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Hospital Blood-Thinner Rules Need Tightening: Commission 2008.09.29

Rules that govern hospitals' use of heparin and related medicines need to be tightened after at least 28 deaths resulted from drug errors involving the blood-thinners over the decade ending in 2007, a regulatory group said Wednesday.
The Joint Commission said hospitals should consider preventive measures including bar coding and computer technology to prevent similar errors, the Associated Press reported. A highly publicized example was a dangerous heparin overdose given to the newborn twins of actor Dennis Quaid at a Los Angeles hospital in November.
In all, 59,316 errors involving blood thinners were reported from 2001 to 2006 to a company that tracks such errors, the commission said. About 1,700, or almost 3 percent, of those cases led to patient harm or death, the wire service reported.
Too much of a blood thinner can lead to bleeding that's difficult to control, and too little after surgery or an injury can result in dangerous blood clots.
The commission is a privately run organization that accredits most U.S. hospitals -- a measure of prestige that also influences federal funding, the AP reported.


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