebody else. "It was the scariest, most frightening day that I think either of us have ever been through, to come face to face with your little kids who - so young in that kinda situation," Quaid tells correspondent Steve Kroft. And few couples had tried harder to have kids than Dennis and Kimberly Quaid. They had suffered through five miscarriages, before finally turning to a surrogate to carry, what turned out to be twins, Thomas Boone and Zoe Grace, conceived with the Quaids' own sperm and eggs. Photos: Dennis Quaid But within a few days of coming home, the twins showed signs of a having a staph infection and doctors recommended they be admitted to Cedars-Sinai hospital for routine treatment with intravenous antibiotics. On their second day there, the Quaids were told that the babies were doing fine, so they went home to get a few hours of rest, leaving instructions to be called if there were any problems. But around 9 p.m. that night, Kimberly Quaid had a mother's premonition that something had gone wrong. "I just had this horrible feeling come over me and I felt like that the babies were passing. And I just had this feeling of dread," she recalls. "Kimberly even made a note at the time that she had the feeling, for some reason," Dennis Quaid adds. "And I called the room. And I was put through to the nurse who was in our room with the kids. And I said, 'How are the kids?' And she said, 'They're fine. They're just fine.'" But Quaid says they weren't fine. In fact, around the time of the call, the nurses had discovered that both twins were in serious danger. They were supposed to have been given a pediatric blood thinner called Hep-lock to flush out their IV lines and prevent blood clots. But instead, they had been given two doses of Heparin, the adult version of the drug, which is 1,000 times stronger. "We all have this inherent thing that we trust doctors and nurses, that they know what they're doing. But this mistake occurred right under our noses, that the nurse didn't bother to look at the dosage on the bottle," Dennis Quaid tells Kroft. "It was ten units that our kids are supposed to get. They got 10,000. And what it did is, it basically turned their blood to the consistency of water, where they had a complete inability to clot. And they were basically bleeding out at that point." "There was blood oozing out of little blood draws on their feet, and things like that, you know, through band-aids," he adds.

Levaquin: FDA fails to disclose additional serious side effects of antibiotic linked to deaths

CLEVELAND - The U.S. Food & Drug Administration is failing to disclose additional serious side effects associated with one of the most popular and widely used prescription drugs on the market. The drugs are part of a family of antibiotics collectively known as fluoroquinolones and are marketed under brand names including Levaquin, Cipro and the generic form Levofloxacin. Download the FREE newsnet5 app: Apple | Android The drugs are used to combat serious infections such as pneumonia and kidney infections and are so powerful they are used in the treatment of anthrax cases.

Allergic reaction to antibiotic medication kills woman

Eunice Richardson was wrongly administered a drug whilst in hospital and suffered a severe allergic reaction, despite warnings in her medical record, and wearing a MedicAlert bracelet. Laurie Richardson feels robbed of a milestone 60th year with his wife after a hospital mishap led to her death. The Canterbury District Health Board (CDHB) has apologised to Eunice Richardson's family after she was given an antibiotic she was allergic to, despite the presence of a MedicAlert bracelet and warnings on her file. The 80-year-old died in Christchurch Hospital after she was given bacteriostatic antibiotic, Trimethoprim, for a urinary tract infection...

Linda's Story

Linda lost her mother to preventable medical errors. If you are moved to do something, please visit www.hcfama.org/quality or contact us at jmadden@hcfama.org to join the movement for a safer, higher quality health care system.

Medical errors kill hundreds of thousands

Staggering new numbers are shedding light on a critical problem in the American healthcare system. A recent report by the Journal of Patient Safety indicates that between 200,000 and 440,000 people are killed each year in the U.S. from preventable medical errors. These patients aren't dying from the condition that forced them to go to the hospital in the first place. They're dying from unintended mishaps.

Heath Ledger died of an accidental prescription drug overdose

Heath Ledger was an Academy Award-winning, Australian actor best known for his roles in Brokeback Mountain and The Dark Knight. He died of an accidental prescription drug overdose in 2008.

