Quaid Medical Screwup -- How It Happened

Sources tell TMZ that a pharmacy technician at Cedars-Sinai Medical Center mistakenly stocked a massive dose of a drug that ended up being given to Dennis Quaid's newborn twins.

Thomas Boone and Zoe Grace are in stable condition. But a well-placed source at Cedars tells us they are "still very concerned because of the bleed out," adding they won't know for another week if the mistake will cause "longterm effects."

Sources tell TMZ that pharmacy technicians stock the drug Heparin, used to prevent clots and flush out IVs. The drug comes in vials -- 10 units for babies, up to 10,000 units for adults. Protocol at the hospital is to keep the different units separated, but a technician accidentally put 10,000 units in the drawer where the 10 units were stored.

Last Sunday, both infants -- born November 8 by surrogate -- were each given two, 10,000-unit dosages. They began to bleed out just before midnight and were transferred to the neo-natal intensive care unit.

Cedars issued a statement last night, acknowledging the mistake and calling it a "preventable error." That's highly unusual. Also, the hospital claims seven patients were given the wrong dosages. Our sources say 13 patients got the wrong dosage.

Reader Comments

(Page 3 of 10) Previous 15 Comments | 1 | 2 | 3 | 4 | 5 | Most Recent | Next 15 Comments

31. It is a shame that these twins may have to carry this incompetancy with them for life, I hope not. We place our trust in doctors and nurses to help us when we are in hospitals not to harm us unnescessarily. A mistake like this should have never happened. Where I work we have two people at all times check so that this does not happen. When a persons life depends on the proper care and meds more care should be given and things should not be taken for granted. Boxes and vials of meds should always be double checked before being given. What started out as a happy time for the Quaids is now a time of great concern and stress. My prayers go out to the Quaids and the twins.

Posted at 2:35PM on Nov 21st 2007 by Carol

32. Actually there were two mistakes made here!

The tech who stocked medication in wrong drawer, AND the nurse who gave the injection!!!! She should have read the label to see the dosage. Never should a nurse assume what is in the bottle.

It's a primary thing that a nurse learns in nursing school! To check label 3 times! Someone was very, very, very negligent!

The fact that this was done to other patients shows this nurse was on auto-pilot and assuming she/he would never make a medication error!

Posted at 3:15PM on Nov 21st 2007 by Meeeeeeeeee925

33. Sad story but true! hope the nurse will forgive herself but it will be very hard.

Posted at 4:09PM on Nov 21st 2007 by jullie.

34.
The hospital is not poorly managed, it was a mistake not unlike millions that happen in hospitals ll over the world daily, some of you need to get out of that child like denial.
Do you really think giant organizations of any kind run day to day with no mistakes?
This latest one could have been prevented by diffrent colored lables for cying out loud!

Posted at 2:35PM on Nov 21st 2007 by Larry

35. Mistakes happen, and they have consequences. Fortunately, most of those responding do not wear black robes and sit on benches. If hospitals and medical professionals were error free, there would be no need for malpractice insurance.

Posted at 2:50PM on Nov 21st 2007 by The Milk of Human Kindness

36. A pharmacy technician is mentioned several times regarding this error. What about the nurse who gave the med. There are several checks that a nurse is suppose to do with a med before giving it to the patient. I think this nurse skipped some steps.

Posted at 8:41AM on Nov 23rd 2007 by Lilly

37. Having been a former pharmacy technician and pharmacy school student, I can tell you it's not the technicians job to check medications before they are distributed. This should fall directly on the shoulders of the pharmacist and the nurse administering the medication is also at fault.

Posted at 2:53PM on Nov 21st 2007 by Greg

38. Exactly what I was thinking #18!!!!!!!!!!!!!!!!!!!!!!!!!!!

Posted at 2:53PM on Nov 21st 2007 by Jess

39. The pharmacist tech --is just a regular person hired --no training other then in the hospital-has-to be careful loading this medicine machine called pyxis. we have low heparin and high heparin doses flushes--prefilled syringes. easily if you got other people talking to you to acidentally put the wrong one in each drawer. ours have different color packages on the outside--blue vs yellow. the finale person should be the RN to catch this loading mistake.--the doctor has nothing to do with this--its not a so call "medicine" he orders--it a procedure used to keep iv lines open so they dont clog up.

Posted at 3:03PM on Nov 21st 2007 by karen

40. it is very important that Heparin be checked and signed off by two Nurses to avoid errors like this. This should be hospital policy everywhere.

Posted at 3:11PM on Nov 21st 2007 by Gail

41. This is so sad! The same thing happened at Methodist Hospital in Indianapolis 5 years ago to 6 babies,3 died. Most hospitals store this medication dosages on different floors so the don't get mixed up as the bottles look similar.

Posted at 3:04PM on Nov 21st 2007 by Brooke03

42. This happened where I like, Indianapolis. If I remmeber correctley a baby died and another was crtically ill. Maybe now the drug company with change the labels so the two doses don't get mixed up again.

Posted at 3:05PM on Nov 21st 2007 by jenjen

43. My prayers are with the Quaid family.
However, the pharmacy tech is not the ONLY one who is at fault! EVERYTHING a tech does has to be checked by a pharmacist. Then, it is up to the nurses to check the dose before beforegiving the drug to the patient.
Mistakes happen...and this one could have been prevented if the pharmacist who dispensed it and the nurse who had administered it had done their jobs.

Posted at 3:52PM on Nov 21st 2007 by Horrible

44. I just got an email from the hospital I work at (large hospital in the midwest, I am an IV admixtures pharmacy technician) and apparently the company we get heparin from is going to stop making the 10,000 u/ml vials. All due to this. How pathetic that it took a high profile case for something to happen. Also, I agree with the above posters - it is NOT the pharmacy tech's fault. That stuff gets double, triple, quadruple checked, and mistakes happen. We're humans, not Gods.

Posted at 3:16PM on Nov 21st 2007 by rachel

45. I am most disappointed that these parents had a need to create more babies rather than adopting. Really, there are kids who neeed parents out there.

Oh yes, re: overdose. Mistakes are very common, but getting rarer. Obviously there is a standard of care deficiency, but if there are no damages, then its hard to make a lawsuit out of this.

Posted at 3:20PM on Nov 21st 2007 by Peter

Previous 15 Comments | 1 | 2 | 3 | 4 | 5 | Most Recent | Next 15 Comments