Medication Errors in Iowa

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.

Iowa 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
• ✓Iowa's non-economic damages cap has exceptions for cases involving substantial and permanent loss of body function, disfigurement, or death.
• ✓A certificate of merit affidavit from a qualified expert is required within 60 days of the defendant's answer.
• ✓Iowa follows a modified comparative fault system with a 51% bar.
• ✓Punitive damages are capped at the greater of $250,000 or 2% of the defendant's net worth, up to 75% of the defendant's net worth.