Mom Upset By Prescription Error

A Gahanna mother says a pharmacist at a local Target pharmacy gave her the wrong prescription dose for her infant daughter.

Wrong prescription from Sam's Club pharmacy sickens Adams County woman

An Adams County woman gets sick after her pharmacist reportedly gave her the wrong medication. Jaclyn Allen reports.

Prescription of Death - Walmart Pharmacist Error Nearly Kills Customer - Real Scary Ambien Story

Don't Take Ambien and Double Check every prescription and label before you leave your doctor's office and before you leave the pharmacist's counter. Save Lives, Be Responsible, Double Check Labels and Side Effects ---- please SHARE

Woman Says Glendale Pharmacist's Mistake Led To Mother's Death

"She was very feisty and full of life," but Katheryn Barton said her mother's life was cut short, the day after she turned 90, after she was given the wrong prescription medication. Serene Branson reports.

Mother Loses 11-Year-Old Daughter to a Preventable Medical Error

Lenore Alexander brought her 11-year-old daughter, Leah, to the hospital for what she thought was a routine surgery. She never could have anticipated the tragedy that happened next. Her 11-year old daughter Leah was killed after being given the wrong pain medication in the hospital.

Largo man warns of prescription errors

A pharmacist mistakenly gave Justin Barnes of Largo the wrong type of insulin, a potentially dangerous error.

Prescription Error Blamed For Death

A prescription mistake played a role in a man's death

Walgreens mixes up a prescription

A mothers intuition made her realize that something was wrong. She called Walgreens and realized that the pills they gave her would have killed her son.

Prescription error makes valley woman gravely ill

The overdose of thyroid medication kept the valley woman sick for over a year.

St. Charles drug error proves fatal

A tragic medication mistake ends in a Bend hospital patient's death. NewsChannel 21's Lauren Martinez talks to the woman's son and the St. Charles medical director.

Taylor's Story

John McCormack is a Massachusetts state trooper. In October of 2000, John's 13 month old daughter, Taylor, was brought into the emergency room for immediate surgery because the shunt placed in her head at birth had failed. The resident neurosurgeon had a limited medical license which had expired at the time he rendered care for Taylor. The resident paged the attending neurosurgeon who was supposed to do the surgery,

Lewis Blackman Story

This is a true story of a 15-year-old boy named Lewis Blackman who died in a hospital following routine surgery. This story has been taken from the Book "Wall of Silence" authored by Rosemary Gibson and Janardan Prasad Singh. The story can be found in Part One "Breaking the Silence"-"The Human Face of Medical Mistakes" page no-31. Thanks to Steve Matarelli RN PhD former Chief Operating Officer of Tawam Hospital for narrating the story. Following the death Lewis Blackman. Helen Haskell mother of Lewis Blackman founded Mothers Against Medical Error www.advocatedirectory.org Haskell.helen@gmail.com

Near Fatal: A Patient Safety Story

Logan Wells nearly died from a medication error stemming from information not given to the anesthesiologist.

The Josie King Story clip for QSEN

Short clip of Josie King Story for QSEN website

New Allegations of 'Serious Medication Errors' and Wrongful Termination Against MCH

New Allegations of 'Serious Medication Errors' and Wrongful Termination Against MCH.

DLG Files Wrongful Death Claim for Medication Error

The family of Michael Blankenship files a wrongful death claim against Seattle Children's Hospital.

Medication error news story

Medication error news story about Martin Schwab.

Watchdog Minute: Medication errors at care homes

In September, our watchdog team told you about 27 deaths from abuse and neglect at care homes in the county. Now they're examining one of the major causes -- medication errors by the staff. Editor Ricky Young has more.

Medication error story from CBS news Chicago

Medication error story from CBS news Chicago

Baby Dies Due To Medication Error at Seattle Children's Hospita

Q13 FOX - It was just last year that another patient at Children's suffered a similar fate. Tammy Jarbo-Blakenship lost her son Michael on day after a routine visit for dental work. The family's lawyer Chris Davis says the drug should have never been given to Michael.

Medication Error Stories

Hoping that everyone aware of how important medication error problems really are. In hospitals, no matter what kind of role we are in such as doctor, nurse, pharmacist, physiotherapist etc we have to work together to create a better place a better system in helping the patients.

