Dennis Quaid Heparin Overdose Preventable Error Head Doc Says

Posted on November 20, 2007 at 8:28 pm (PST)

Cedars-Sinai Medical Center’s Chief Medical Officer, Michael L. Langberg, MD, apologized to families, and to Dennis Quaid, for the grossly negligent accidental overdose of the blood thinner heparin given to his twin infants, and reportedly thirteen other infants in less than twenty four hours. Dr. Langberg said the error was "preventable" and involved "a failure to follow our standard policies and procedures." He said "there is no excuse for that to occur at Cedars-Sinai." Dr. Langberg went on to say after giving "two patients" protamine sulfate, they "indicated no adverse effects from the higher concentration of heparin or from the temporary abnormal clotting function. Doctors continue to monitor the patients." It’s a good thing they caught the error quickly.

Click here to read my full assessment of why this should never have happened. Heads are going to roll over this, and if they don’t there needs to be an outside investigation of the hospital by the State of California. Arnold only needs to make one phone call.

Click the link below to read Dr. Langberg’s entire statement.

Statement of Michael L. Langberg, MD Chief Medical Officer, Cedars-Sinai Medical Center:

On November 18, three patients who were receiving intravenous medications as part of their treatment had their IV catheters flushed with a solution containing a higher concentration of heparin (a medication used to keep IV catheters from clotting) than normal protocol. As a result of a preventable error, the patients’ IV catheters were flushed with heparin from vials containing a concentration of 10,000 units per milliliter instead of from vials containing a concentration of 10 units per milliliter.

The error was identified by Cedars-Sinai staff, who immediately performed blood tests on the patients to measure blood clotting function. Four additional patients in the unit were tested as a precaution. The tests indicated that four of the seven patients had normal blood clotting function, and three had tests indicating prolonged blood clotting function. In one of the three patients, the clotting tests returned quickly to normal. The other two patients were given protamine sulfate, a drug that reverses the effects of heparin and helps restore blood clotting function to normal. Additional medical tests and clinical evaluation conducted on the two patients indicated no adverse effects from the higher concentration of heparin or from the temporary abnormal clotting function. Doctors continue to monitor the patients.

I want to extend my deepest apologies to the families who were affected by this situation, and we will continue to work with them on any concerns or questions they may have. This was a preventable error, involving a failure to follow our standard policies and procedures, and there is no excuse for that to occur at Cedars-Sinai. Although it appears at this point that there was no harm to any patient, we take this situation very seriously. We are conducting a comprehensive investigation, cooperating fully with the Los Angeles County Department of Health Services and will take all necessary steps to ensure that this never happens here again.