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

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46. Is this the new "Low" for Hollywood? Not getting pregnant because of vanity and having someone else 'do' the pregnancy for you?! Victims here: 2 babies IDIOTS here: Dennis and his wife. His EX was smart enough to adopt a child. I guess he downsized in wife #2 in the brain dept.

Posted at 3:25PM on Nov 21st 2007 by Reality Chick

47. I feel heartsick for the family. My prayers are with them. It does not matter how they were conceived, or who gave birth, these babies belong to the Quaids, and I am sure they are devastated. My daughter has 2 sets of twins, without medical errors it has been tough with all the illiness, I admit, I am a nurse, I have taken care of babies in the ER. I am not saying horrible things can happen, but giving heparin without triple checking it is a no no. Not only with adults but especially with kids. I am sure the Nurse feels awful, but I cannot believe she gave the drug without reading the label, checking it 3 times, then 5 and having it checked by another Nurse as well. Nursing 101. Drilled into all our heads.Especially with kids. My heart is so with all involved, by the way, I am a Republican. I just pray these little ones will not have any long term effects. So hard to believe they won't if they survive.

Posted at 3:33PM on Nov 21st 2007 by Laura

48. The nurses should read labels before administering drugs. They shouldn't take for granted what's in the drawer is what they need.

Posted at 3:41PM on Nov 21st 2007 by Lab Rad

49. There are two types of Heparin. One is the low dose heparin that is used to flush the IV lines and the second type is a higher dosage of heparin that is utilized for those who are on Heparin therapy to prevent clots, etc.,

The higher dose heparin in usually double checked by another RN before it is administered to anyone. (The vial is also double checked)

The lower dose heparin is to flush IV lines in order to keep it patent and is not "cross-checked" with another RN.


What I see, is that due to the mistake of the tech and the regular routine of the nurse, she/he must have just grabbed the vial that the usual drug was kept in and didn't look at it but, grabbed it and filled the syringe.

The vial should be manufactured differently, but, usually the heparin vials look the same and one has to "eyeball" it carefully to make sure it is the proper dosage but, most times, as "humans" we assume the proper drug is in the proper bin and don't look at the drug.

They should go back to the manufacturer of the drug and get them to change the look of the vial and give intensive in house training to their nurses so, that they can lower the rate of such mistakes, etc.,

This has been an ongoing problem and there has been talked about getting with the manufacturer but, in the end, it doesn't get done until it gets reported to the media, etc., Really, this is nothing truly new. Its been going on for years!

I've worked as an RN for quite some time and found that burn-out, the shortage of RN's, and too many patients to care for is more of a liability than the satisfaction of helping those who need your care.

This country is short of nurses and many nurses I've spoke too have either retired, quit or reduced their hours to keep from being burned out, stressed, etc.,

I remember having to obtain "malpractice" insurance as a RN, in order to cover my own self as I saw more and more how the shortage of nursing was placing on the quality of care for the patients and I realized working under such conditions I needed to "take a break" from nursing.

Now, I debate if it is even worth the time, effort and stress to return to nursing. I believe in NOT Doing any harm to the patient but, find that the hospital usually expect you to work anyway as they need the profit to stay open! UGH!


Posted at 3:21PM on Nov 21st 2007 by kat

50. Someone please explain why two such tiny tots had to have that medication? Why? i had that myself when hospitalized for blood clots in my left leg and to this day I remember when the nurse "pulled the plug" and removed the inserted needle from my hand, they had a heck of a time stopping the bleeding. I certainly pray the twins will be okay and not suffer further.

Posted at 3:42PM on Nov 21st 2007 by bobbie mathews

51. I have been a pharmacy technician for 13 years and a medication NEVER gets dipensed without a registered pharmacist to check the medication. We are especially careful when dispensing medication to infants and small children. So there are three people who are responsible for this mistake. Technician, pharmacist and whomever injected medication.

Posted at 3:26PM on Nov 21st 2007 by Tech

52. Nurses are ALWAYS supposed to check the label on any medication they administer. It doesn't matter if the tech made a mistake. The nurse is the one who has patient contact and it's his/her responsibility to make sure the correct dose/medication is given. They should know or have been taught the five RIGHTS of medication administration: Right dose, Right medication, Right patient, Right time and Right route. Unfortunately, complacency and incompetence run rampant and you take your life in your own hands when you check into a hospital. I am a nurse and speak from both sides of the coin.