Medication Safety: A Patient's Story

Helen Haskell, the founder and president of Mothers Against Medical Error, shared the story of her son, Lewis Blackman, at the conference "Improving Medication Safety Through Effective Communication and Teamwork.

Sebastian's Story

Sebastian's Story - News broadcast by TV12 in Jacksonville FL

Charged with Manslaughter for a drug error

Franck Guilloteau starts by describing the circumstances that lead to the death of a 16 year old pregnant woman who was in labour and being looked after by Julie Thao.

Medical errors and the Quaid twins

CNN's Randi Kaye takes another look at the case of actor Dennis Quaid's twins, who nearly died from a medical overdose.

I-Team investigates medication mistakes

An I-Team review of a decade's worth of North Carolina Pharmacy Board data and documents finds CVS drug stores have the highest number of citations for medication mistakes.

Note: Scroll to the bottom of this page for solution videos


Miscellaneous Videos

Man Tells Son His Mother Passed Away From Drugs

Dad films heartbreaking cries of 8-year-old boy being told mum died from heroin overdose Brenden Bickerstaff-Clark received mixed comments online for sharing the footage on Facebook as a stark warning to other addicts with children. This is the heartbreaking moment a father told his eight-year-old son his mum had died of a heroin overdose saying: "Mummy died last night." The little boy breaks into uncontrollable tears as he wails "what?" and "how?" at his devastated father Brenden Bickerstaff-Clark. He clutches hold of his crying boy as he collapses onto a table, murmuring: "Sorry." Brenden received mixed comments online after sharing the footage on Facebook as a stark warning to other addicts with children. It is one of many videos that have emerged from the United States months after a report revealed heroin use has reached the highest levels in the country for 20 years. Brenden wrote: “This is for any and every addict with children. “Today I had to tell my 8-year-old son that his mommy died from a drug overdose last night. “This is the realization and reality of our disease. “Don't let this disease have to make someone tell your child that you're dead because of drugs. “This was one of the hardest thing I've ever had to do. 'I have something to tell you... mommy died last night': Father films the heartbreaking moment he tells his son, eight, that his mother overdosed on heroin - then puts it online for millions to see "Dad Films Moment Son Learns His Mum Has Overdosed On Heroin"


The sentiments expressed here by Glen Tullman, past CEO of Allscripts, are shared by many in the medical community. Below is exactly what prospective investor, Glen Tullman said to the inventor of Goldilocks Valves, Bobbi Sue McCollum, RN-BSN: "The first question that I look at is, 'How do you make this become the most pressing problem?' To get the public up in arms about something, you know, usually that only happens when people are dying and you know exactly why. "Do you have any studies that demonstrate that hospitals are being sued particularly for the incorrect use of this product? "So, I love your passion. Great inventors they, they're driven by passion. Um, our challenge is our healthcare system is not passionate, and it's driven by dollars and cents and it's driven by 100 layers that are designed to prevent innovation. ‘Cause unfortunately in healthcare it's not always because a product is needed. "In a prior company, we introduced electronic prescribing and you would think this is a no-brainer. The institute of medicine says each year 6,000 people in America die from preventable medication errors and yet, ten years later only about half the prescriptions in the United States are written on electronic media and people continue to die. But we were able to pick a process where there were a lot of dollars involved. And that is, writing a prescription and what medication gets prescribed and people cared about that because that was very measurable dollars. "So unfortunately, the safety aspect of what we were doing, and we could actually measure the lives saved very directly. You know, people would talk about it, but they would never make buying decisions on it. Our buying decisions were driven by drug companies saying, this is worth dollars to us and by the way, it’s also safer, um, but not the other way around. "Unfortunately, just because a product is needed in healthcare we all know that it doesn’t necessarily mean it comes to fruition. There are a lot of different hurdles that need to be addressed. "So at this point the answer is no. But I actually believe there’s a place for the product. Getting that story out is the frustration that all of us who work in healthcare today have and how do we go from product to making it an industry standard that you want on every wall and that’s really the secret sauce." Aired on 10/10/2016 on "Make Me a Millionaire Inventor" on CNBC. See http://Millionaireinventor.cnbc.com

Is fatal medical error a leading cause of death?

