A Dublin grandmother suffered a fatal seizure after taking medicine supplied to her by a local pharmacy which was intended for another customer with a similar-sounding name and address, an inquest has heard.
Ms Reilly described finding her sister on the ground beside her bed in an unresponsive state with “frothing from her mouth.” Ms Reilly told the coroner, Clare Keane, that she had not found any medication near her sister in her bedroom. When a paramedic also found the medication prescribed for another woman, she recalled: “I said she isn’t Margaret Clarke, she’s Margaret Corcoran.”
The pharmacist said she immediately sought to establish how the mistake occurred and was also able to confirm that the other patient had not been given the medication intended for Ms Corcoran. Ms Lillis confirmed that the prescribed medicine for Ms Corcoran had been correctly prepared and placed in a blister pack on October 3, 2022 by the pharmacist in its Castletymon outlet as well as being properly labelled.
Ms Lillis noted the pharmacy dispensed around 70,000 items each year, adding: “It is the first time a serious error like this has occurred.” As a result of what happened, the witness said all the group’s pharmacists were notified about the error and the importance of complying with prescribing processes.
Dr Keane said the findings could not ascertain the cause of the seizure although it was possible it was the result of a drug overdose. However, Ms Earley said there was no evidence to suggest Ms Corcoran had taken a deliberate overdose and no drugs had been found at the scene apart from the medication intended for another customer of the pharmacy.
Source: Education Headlines (educationheadlines.net)
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