Medical Record Review

Sample Case: Medication Error in Hospital Setting

Personal Injury
Medication Error

Sample Scenario

In this sample scenario, an elderly patient is administered 10 times the prescribed dose of a blood thinner, resulting in severe internal bleeding and a prolonged hospital stay. The hospital claims this was an isolated incident due to a misread physician's order.

LNC Approach

In a case like this, a legal nurse consultant would conduct a detailed review of:

  • Medication administration records for the patient
  • Pharmacy dispensing logs
  • Nursing documentation and shift reports
  • Hospital policies and procedures for medication administration
  • Staff training records and previous incident reports

Potential Findings

A comprehensive review in this type of case might reveal:

  • Previous medication errors involving the same medication on the same unit
  • Inconsistencies between the electronic medication record and paper documentation
  • Failure to implement recommended safety protocols after previous incidents
  • Required medication double-checks being documented but not actually performed
  • Staff training on high-risk medications being outdated or incomplete

Potential Impact on the Case

Findings from this type of analysis could establish whether this was an isolated incident or part of a pattern of systemic failures. The detailed documentation analysis might reveal patterns of negligence that extend beyond a single medication error.

In similar cases, this type of review has helped legal teams identify systemic issues, establish liability, and demonstrate negligence in medication administration protocols.