Posted at 4:04PM on Nov 21st 2007 by Andreia

53. The next challenge will be for a 56 year old 4 time married troubled father of adopted twins to live long enough to be one!.
I could not imagine being a parent at that age knowing I would not be alive to watch them grow up and have children of their own
maybe the new wife was afraid to be left with no support if the relationship failed, regardless I wish them all a life of health. The children sure dont ask for their postiion in life nor the unstable world we bring them too.

Posted at 3:28PM on Nov 21st 2007 by Holden

54. I worked as a RN for 26 years. I can see how the wrong dose got put in the wrong drawer. I just cant believe that someone from there to the patient didnt catch this. The pharmacist would be the one to fill the Drs order, apparently he just grabbed medicine and never looked at it. Then the RN is to check the medicine, dose and route against the Drs written order. Apparently that never happened.
Even at the very last minute any nurse who knew anything would look at that dose and know it was terribly wrong.
I have found that most medical mistakes occur when ONE person makes a mistake and everyone after follows it. That goes for DRs too. Let One Dr misdiagnosis a person and very often every Dr after that will take that wrong diagnosis as fact.

Posted at 3:44PM on Nov 21st 2007 by bev

55. 46. I have been a pharmacy technician for 13 years and a medication NEVER gets dipensed without a registered pharmacist to check the medication. We are especially careful when dispensing medication to infants and small children. So there are three people who are responsible for this mistake. Technician, pharmacist and whomever injected medication.

Posted at 3:26PM on Nov 21st 2007 by Tech

That is exactually right. That is how the system works and those are the people who should have checked it at each point. What a darn preventable mistake.

Posted at 3:30PM on Nov 21st 2007 by bev

56. 9. Hope they are ok.

I can't believe even with this story some idiot is saying, "oh, how terrible," and then advertising that stupid nudist site FOR THE MILLIONTH TIME ON TMZ! Ugh - enough already! I hope you get an incorrect dosage next time you are in the hospital!

Posted at 1:30PM on Nov 21st 2007 by duh
>
Thank you, I feel the same way! I notice these spammers can't even type correct English, very telling. The very same post with that site advertised was removed yesterday, hopefully the same will happen today.

Posted at 3:37PM on Nov 21st 2007 by vilzvet

57. First of all well wishes to Dennis and his wife that the twins get better soon and are healthy.... Second of all I would be making sure that this mistake never happens again, the biggest lawsuit ever!!! How can you not even look at the dosage, this is just outragous......... the idiot that actually gave the babies that should be instantly fired with charges brought against them. I am sorry but this is 2-3 week old babies and this mistake should have never happened. God bless the Quaids

Posted at 4:14PM on Nov 21st 2007 by Kim

58. It is really easy for all of you people to have an opinion to critize but until you have worked a 12 hour or more WITH AN ASSIGNED LOAD OF PATIENT who someone who has no experience with direct patient care but can balance a million dollar budget says you can do. Then your opinion doesn't really matter , does it. No good nurse hurts anyone on purpose and it is a tragedy everytime this kind of thing happens. So be thankful that there are people who continue to do these jobs despite the pressure of the everyday. Also it sure wouldn't hurt anyone to pray that the twins have no long-term problems and for those others involved because in this hospital there needs to be a fall guy and it won't be the man balancing the budget.

Posted at 4:05PM on Nov 21st 2007 by JANE

59. The same thing happened to me at Cedars about 5 years ago. I was a transplant patient and was given an overdose of heperin, causing me to literally bleed out. Code Blue. Fortunately a doctor was nearby and I got immediate attention -- so I was revived. Never took any action because of the severity of my other problems, which they did a stellar job on.

Posted at 3:59PM on Nov 21st 2007 by Been there

60. Dennis Quaid should ask about 2 things,#1, was that unit staffed adequately that day or night. #2, The nurse who gave the medication, how much experience does she have. actually , there is a 3rd question, #3 Was the pharmacy adequately staffed. I work as an RN in Florida and the cutbacks in staff in all areas affects all patients. Hospitals are desperate to make ends meet and the first thing they do is cut back staff. Also, they hire less experienced RN's because they get paid less.

Posted at 4:09PM on Nov 21st 2007 by Bonnie Bergman

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