Bend hospital: Medication error killed patient - News - MailTribune.com - Medford, OR

Mail Tribune (Medford, OR — Wayback)

2015-07-11

Document text

0 of 3 Premium Clicks used this month SUBSCRIBE Print + Online Subscriber Activation  |  Register x Forgot Password | Need an Account? e-edition | subscribe | newsletter | deals Classifieds Jobs Autos Real Estate FEATURED   » NEWS NOW   Bear Creek Greenway to link to Highway 62       ...       More thunderstorms expected       ...       Medford airport sets all-time record for passengers       ...       Bear Creek Greenway to link to Highway 62       ...       More thunderstorms expected       ...       Medford airport sets all-time record for passengers       ...           A 'TRAGIC' MISTAKE Bend hospital: Medication error killed patient Comment By Gosia Wozniacka The Associated Press MailTribune.com By Gosia Wozniacka The Associated Press Posted Dec. 4, 2014 at 5:14 PM By Gosia Wozniacka The Associated Press Posted Dec. 4, 2014 at 5:14 PM »  Social News   PORTLAND — A Bend hospital is acknowledging that it administered the wrong medication to a patient, causing her death. Loretta Macpherson died Wednesday, two days after she was given a paralyzing agent typically used during surgeries instead of an anti-seizure medication, said Michel Boileau, chief clinical officer for St. Charles Health System. The error occurred at the organization's hospital in Bend. "Tragically, there was a medication error made," Boileau said. Macpherson, 65, stopped breathing and suffered cardiac arrest and brain damage after the drug was administered Monday in the hospital's emergency room, Boileau said. She had come into the ER with medication dosage questions after a recent brain surgery. The paralyzing agent is often administered to patients in the operating room while they are attached to a ventilator, Boileau said. Used in this way, he said, it's a safe medication. Three employees involved in the error have been placed on paid administrative leave. The health system doesn't yet know how the error occurred, Boileau said Thursday. The investigation is looking at every step of the medication process: from how the medication was ordered from the manufacturer, to how the pharmacy mixed, packaged and labeled the drug, to how it was brought to the nurses and administered to the patient. "We're looking for any gaps or weaknesses in the process, or to see if there has been any human error involved," Boileau said. Boileau did not say how the hospital figured out what drug was wrongly administered to Macpherson. He said the hospital is analyzing the patient's blood samples to confirm the initial findings. The hospital also notified the Deschutes County district attorney, who did not immediately return a call for comment. But "there is no suggestion or thought of any kind of criminal activity," Boileau said, adding that the St. Charles Health System has not seen a similar situation in his 28 years with the organization. Macpherson, a resident of the small central Oregon town of Sisters, is survived by two sons, Mark and Pete. They had called KTVZ-TV to bring the hospital's error to light, and the station was the first to report on it Wednesday evening. "She was a beautiful soul," Mark Macpherson said. "Everyone she encountered, she'd ask a million questions to get to know you. She was a people person and she loved everybody." Boileau said the hospital staff also is reeling. "For something like this to happen," he said, "it's devastating for her family, but it's also devastating for the hospital staff who are involved in this. People who go into health care never intend to harm someone." Studies show hundreds of thousands of people die every year across the U.S. due to hospital errors. A 1999 report from the Institute of Medicine put the number at 98,000 people a year. A more recent report published in the Journal of Patient Safety last year says the number is likely much higher: from 210,000 to 400,000 people annually. The studies don't specify the percentage of deaths caused by medication-related errors.     By Gosia Wozniacka The Associated Press MailTribune.com By Gosia Wozniacka The Associated Press Posted Dec. 4, 2014 at 5:14 PM » Comment or view comments   Reader Reaction »  STAY INFORMED   Email NewsLetter   Sign Up Today   Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. Southern Oregon Directory Featured Businesses Loading... Business Name address Location, ST | website.com Find Southern Oregon Attractions Bars Restaurants Beauty Salons Entertainment Doctors Medical Specialists Contractors Education Lawn Services Lawyers Shopping Travel Tanning Used Cars Wedding Services ▼ Add your business here + Events Calendar Connect with MailTribune.com Facebook Twitter RSS Back to top Reader Services Reader Services Home Subscriptions Subscriber controls Contact us Submissions Photos Events Letters to the editor Corrections Announcements Obituaries Story ideas Since you asked Alerts Email Alerts RSS Feeds Text Alerts Advertise Media Kit Home Products and services Ad rates Advertising contacts Propel Marketing Mail Tribune Daily Tidings The Nickel Shop Our Valley Blogs Mobile Site Stay Informed   Email newsletter   Sign Up Today   Sign up for our newsletter and have the top headlines from your community delivered right to your inbox. Your privacy is important, read our privacy policy. © Copyright 2015 Local Media Group, Inc. All Rights Reserved.    Privacy Policy  |  Terms of Service  |  Local Media Group Publications Original content available for non-commercial use under a Creative Commons license, except where noted. MailTribune.com | P.O. Box 1108, Medford, OR 97501