Lab Error May Be Responsible for Two Patient Deaths

Article

PHILADELPHIA, Pa-A laboratory worker's miscalculation may be responsible for the death of two hospital patients at St. Agnes Medical Center south of Philadelphia. There are 932 patients who were given miscalculated prescriptions because of the laboratory error.

Between June 4 and July 25, the dosage of Coumadin may have been incorrect because a laboratory worker reportedly misunderstood what type of chemical was being used. Coumadin is a blood-thinning drug patients are usually prescribed if they are at risk for a heart attack, stroke, or blood clots.

The hospital is releasing little information about the victims except that they were in their mid-80s to mid-90s. There are 58 patients were endangered or being retested because of the mistake. The miscalculation made it appear the patients' drug was clotting and they were in turn given higher doses of Coumadin.

The mistake was discovered after a patient contacted a physician about unusual lab results. Health authorities began notifying patients and physicians immediately after the error was uncovered.

Department of Health officials are continuing the investigation.

Information from www.washingtonpost.com

Recent Videos
Picture at AORN’s International Surgical Conference & Expo 2024
Rare Disease Month: An Infection Control Today® and Contagion® collaboration.
Infection Control Today Topic of the Month: Mental Health
Lucy S. Witt, MD, investigates hospital bed's role in C difficile transmission, emphasizing room interactions and infection prevention
Shelley Summerlin-Long, MPH, MSW, BSN, RN, senior quality improvement leader, infection prevention, UNC Medical Center, Chapel Hill, North Carolina
An eye instrument holding an intraocular lens for cataract surgery. How to clean and sterilize it appropriately?   (Adobe Stock 417326809By Mohammed)
Christopher Reid, PhD  (Photo courtesy of Christopher Reid, PhD)
Paper with words antimicrobial resistance (AMR) and glasses.   (Adobe Stock 126570978 by Vitalii Vodolazskyi)
Association for the Health Care Environment (Logo used with permission)
Related Content