The CDC does not list “medical error” as a cause of death in its annual mortality statistics. But according to researchers from Johns Hopkins University, medical errors are the third leading cause of death in the nation. Hari Sreenivasan talks to Dr. Martin Makary of Johns Hopkins, the report’s author, about why medical errors are usually ignored and how patients and doctors can try to avoid them.

Former FDA head - Opioid epidemic one of great mistakes of modern medicine

Doctor David Kessler, who ran the FDA from 1990 to 1997, doesn't hold back when talking about the explosion in opioid use in the last two decades. "This has been one of the great mistakes of modern medicine," said Kessler, who went on to say opioid addiction in the U.S. amounts to an epidemic. axlerodfdapainkillers.png Dr. David Kessler CBS NEWS "FDA has responsibility, the pharmaceutical companies have responsibility, physicians have responsibility. We didn't see these drugs for what they truly are," Dr. Kessler said. From 1999 to 2014, sales of opioids quadrupled in the U.S. -- and so did the number of opioid-related overdose deaths, reports CBS News' Jim Axelrod. "There was a notion that pain was the fifth vital sign, you wanted to relieve pain, that that was essential. You dosed until the pain was alleviated," Kessler explained. That, said Kessler, was a costly mistake. Seventy-eight people now die each day from overdosing on painkillers. But the CDC didn't issue prescription guidelines until this past March. They recommended doctors try over-the-counter pain medications before prescribing more limited quantities of opioids -- but did not mandate they do so. But are the guidelines strong enough? "We'll see," said Kessler. "This is an American condition. This is an American disease." axelrodfdaopioid.png In the 21 years since OxyContin first came on the market, it has generated more than $35 billion in sales. "The inappropriate promotion of drugs contributed significantly to this epidemic," Kessler said. "Because drug companies took a small piece, a sliver of science and widely promoted it as not being addictive. That was false." While pill mills are among the most visible signs of the epidemic, Kessler said two-thirds of painkiller prescriptions are written by well-intentioned physicians trying to do right by their patients. Doctors losing licenses amid opioid epidemic Play VIDEO Doctors losing licenses amid opioid epidemic "Everybody has to do better. The CDC guidelines need to be implemented. Pharmaceutical companies need not over-promote. Doctors need to prescribe more wisely in a more limited way." "But it's going to take a societal shift, it's bigger than any one of those steps, in order to change this epidemic." When asked about his responsibility as the head of the FDA, he said the epidemic took hold after he left the agency in 1997, but does admit he should have pushed for stricter prescription practices when he was still in charge.

Prince Inspires Debbie Gibson to Discuss Prescription Medication Misuse

Published on May 11, 2016 Prince's death prompted Broadway star and singer/songwriter Debbie Gibson to open up about her personal misuse of prescription medication in an interview with 'Oprah: Where Are They Now?' set to air on OWN later this year.

