Actor Dennis Quaid is suing a drug company after his newborn twins were accidentally given 1,000 times the prescribed dose of the blood-thinning drug heparin.
Quaid Sues Drug Maker After Twins' Heparin Overdose
Cedars-Sinai Medical Center's handling of high-risk drugs placed its pediatric patients in immediate jeopardy of harm, the state said Wednesday in its response to an overdose involving the newborn twins of actor Dennis Quaid. In a 20-page report, the California Department of Public Health said the prestigious Los Angeles hospital gave the twins and another child 1,000 times the intended dosage of the blood thinner heparin Nov. 18. "This violation involved multiple failures by the facility to adhere to established policies and procedures for safe medication use," state inspectors wrote. "These violations caused, or were likely to cause, serious injury or death to the patients who received the wrong medication." In addition, the unsafe medication practices "created a risk of harm for all hospital patients," the report said. The public health agency has not yet decided whether to fine Cedars-Sinai for the lapses, said Kathleen Billingsley, deputy director of the state's Center for Healthcare Quality. Cedars-Sinai has 10 days to respond to the deficiency report but already had taken steps to ensure that patients were no longer in "immediate jeopardy," Billingsley said. An immediate jeopardy citation is relatively rare and indicates the severity of a hospital's mistake. Addressing the incident for the first time publicly, Quaid and his wife, Kimberly, said in a statement to The Times that they felt "relieved" to know more about what happened to their children. They also criticized Cedars-Sinai for what they characterized as a lack of candor about what happened. The Quaids said senior hospital officials told them that their children received only one overdose of heparin, but the state report cited two instances. "We find it outrageous and totally unacceptable that we are learning for the first time, along with anyone else who reads the newspaper, exactly what transpired," the Quaids said. In a written statement, Dr. Michael L. Langberg, Cedars-Sinai's chief medical officer, said the state report confirmed the hospital's internal findings, which identified at least three separate safety lapses that led to the overdoses. "While this is a rare event, we are pleased that the [state health department] shares our view that it is an important opportunity for the entire institution to explore any and all ways we can further improve medication safety," Langberg said. Following the incident, the hospital took steps to retrain staff, fully segregate high-concentration heparin, and review all policies and practices involving high-risk medications. Among the errors cited by the state: Nurses and pharmacy technicians did not check product labels before they dispensed heparin and did not keep adequate records of when it was used. The hospital also did not take steps to implement its own policies on high-risk medications. Quaid's children were born Nov. 8 in Santa Monica to a gestational surrogate; the Quaids are the biological parents. The children were taken to Cedars-Sinai within days for the treatment of an infection. The lapses began the morning of Nov. 18 when two pharmacy technicians mistakenly delivered 100 vials of heparin to the pediatric unit. The vials contained a concentration of 10,000 units per milliliter instead of the appropriate 10 units per milliliter of the blood thinner, which is used to prevent clots. A short time later, the Quaid twins, Zoe Grace and Thomas Boone, received their first dose of the high-concentration heparin to flush their intravenous lines. The twins received a second dose about eight hours later. Some of the administrations were not documented in their medical records. The nurses involved told inspectors that they could not remember whether they had read the label on heparin vials. In the evening, a doctor was told that both children were oozing blood from the site of their intravenous lines and from their heels, where they had had blood drawn. The overdose was identified and both received two doses of protamine, an antidote to reverse the effects of heparin. The Quaid twins were released from the hospital by early December. The third child was released a day after receiving the heparin overdose and did not require the antidote. https://www.courant.com/la-me-cedars10jan10-story.html
Study Suggests Medical Errors Now Third Leading Cause of Death in the U.S.
