Regulatory group tells hospitals to adopt strict rules to prevent errors with blood thinners


Wednesday, September 24, 2008 | No comments posted.

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CHICAGO (AP) — A regulatory group told hospitals Wednesday to adopt strict measures to prevent errors involving blood thinners including heparin — mistakes that have been made nearly 60,000 times and led to dozens of deaths in recent years.

The Joint Commission issued a safety alert saying hospitals need to adopt prevention measures that could include bar-coding technology for medicines or computerized drug orders. It advised hospitals to more closely monitor patients on these drugs and make sure that adult-strength heparin is stored nowhere near children’s units.

The alert said 28 deaths are among 32 reports of drug errors involving blood thinners that it received between 1997 and last year.

“We know that there are many more (deaths) and ... that’s the reason for issuing this alert,” said Dr. Mark Chassin, president of the Oakbrook Terrace, Ill.-based commission.

Recent errors include accidental life-threatening heparin overdoses given to actor Dennis Quaid’s newborn twins at a Los Angeles hospital last November. In July, 14 babies received accidental heparin overdoses at a hospital in Corpus Christi, Texas.
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