Worrying rise in accidental overdose of prescription drug methotrexate

A total of 91 cases of serious incorrect dosing - where patients took the drug three days in a row - were also identified after researchers analysed coronial and Therapeutics Goods Administration data, as well as cases reported to the Australian Poisons Information Centres. "Every case is a potentially life threatening error," said Dr Rose Cairns, lead researcher and senior poisons specialist at NSW PIC. Dr Rose Cairns at the NSW Poisons Information Centre said patients can easily mistake their weekly methotrexate dose ... Dr Rose Cairns at the NSW Poisons Information Centre said patients can easily mistake their weekly methotrexate dose with one of their daily medications. Photo: Supplied Methotrexate is often dispensed in packs of 50 tablets, a year's supply of the drug that can be mistaken for daily prescription medications. "It's so easy to take too much. Patients confuse their weekly dose of methotrexate with their daily medications, and it only take three days for the effect to be lethal," Dr Cairns said. Advertisement Mistaking the drug for folic acid, often prescribed alongside methotrexate, or prednisone were common reasons of accidental overdosing, as well as packaging errors at pharmacies, or patients misunderstanding instructions by a doctor or pharmacists, the study found. "We don't see this dosing error effect with any other prescription drug," she said. A year's worth of methotrexate is often dispensed at once. A year's worth of methotrexate is often dispensed at once. Photo: Supplied Daily dosing can suppress a patient's bone marrow, reducing their immunity, leaving them susceptible to sepsis, gastrointestinal mucosal ulceration and death. "It would be an extremely uncomfortable way to die, very nasty," Dr Cairns said. "But the thing is these are avoidable deaths. If methotrexate is used a prescribed it's considered safe." The data published in the Medical Journal of Australia on Monday revealed "a worrying increase in methotrexate medication errors" between 2014 and 2015, the researchers wrote. While it was unclear what caused the sudden rise, Dr Cairns warned the risk of accidental overdosing would continue to increase with the ageing population. The age of patients who died after taking incorrect doses ranged from 66 to 87, while the average age of those documented with serious incorrect dosing was 65. Roughly 260,000 methotrexate tablet scripts were dispensed on the PBS in 2015, but the cheapness of the medication means many more doses are dispensed on private scripts. While methotrexate-related deaths were rare, older people were at increased risk because they were prone to confusion, memory problems, age-related cognitive decline and poor eyesight, the researchers said. The researchers recommended current pack sizes be reduced to contain just one month's supply of the drug, or four tablets. They also suggested packaging the drug with folic acid, which is taken daily and often co-prescribed, in a way that mimics the packaging of the oral contraceptive pill, with sugar tablets used in place of methotrexate six out of seven days a week. "This would make it nearly impossible to make these kinds of errors," Dr Cairns said. Clear warning on the pack as well as formulating distinctive coloured tablets, and prescriber alerts in dispensing software were also recommended.

Chasing Zero: Winning the War on Healthcare Harm

Chasing Zero targets consumers, caregivers, and healthcare leaders. The goal is to inspire them to act now to prevent healthcare harm. The war on healthcare harm is not targeting bad people, but bad systems.

Pharmacy mistakes: What happens when drug stores mix up meds (CBC Marketplace)

We rely on pharmacists when we're sick. But what happens if they make a mistake? (Example of a drug interaction error.)

EXCLUSIVE: Medical errors are the 3rd leading cause of deaths in the US

Do you know how good your doctor is? Doctors are human and are therefore prone to mistakes as medical errors kill more than 250,000 Americans every year, amounting to the third leading cause of death in the nation. For more on this, ‘News With Ed’ is joined by Dr. Martin Makary, who lead the research on deaths by medical error.

Expensive & deadly: Medical errors 3rd leading cause of death in US

Insurance companies across the country are struggling to offset the rising costs of healthcare, with some reporting significant losses since the Affordable Care Act came into law. Now they’re seeking to offset that dip in profits by raising premiums, even though Obamacare was supposed to lower costs for patients and insurers ‒ something that has yet to happen in the nation that leads the world in healthcare spending. Meanwhile, new research shows that errors in healthcare are the third leading cause of death in the United States. RT America’s Manuel Rapalo reports.

Children's Hospital loses $17.8M in lawsuit

Jurors have awarded a Colorado Springs family a $17.8 million verdict in a malpractice lawsuit against Children's Hospital Colorado. ◂ The Denver Channel, 7News, brings you the latest trusted news and information for Denver, Colorado, Mile High and the Rocky Mountains. Our mission is to provide useful, interesting news and updates on breaking news to people in the Denver metro area, all across our beautiful state of Colorado and all over the world.

Pharmacist Stress Leading To Dangerous Mistakes?

Some pharmacists are sounding off about the performance metrics used to measure productivity, and the mistakes they may be causing. Julie Watts reports.

Pharmacy mistakes in Florida

Experts say proposed law could cause more harm than good.