Analyzing medical death rate data over an eight-year period, Johns Hopkins patient safety experts have calculated that more than 250,000 deaths per year are due to medical error in the U.S. Their figure, published May 3 in The BMJ, surpasses the U.S. Centers for Disease Control and Prevention’s (CDC’s) third leading cause of death — respiratory disease, which kills close to 150,000 people per year. The Johns Hopkins team says the CDC’s way of collecting national health statistics fails to classify medical errors separately on the death certificate. The researchers are advocating for updated criteria for classifying deaths on death certificates. “Incidence rates for deaths directly attributable to medical care gone awry haven’t been recognized in any standardized method for collecting national statistics,” says Martin Makary, M.D., M.P.H., professor of surgery at the Johns Hopkins University School of Medicine and an authority on health reform. “The medical coding system was designed to maximize billing for physician services, not to collect national health statistics, as it is currently being used.” In 1949, Makary says, the U.S. adopted an international form that used International Classification of Diseases (ICD) billing codes to tally causes of death. “At that time, it was under-recognized that diagnostic errors, medical mistakes and the absence of safety nets could result in someone’s death, and because of that, medical errors were unintentionally excluded from national health statistics,” says Makary. The researchers say that since that time, national mortality statistics have been tabulated using billing codes, which don’t have a built-in way to recognize incidence rates of mortality due to medical care gone wrong. In their study, the researchers examined four separate studies that analyzed medical death rate data from 2000 to 2008, including one by the U.S. Department of Health and Human Services’ Office of the Inspector General and the Agency for Healthcare Research and Quality. Then, using hospital admission rates from 2013, they extrapolated that based on a total of 35,416,020 hospitalizations, 251,454 deaths stemmed from a medical error, which the researchers say now translates to 9.5 percent of all deaths each year in the U.S. According to the CDC, in 2013, 611,105 people died of heart disease, 584,881 died of cancer and 149,205 died of chronic respiratory disease — the top three causes of death in the U.S. The newly calculated figure for medical errors puts this cause of death behind cancer but ahead of respiratory disease. “Top-ranked causes of death as reported by the CDC inform our country’s research funding and public health priorities,” says Makary. “Right now, cancer and heart disease get a ton of attention, but since medical errors don’t appear on the list, the problem doesn’t get the funding and attention it deserves.” The researchers caution that most of medical errors aren’t due to inherently bad doctors, and that reporting these errors shouldn’t be addressed by punishment or legal action. Rather, they say, most errors represent systemic problems, including poorly coordinated care, fragmented insurance networks, the absence or underuse of safety nets, and other protocols, in addition to unwarranted variation in physician practice patterns that lack accountability. “Unwarranted variation is endemic in health care. Developing consensus protocols that streamline the delivery of medicine and reduce variability can improve quality and lower costs in health care. More research on preventing medical errors from occurring is needed to address the problem,” says Makary. Michael Daniel of Johns Hopkins is a co-author on the study.
回复 132楼sweetme的帖子 please report this person to the medical board. PA and NP everywhere are seeking independent medical practice. I really don't think it's a good idea
哎，如果你多和医学院的学生打教导，你就知道原因了。 我们看来非常简单的计算，他们都需要输入才能拿到结果，完全取决于他们输入有没有错。他们对数字没有任何概念。出现typo的时候，他们根本没有能力对结果有质疑。
这种题目，美国几乎所有的医学院学生没有一个人知道（除了华裔印度裔） 比如，1L 溶 1g， 10L 溶多少g或者 0.1L溶多少g
你GRE考得好？我可不相信。
请教，从你的经历来看，哪类美国医生和医院最黑？你家龙龙在6个月时打了哪些针？
这个 John Muir you我体检时随便找了个大夫是这个医院的，当时都没太研究。儿医里standford，ucsf Benioff ,Sutter 哪个network好一些？
是的，退休也一定要回国，疫情一完就回国。
对老头是好事，保住了饭碗。对以后的病人是哈坏事，不知道谁会死在他手上。 还是实事求是，按规则办比较好。
麻醉护士提前来跟家属交流 很可能会说一个大概估计用量 没有毛病啊
任何医院医生都黑。 因为他们不怕杀人而怕打官司。
你自己想想，医院要节约成本，必然有没有经验的医生 而要训练这些医生独立，拿华人练手最好。没有法律政治地位啊。
西雅图拿我家孩子练手我没有意见。可是出事以后上的都是director doctors,，而这些人每一个都杀人熟能生巧。
华人在美国医疗注定极其悲惨，因为你是拿来练手的
医生这个职业靠的是经验。在美国看的病例一年估计还没中国一个月多
你是怎么知道他算错了的？
