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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121. Every hospital has a different policy on how to deal with Heparin. At my hospital, it used to be the pharmacy tech filled the label and the pharmacist checked it. Now, we use the Pyxis system to dispense the heparin. So, one tech checks, one tech double checks and thirdly the pharmacist will triple check before it goes to the machine. All of this was in response to the Indianopolis tragedy. Even with 4 sets of eyes seeing the meds(RN included), mistakes happen, rarely though. Anytime a human being is involved, mistakes are possible. I don't have the exact number but they estimate 93,000+ medication related deaths per year. Think about that number. Thats huge. I agree this is only coming to light because they are celebrities but medication errors are an everyday occurance with death resulting. You can put all the systems and checks and double checks in place but human error/stupidity will always win out somehow and cause problems.

Posted at 6:19AM on Nov 22nd 2007 by Trevor

122. Please all nurses - stay with the basics and perform your medication checks with the 5 rights - it could be the difference of your patient's life!

Posted at 4:52AM on Nov 22nd 2007 by new york

123. Chilly is right; you have to double and triple check the label on the meds you are giving; who gave the med anyway? I presume a neonatal nurse. I am a physician, and in the out-patient setting, I incorrectly directed a patient on how to increase her antidepressant; she called the next day with horrible side effects. It happens, that's why we have to be super sure that we are doing what we intend to do because mistakes will happen. Thank God the kids are OK and it's presumed that there will be no long term sequelae from this, but the Quaids shouldn't have had to go through this. If I were the nursing supervisor, I'd be retraining my staff and pharmacy techs. By the way, docs don't just go to college, we go to Med School and do a residency (an additional 7+ years of schooling after college) in order to practice medicine, so we are highly trained, but do still make mistakes.

Posted at 6:24AM on Nov 22nd 2007 by Mirm

124. Terrible tragedy...........but who are these "sources?"

Posted at 8:35AM on Nov 22nd 2007 by jds454

125. TMZ, get your act together. I´d rather get my injections prepared by the nurses at the Cedars Sinai than by your blogging staff. In your article, you mention that the 10 unit vial is used for babies and the 10.000 unit one for adults. This is utter nonsense, the 10 units are used to flush IV locks ONLY, this is never ment to enter the patients body. 10.000 units is one of the standards administered to patients who require systemic anticoagulation - hence, the 10 unit bottle is more like a cleaning agent for the iv lock, the 10.000 unit one is medication to be administered. Then again, TMZ readers might want to label one bottle "baby", the other "geezer" to make clear how messed up Cedars staff really is. (Which by the way, it is)

Posted at 8:15AM on Nov 22nd 2007 by Zrimstein

126. although the pharmacy technician is responsible for 50% of the blame, you can't ignore the responsibility of the nurse, who ultimately was the one that administered the heparin. is she/he had cared to look at the color of the bottle, something like this can be prevented. although it's kinda sad it had to happen to someone famos for it to receive publicity. things like this are not uncommon in certain hospitals.

Posted at 9:02AM on Nov 22nd 2007 by boo

127. I hope the babies aren't in the same hospital, if they are, is it a teaching hospital. When my granddaughter was born, I told the students to stay away from her and in return was told that it was a " teaching" hospital. Too bad, go practice on someone else because one slip up could damage her for life. It cost the same, no breaks for students taking care of her as opposed to a certified nurse.

Posted at 11:07AM on Nov 22nd 2007 by Barney8

128. I am a current nursing student....and we are taught to triple check the medication before administering any type of medication. Why weren't the nursing administering these medications checking those vials. There are more to blame then the person stocking the drawers of this medication

Posted at 12:14PM on Nov 22nd 2007 by Megan

129. AlI I really need to say that..god bless the little people..amen! LOL

Posted at 3:11PM on Nov 26th 2007 by makes me wonder

130. Based on my experienced staying in the hospital, you always have to ask questions or if you are the patient you have to have somebody with you. I was in the emergency waiting for five hours. I sent my husband home, I told him I'll be fine. The nurse gave me a shot and all of a sudden I felt tingling in my arms and it was painful. I was hallucinating and I was so scared I was screaming I don't want to die just yet because I have small children. I could hardly see but I was surrounded with doctors and nurses. I guess they put me to sleep and when I woke up, there was a male nurse checking my IV and ready to give me another shot. I asked him what was the name of the medicine? He told me so I screamed I told him that I have allergic reaction earlier. He then called the other nurse and reprimanded Her for not recording what happened. That was really scary.

Posted at 1:33PM on Nov 22nd 2007 by Oh my gosh

131. I was a nurse in California, and don't work anymore due to medical issues, but I had already gotten out of nursing while I lived in California because they paid sorry wages. I previously lived in Georgia and they paid virtually the same wages as Georgia did, but the cost of living there is astronomical. I would have still qualified for food stamps, with my children, if I did nursing there. I tried it, but found I could make more money being an executive assistant instead...,.a lot more., I loved nursing, but I'm no fool. California needs to require more nursing staff and raise their minimum wage. Believe me, in California it isn't the nursing staff that is raising the costs of medical bills, it is the doctor's pay.

Posted at 1:30PM on Nov 23rd 2007 by NursieLane

132. I THOUGHT THINGS LIKE THOSE ONLY HAPPENED IN SOUTH AMERICA WHERE I LIVE.
BUT I SEE WE ARE EVERYWHERE IN DANGER,NO MATTER IF YOU ARE RICH OR POOR,NO MATTER IF YOU ARE IN THE FIRST ,SECOND OR THIRD WORLD.INCOMPETENCE IS WORLDWIDE.THAT IS REALLY AWFUL!

Posted at 2:08PM on Nov 22nd 2007 by petty vilch

133. Whenever Dennis, Kimberly and babies decide to read this: Your privicy should be respected so I´sending this to be close to all of you until the storm finish . I´m also one of two twins and my sister cuold be a mother of four children, unfortunately Icouldn´t I love children a lot and I also respect lives... You have to knowthat I´m going to ask God four your babies to cure! I´m sure He is listening to our prayers. Sorry for my English. I tried to do my best!!! Sincerely. Ana . HAVE FAITH, Please!!

Posted at 2:30PM on Nov 22nd 2007 by Ana del Carmen Agüero

134. I thought those kind of things happened only in South America where I live ,but I see there is no "First, Second or Third World" for the incompetence.
It is worldwide. How awful!!

Posted at 2:20PM on Nov 22nd 2007 by Silvia Sironi

135. I thought those kind of things happened only in South America where I live ,but I see there is no "First, Second or Third World" for the incompetence.
It is worldwide. How awful!!

Posted at 2:09PM on Nov 22nd 2007 by Silvia Sironi

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