Transparency, Compassion, and Truth in Medical Errors: Leilani Schweitzer at TEDxUniversityofNevada

The human element can give us kindness and compassion; it can also give us what we don't want— mistakes and failure. Leilani Schweitzer's son died after a series of medical mistakes. In her talk she discusses the importance and possibilities of transparency in medicine, especially after preventable errors. And how truth and compassion are essential for healing.

Medical Mistakes: The Affects on Families

Death By Medicine {an Exposé on the Errors & Terrors of Big Pharma}

Death By Medicine takes a hard examination at the dominant medical paradigm contributing to America’s health crisis. Based on Gary Null’s ground breaking book on the hundreds of thousands of injuries and deaths caused by conventional medicine, the documentary looks at the medical industrial complex, the pharmaceutical industry’s usurpation of the nation’s medical schools, research, falsified drug clinical trials, peer reviewed scientific journals, and the complicity of federal health agencies to permit this to happen. The result is a medical system unfounded on sound science. Why is there a lack of oversight by government regulatory agencies and private interest lobbyists call the shots for national healthcare? From FDA and FBI raids on cherry and dairy farmers to the halls of Congress, we witness the hostile attack on the natural health industry. We witness what happens when a mercenary healthcare system and the failures of a just and fair healthcare policy leaves the US as the 37th healthcare system in the world. The result is the American medical system is broken and corrupted by money rather than scientific fact, and the answer is to create a new medical paradigm that addresses the health of people rather than raising of stock prices, careers and reputations.

Medication errors, just what the doctor ordered?

Alarming facts and figures for medication errors in the United States and how you can help protect yourself and others.

Facts About Medication Errors

Do No Harm: Jess' Story

Published on Apr 27, 2012 This video takes you through 17-year old Jess' story of death by medical error.

Is medicine killing you? Lissa Rankin, MD at TEDxFargo

Lissa Rankin, MD is a physician and New York Times bestselling author of "Mind Over Medicine: Scientific Proof That You Can Heal Yourself", and the founder of Dr. Lissa Rankin's Whole Health Medicine Institute training program for physicians and other health care providers. She was featured on the public television special Heal Yourself: Mind Over Medicine, and will soon appear in a documentary film about her work. Dr. Rankin is on a grassroots mission to heal healthcare by repairing the doctor-patient relationship, while empowering both patients and health care providers to marry the best of Western medicine with mind-body approaches scientifically proven to activate the body's natural self-repair mechanisms. Join the revolution at HealHealthCareNow.com and follow Dr. Rankin on her blog at LissaRankin.com or on Facebook. In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations) Category Nonprofits & Activism License Standard YouTube License

Medical Errors: The Silent Killer in Medicine | Carol Gunn | TEDxFargo

Dr. Carol E. Gunn shares a powerful story about her sister and the obstacles they faced due to errors in healthcare. She openly wonders why, when medical errors are the third leading cause of death, there is little outage, transparency or accountability. In her unique position of being both a physician and a family member who has suffered a great loss, she understands the tremendous pressures facing both providers and chronically ill patients. Medicine is Dr. Gunn’s second career. Prior to medical school, she worked as an environmental health and safety professional … which taught her the skills of accident investigations and root cause analysis. She began medical school later than most, at 37 years of age. She then completed medical school, a primary care residency, and her occupational and environmental medicine fellowship. Dr Carol Gunn, an internist and occupational medicine physician, thrives on working with individuals and groups advocating for patient and employee safety. She has been an agent of agent nearly her whole life. After completing her bachelor’s in chemistry and master’s of public health degrees, she was a safety engineer, during her first career. For twelve years, she focused on reducing workplace exposures to harmful chemicals. With the goal of creating greater impact on others’ health, she then elected to attend medical school. She completed an internal medicine residency and a fellowship in occupational medicine, opening her own independent practice in 2007. She is boarded in internal medicine, occupational and environmental medicine, and industrial hygiene. Outside of medicine, she lives with her wild Lab, and enjoys the varied activities of the Pacific Northwest. She valiantly attempts to balance her life of family, work, and play - but there never is enough play! This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx

Webinar: A Hospital Accident - Lessons Learned: A Death, A Conviction, and A Healing

Eric Cropp was convicted and jailed in connection with the death of Emily Jerry, a pediatric cancer patient who died from a medical error. This webinar shares the story of healing that came out of her tragic death.