医学真的是经验科学，有条件要找行医最少5年以上的，不然就是标本啊。 特别是那些要上手的操作，别看什么学校毕业了，看医生行医年限吧。美国医生别看医学院出来那么久，真动手机会相对少。说句不好听书读的再多，开刀没经验照样不行。我以前选医生，看评价，一个医生5分差评里面说有个手术失败，一个医生4分差评里面主要说他态度不好，行医经验超过15年。我选的4分。
还有前面有的的麻醉医生瞧不起麻醉护士，美国麻醉护士一直在一线操作，打椎管麻醉这些肯定是选熟练工，有些麻醉医生自以为监管缺乏实操，自己都不见得打得比护士好。美国麻醉最开始就是护士在做，麻醉医生才是后来产品，以前啥都没有的麻护就是独立的，现在药品，各种设备越来越先进，怎么就变成麻护不能做了。
再说几句印度女医生，有的真的挺自大又想多挣钱的。我以前家庭医生推荐过专科的， 老毛病，后来我的家庭医生走了，换了一个阿三，我又需要REFER，她不肯，她说她自己看，关键我还要做一个专科的procedure,她竟然说，做完了她看。我没跟她争，后来就投诉了。马上给我发了refer.我们华人就是多一事不如少一事心态，我鼓励你们多投诉不公平不正常的医生。
麻醉手术醒不过来的，很少因为overdose,有很多其他的原因，过敏，心脏，呼吸，出血etc
我的中学同学当时考试倒数第一的现在可在自家医院当医生还是院长的…我是肯定不敢去看病的
未必不行 医生靠经验和小心 跟成绩关系不大 你多虑了
理解一下， 宣传人员大多年轻， 没有孩子， 没有这个常识
Quaid Sues Drug Maker After Twins' Heparin Overdose
https://abcnews.go.com/GMA/story?id=3956580&page=1
Cedars-Sinai Medical Center's handling of high-risk drugs placed its pediatric patients in immediate jeopardy of harm, the state said Wednesday in its response to an overdose involving the newborn twins of actor Dennis Quaid.
In a 20-page report, the California Department of Public Health said the prestigious Los Angeles hospital gave the twins and another child 1,000 times the intended dosage of the blood thinner heparin Nov. 18.
"This violation involved multiple failures by the facility to adhere to established policies and procedures for safe medication use," state inspectors wrote. "These violations caused, or were likely to cause, serious injury or death to the patients who received the wrong medication."
In addition, the unsafe medication practices "created a risk of harm for all hospital patients," the report said.
The public health agency has not yet decided whether to fine Cedars-Sinai for the lapses, said Kathleen Billingsley, deputy director of the state's Center for Healthcare Quality.
Cedars-Sinai has 10 days to respond to the deficiency report but already had taken steps to ensure that patients were no longer in "immediate jeopardy," Billingsley said.
An immediate jeopardy citation is relatively rare and indicates the severity of a hospital's mistake.
Addressing the incident for the first time publicly, Quaid and his wife, Kimberly, said in a statement to The Times that they felt "relieved" to know more about what happened to their children. They also criticized Cedars-Sinai for what they characterized as a lack of candor about what happened.
The Quaids said senior hospital officials told them that their children received only one overdose of heparin, but the state report cited two instances.
"We find it outrageous and totally unacceptable that we are learning for the first time, along with anyone else who reads the newspaper, exactly what transpired," the Quaids said.
In a written statement, Dr. Michael L. Langberg, Cedars-Sinai's chief medical officer, said the state report confirmed the hospital's internal findings, which identified at least three separate safety lapses that led to the overdoses.
"While this is a rare event, we are pleased that the [state health department] shares our view that it is an important opportunity for the entire institution to explore any and all ways we can further improve medication safety," Langberg said.
Following the incident, the hospital took steps to retrain staff, fully segregate high-concentration heparin, and review all policies and practices involving high-risk medications.
Among the errors cited by the state: Nurses and pharmacy technicians did not check product labels before they dispensed heparin and did not keep adequate records of when it was used. The hospital also did not take steps to implement its own policies on high-risk medications.
Quaid's children were born Nov. 8 in Santa Monica to a gestational surrogate; the Quaids are the biological parents. The children were taken to Cedars-Sinai within days for the treatment of an infection.
The lapses began the morning of Nov. 18 when two pharmacy technicians mistakenly delivered 100 vials of heparin to the pediatric unit. The vials contained a concentration of 10,000 units per milliliter instead of the appropriate 10 units per milliliter of the blood thinner, which is used to prevent clots.
A short time later, the Quaid twins, Zoe Grace and Thomas Boone, received their first dose of the high-concentration heparin to flush their intravenous lines. The twins received a second dose about eight hours later. Some of the administrations were not documented in their medical records. The nurses involved told inspectors that they could not remember whether they had read the label on heparin vials.
