Medication Errors in California

About Medication Errors

Medication errors involve mistakes in prescribing, dispensing, or administering drugs that cause harm to the patient. These errors can occur at any stage of the medication process and may involve the wrong drug, wrong dosage, dangerous drug interactions, or failure to account for known patient allergies. Medication errors are among the most preventable forms of medical malpractice and affect millions of patients annually.

California Medical Malpractice Laws

Common Examples of Medication Errors

• •Prescribing a medication to which the patient has a documented allergy
• •Administering the wrong dosage, especially with high-risk drugs like blood thinners or opioids
• •Failing to check for dangerous drug interactions with the patient's current medications
• •Pharmacy dispensing errors, including providing the wrong medication or incorrect strength
• •Medication administration errors in hospitals, such as giving drugs to the wrong patient
• •Failure to monitor patients on medications that require regular blood level checks

Key Facts

• ✓The Institute of Medicine estimates that medication errors harm at least 1.5 million people in the United States each year
• ✓Liability in medication error cases can extend to physicians, pharmacists, nurses, and hospitals depending on where the error occurred
• ✓Electronic prescribing systems and barcode scanning have reduced but not eliminated medication errors in hospital settings
• ✓Cases involving high-alert medications such as anticoagulants, insulin, and chemotherapy agents tend to result in higher damages due to the severity of potential harm
• ✓Pharmacy records, medication administration records (MARs), and electronic health record audit trails are critical evidence in these cases
• ✓Expert testimony often focuses on whether proper safety protocols and verification steps were followed at each stage of the medication process
• ✓MICRA (Medical Injury Compensation Reform Act of 1975) was significantly amended by AB 35 in 2022, raising the non-economic damage cap for the first time in nearly 50 years.
• ✓California uses a pure comparative negligence system, allowing plaintiffs to recover damages even if they are primarily at fault.
• ✓Attorney fees in medical malpractice cases are limited by a sliding scale under MICRA.
• ✓Punitive damages are not subject to MICRA's cap and may be awarded upon proof of malice, oppression, or fraud.
• ✓Periodic payment of future damages can be ordered for judgments exceeding $50,000.