Free Gift to Donors

Donors of $50 or more will receive the Emily Jerry Guardian Angel lapel pin, which signifies their support and commitment to helping eradicate preventable medication errors. The Emily Jerry Foundation has been a registered 501(c)3 organization since 2009. Your tax-deductible donation will help the Foundation achieve its very important mission and make healthcare medication safer for everyone.

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Solution Videos

Local Pharmacy Uses Advanced Machine to Help Decrease Medication Intake Errors for Patients

Love Oak Pharmacy has Machine that Individually Wraps Pill Packs for Patients - This complicated looking machine has helped decrease errors for patients taking more than 5 pills a day. By individually packing the daily pills needed, patients don’t have to worry about if they took too many to not enough medication for the day. And the best part about it, is that it is completely free at Love Oak Pharmacy in Eastland. The man behind the whole idea to purchase the robot in charge of packing the pills is Eastland local, Ben McNabb. McNabb has lived in Eastland his whole life and has always loved his community. As a teenager, he worked at the same pharmacy and once he finished school and became a pharmacist, he decided to buy the pharmacy and give it a more updated look. The Love Oak owner and pharmacist's whole idea behind the robot was to help his costumers and give back to his community by helping them take multiple pills easier than ever. Being a local here in Eastland, McNabb wanted to help the community while providing a more efficient process for not only the patient, but for the pharmacy as well. This machine is the only one that is available anywhere near Eastland County and has provided a great deal of positive... See http://www.bigcountryhomepage.com/news/local-pharmacy-uses-advanced-machine-to-help-decrease-medication-intake-errors-for-patients

Omnicell IV Robot Demo

Omnicell Automated IV Compounding Robot for Hospital Pharmacies

ivSTATION Non-Hazardous Compounding Robot solves medication errors in hospital pharmacies. (Note: Omnicell bought Aesynt in 2016.)

APOTECAchemo - Automation and control of chemotherapy compounding

APOTECA is the automation and information system for safe compounding of intravenous hazardous therapy. It makes every step of the production process programmable, controllable, traceable and analyzable.

Inside the robotic pharmacy

Robots are increasingly being found in hospitals including a $7M robotic pharmacy that lowered medication errors at UCSF medical center in California.

BoxPicker Automated Pharmacy Storage System

The BoxPicker Automated Pharmacy Storage System provides secure, high-density storage and dispensing of medications and supplies. This high-performance system controls access, improves pharmacy workflow efficiency and expedites the picking process. A robotic replacement for vertical carousels, refrigerated drug storage and narcotic vaults, BoxPicker fully automates medication storage and retrieval steps to eliminate picking errors and increases safety at dispense.

Consis E robot by Willach Pharmacy Solutions

Consis robotic systems offer a tailor-made and highly efficient automation concept for your pharmacy. Whether you want to save time or gain space: Consis has the right solution for every situation. Consis E considerably increases the efficiency of your work processes, places the dispensing points precisely where the dispensing path is shortest, is capable of fully automated labelling, works with 2 robotic arms, integrates perfectly into your pharmacy design, automatically stocks medicines, is child's play to operate.

UCSF Medical Center Opens Robotic Pharmacy to Improve Patient Safety

UCSF Medical Center has opened a new automated hospital pharmacy believed to be the nation's most comprehensive facility using robotic technology and electronics to prepare and track medications with the goal of improving patient safety. Not a single error has occurred in the 350,000 doses of medication prepared during the system's recent phase implementation.

Robots used to distribute drugs at a Californian hospital

Robots used to distribute drugs at a Californian hospital

Simple solutions can reduce medication errors

More than 1.5 million Americans a year experience preventable drug-induced injuries, says a Purdue University health sciences expert. "Approximately one in every 400 hospitalizations is associated with a medication error that adversely impacts patient care," says Craig Svensson, dean of the College of Pharmacy, Nursing, and Health Sciences.


Standard of Care, Legislation Videos

We Are All the Victims of Medication Errors



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