In the evening, a doctor was told that both children were oozing blood from the site of their intravenous lines and from their heels, where they had had blood drawn. The overdose was identified and both received two doses of protamine, an antidote to reverse the effects of heparin.
The Quaid twins were released from the hospital by early December. The third child was released a day after receiving the heparin overdose and did not require the antidote.
https://www.courant.com/la-me-cedars10jan10-story.html
Study Suggests Medical Errors Now Third Leading Cause of Death in the U.S.
Analyzing medical death rate data over an eight-year period, Johns Hopkins patient safety experts have calculated that more than 250,000 deaths per year are due to medical error in the U.S. Their figure, published May 3 in The BMJ, surpasses the U.S. Centers for Disease Control and Prevention’s (CDC’s) third leading cause of death — respiratory disease, which kills close to 150,000 people per year.
The Johns Hopkins team says the CDC’s way of collecting national health statistics fails to classify medical errors separately on the death certificate. The researchers are advocating for updated criteria for classifying deaths on death certificates.
“Incidence rates for deaths directly attributable to medical care gone awry haven’t been recognized in any standardized method for collecting national statistics,” says Martin Makary, M.D., M.P.H., professor of surgery at the Johns Hopkins University School of Medicine and an authority on health reform. “The medical coding system was designed to maximize billing for physician services, not to collect national health statistics, as it is currently being used.”
In 1949, Makary says, the U.S. adopted an international form that used International Classification of Diseases (ICD) billing codes to tally causes of death.
“At that time, it was under-recognized that diagnostic errors, medical mistakes and the absence of safety nets could result in someone’s death, and because of that, medical errors were unintentionally excluded from national health statistics,” says Makary.
The researchers say that since that time, national mortality statistics have been tabulated using billing codes, which don’t have a built-in way to recognize incidence rates of mortality due to medical care gone wrong.
In their study, the researchers examined four separate studies that analyzed medical death rate data from 2000 to 2008, including one by the U.S. Department of Health and Human Services’ Office of the Inspector General and the Agency for Healthcare Research and Quality. Then, using hospital admission rates from 2013, they extrapolated that based on a total of 35,416,020 hospitalizations, 251,454 deaths stemmed from a medical error, which the researchers say now translates to 9.5 percent of all deaths each year in the U.S.
According to the CDC, in 2013, 611,105 people died of heart disease, 584,881 died of cancer and 149,205 died of chronic respiratory disease — the top three causes of death in the U.S. The newly calculated figure for medical errors puts this cause of death behind cancer but ahead of respiratory disease.
“Top-ranked causes of death as reported by the CDC inform our country’s research funding and public health priorities,” says Makary. “Right now, cancer and heart disease get a ton of attention, but since medical errors don’t appear on the list, the problem doesn’t get the funding and attention it deserves.”
The researchers caution that most of medical errors aren’t due to inherently bad doctors, and that reporting these errors shouldn’t be addressed by punishment or legal action. Rather, they say, most errors represent systemic problems, including poorly coordinated care, fragmented insurance networks, the absence or underuse of safety nets, and other protocols, in addition to unwarranted variation in physician practice patterns that lack accountability.
“Unwarranted variation is endemic in health care. Developing consensus protocols that streamline the delivery of medicine and reduce variability can improve quality and lower costs in health care. More research on preventing medical errors from occurring is needed to address the problem,” says Makary.
Michael Daniel of Johns Hopkins is a co-author on the study.
https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us
美国的医护水平高出国内的不止是一个档次。
国内的教育问题更大。到了高中之后，传授的东西越来越少。未来能用好人工智能的估计都不多。
UCSF has residents too..
基本的手术，都可以。 但是这个娃的的手术跟大人弄个切除阑尾胆囊啥的不一样哎。
这样说你就是外行了。美国医生很多专科分的比较细，很多比较复杂的疾病都集中在某个大的医疗机构，其实看疑难病例数量很多的，因为比较集中。中国医院客流量很大，但是大部分都是感冒发烧头疼脑热对医疗水平提高没有什么帮助。那些说一天看几百个门诊病例的其实都是低水平流水线操作，非常容易掌握的低级看病方式，和医疗水平医学知识屁关系没有。临床医学确实是要依靠经验，现在是循证医学，治疗手段是需要大量医学实践的总结，这个靠单个医生的个人经验是很难提高的，所以现在有大量的临床试验需总结大量临床数据来得出哪种治疗方法最合适。而这种大数据临床总结反而中国医生比较弱，原因多个方面就不一一细说了。你看看现在各种疾病的治疗指南基本上很少有中国医生总结出来的。
新闻有paywall看不到，但是斯坦福的肝胆外科名声还是很好的，朋友的新生儿就在那里做的肝手术，很大的手术，千挑万选找的医生。ucsf也很好甚至更好，但是差距没有那么大。
斯坦福医院这些年扩张合作不少，选医生的时候要仔细挑，合作的诊所医院可能也跟不上，大手术还是去本部的好。其实选择医生和医院的很重要的指标就是同样的手术他们做的频率。越是高难度手术，越需要去大医院，因为最后都会送到集中在大医院。我们主治医生会在不同点看门诊，但是手术只在本部做。
不要歧视亚裔医生，他们往往非常优秀。
please report this person to the medical board. PA and NP everywhere are seeking independent medical practice. I really don't think it's a good idea
最糟糕的是医生们绝对权威， 错了也不承认。。。 我来美国二十多年， 完完整整没有事故没有明显错误的也就生小孩。 其他的错得太离谱。。。 我们家人身体不好， 接触的多， 而且在亚利桑那， 华盛顿和加州呆过， 也到过很多东部医院。可以说美国医院的诊断质量不比国内阿猫阿狗强， 而做手术不如国内，追杀病人那可是全国上下同行协力杀人灭口。 我就单单举几个简单例子。
第一， 中耳炎， 专科医生坚持不给开药， 就个青霉素坚持一个小时才给开。。 医生说吃不好，就算好了也是暂时的， 必须得弄耳管。。 他可以收入三万美元。香港男医生 第二， 皮肤病切除， 肩膀处缝合少了一层， 最后崩开， 二英寸的口子。 后来另外的医生给植皮。 白男 第三， 扁桃体切除后发烧护理， 医生说我也没有办法了，你们决定吧。。 最后找中医。 白男 第四， 流产刮宫， 三次才清理干净， 台湾女医生。 。。。。。。
美国医疗除了贵没有任何优点。
美国医疗最可怕的是拿孩子发财 第一， 自闭症 第二， 心理咨询 第三， 最糟糕的自杀， 绑架进精神病院， 然后有TAY， 各种名目的，， 整个按照垃圾制度， 你走下来两年， 人也就完蛋了。。。 第四， 绑架儿童。。 很多进了foster care， 之后的孩子100%进监狱。 美国任何时候都有50万儿童被关起来。。 其中医生的贡献相当大。。 美国医疗的罪恶真是罄竹难书。
给新来的教一句， 千万不要选择车祸捐献器官， 因为这些医院畜生会为了器官杀人。。 比较有名的一起是德州老爹保护儿子， 儿子要被活摘 还有一起新泽西流浪女， 醒来发现在医院， 看到旁边paperwork, 她的肝脏要被很快活摘， 她竟然溜了出来，， 没人管。。很快一年后死了， 说是吸毒， 到底谁弄死的不好说。。
就我知道的， 逃离医院极其困难 参见英国小男孩打官司输了不能出来， 法官判医院可以把这个男孩活活饿死。。。。。 英美之邪恶， 绝对超过你的想象。。。
谢谢你的经验之谈，这里各路水军多，美国医疗买的水军对楼主和你都阴阳怪气，就是不想让人知道美国医疗系统烂到底了。
这种你如果不投诉，别人家的人就可能被害，你想过么？
就算错小数点之类的低级错误，我自己都碰到过两次，一次是医生搞的，一次是护士搞的，医生那次是我之后自己发现的回去要求他们纠正，护士那次是输入电脑后另一个医护人员去看结果的时候发现的，都是最低级的错误，而且去的都是口碑不错的大医疗机构，感慨美国人缺乏认真态度的普遍，医护人员也毫不例外，很差劲
无麻药剖腹产？？？？？？那不会出人命嘛？？？？？？好可怕！
卧槽。。。都不知道还有这种事。。。太可怕了
有次娃发高烧几天，我带她去了三个clinic，每个人诊断都不一样。后来去了儿童医院，医生说就自己回家吃泰诺吧。