recent medical errors that made the news 2022

These cookies will be stored in your browser only with your consent. is what doctors are supposed to do. "You can no longer trust people to tell the truth because they will be incriminating themselves.". Pfizer Global Security searched online for Viagra using two popular search engines and then ordered pills from the top 22 sites. "Best estimates are 7,000-10,000 fatal medication errors a year. Learn how to prevent them. You also have the option to opt-out of these cookies. "The immutable fact of this case is that Charlene Murphey is dead because RaDonda Vaught could not bother to pay attention to what she was doing," Jackson said. Nothing can be more difficult than the death of a family member. Cardiovascular medications and gastrointestinal agents are also highly associated with medical errors in hospitals. Murphey was prescribed a sedative, Versed, to calm her before being scanned in a large MRI-like machine. Physical causes might be clerical, misreading, mistyping, or miscalculating a dosage, says, , MD, a physician and attorney who specializes in medical malpractice actions. A report published in the Journal of Patient Safety last year says the number of deaths due to preventable hospital errors ranges from 210,000 to 400,000 people Lab errors can and do happen, but according to the National Library of Medicine, medical professionals can prevent about 73% of these errors. Global sales of counterfeit drugs total more than $75 billion every year (National Crime Prevention Council, 2021). He was so incredibly kind," Vaught said. This number can be contrasted with the hundreds of thousands of deaths that are caused by malpractice each year and the millions of injuries. "The criminalization of medical errors is unnerving, and this verdict sets into motion a dangerous precedent," the American Nurses Association said. If you need help with the Public File, call (713) 778-4745. Continue with Recommended Cookies. According to the systems approach, the system that controls these interconnected parts needs to be redesigned to make it more difficult for things to go wrong. The company that makes Viagra, Pfizer, conducted an investigation in 2011 on the ingredients contained in counterfeit Viagra. In the art world, our Jan Shrem and Maria Manetti Shrem Museum of Art remains a key hub of expression and education in However, one recent study suggested that medical errors are the third leading cause of death in the United States. Vaught, 38, of Bethpage, Tenn., was arrested in 2019 and charged with reckless homicide and gross neglect of an impaired adult in connection with the killing of Charlene Murphey, who died at Vanderbilt University Medical Center in late December 2017. issues a set of recommendations that organizations can follow in order to help reduce the incidence of medication errors and preventable adverse drug events. defines a medication error as a preventable event that may cause or lead to inappropriate medication use or patient harm. Medication errors can happen because of consumers, healthcare professionals, pharmacists, or other people involved in the medication-use system. Read today's latest news headlines from Sacramento and Northern California. BEND, Ore. (AP) A La Pine man is suing St. Charles Health System in Bend for $43.5 million after complications from brain surgery left him paralyzed. Ten percent of hospital patients will be subject to a medication error (NCBI, 2019). Moriah Ballard joined the KPRC 2 digital team in the fall of 2021. "I took his grandma away, and he just kept telling me to take care of myself. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. On a broader scale, certain organizations and institutions are working to prevent medication errors: The FDA receives more than 100,000 reports of medication errors every year in the United States. Jackie Dale Yeley filed the lawsuit Thursday in Deschutes County Circuit Court, through attorneys with the Barton Law Group, The Bulletin reported. The doctor should also explain alternative treatment options and other details. The newly calculated figure for medical errors puts this cause of death behind cancer but ahead of respiratory disease. 2023 SingleCare Administrators. Using studies that identify medical errors that were followed by death to declare that these medical errors necessarily caused these deaths is not fair. Medication errors injure more than 1.3 million people every year in the U.S. (WHO, 2017). Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. A medical error can have far-reaching consequences, ranging from shattering your faith in the system to endangering your or a loved ones health. There are good people in this world. The estimated number of errors is the total of medication errors throughout the medication use process. The Royal College of GPs Prof Helen Stokes-Lampard stated that doctors work hard to avoid making mistakes, but they are only human. A patient has the right to complete information about medical treatments and procedures. About 530,00 injuries happen every year in outpatient clinics because of medical errors (HG.org). RaDonda Vaught and her attorney, Peter Strianse, listen as verdicts are read at her trial in Nashville, Tenn., on Friday, March 25. What are medication errors? Vaught's trial has been closely watched by nurses and medical professionals across the U.S., many of whom worry it could set a precedent of criminalizing medical mistakes. (AP) A Douglas County jury has awarded $26.1 million to a Sarpy County family who sued Childrens Hospital and Medical Center in Omaha after their child was sent home following an accidental fall and then suffered seizures that left her permanently disabled, though that amount could be drastically reduced under a state cap on such verdicts. These phobia statistics illustrate the effect of phobias on peoples mental and physical health. During the trial, prosecutors painted Vaught as an irresponsible and uncaring nurse who ignored her training and abandoned her patient. ", Vaught did not testify. While some adverse events are clearly preventable errors, others are not. in 2007 outlined six categories of patient medication errors: Failure to perform some parts of the medication regimen, Failure to report information to providers. About 30% of hospitalized patients have at least one discrepancy on discharge medication reconciliation. Medication errors can occur in pharmacies, hospitals, and patient homes. Dosage errors are the most common type of medication administration errors. The Institute for Safe Medication Practices. Medication errors have many consequences that can affect patients, physicians, nurses, or anyone else involved in the medication-use system. Vaught's prosecution gives them one more reason to quit, she said. This classification helps to inform prevention strategies. They may lose their license or their job if the mistake is big enough, but in many cases, it may be difficult to determine what or who caused a medication error as there are many steps involved in getting medication to a patient. By clicking Accept, you consent to the use of ALL the cookies. Medical errors include incorrect diagnoses, incorrect drug dosage calculations, and treatment delays. But opting out of some of these cookies may affect your browsing experience. It is mandatory to procure user consent prior to running these cookies on your website. One older extrapolation suggests '180,000 people die each year partly as a result of iatrogenic injury, the equivalent of three jumbo-jet crashes every 2 days'. The moment nurse RaDonda Vaught realized she had given a patient the wrong medication, she rushed to the doctors working to revive 75-year-old Charlene Murphey and told them what she had done. This is especially perplexing when someone dies suddenly and unexpectedly, especially if the death could have been avoided. Receiving and taking the wrong medication, or improperly taking the right medication can lead to serious side effects, hospitalization, and even fatalities. Every year, 7,000-9,000 Americans die as a result of a medication error (NCBI, 2021). Medical errors can occur in the transition to digital administration when a practitioner is unfamiliar with a system or fails to double-check the information entered. Latest: UNIMED Gets Full MDCN Accreditation The University of Medical Sciences (UNIMED), Ondo, has received full accreditation from the Medical and Dental Council of Nigeria (MDCN) for the graduation of professional medical doctors, following the councils visit to the institution in 2022. An estimated 6.5 million Americans live with Alzheimers disease. This is an ongoing investigation; anyone with information is encouraged to call Crime Stoppers Tip Line at (434) 977-4000. According to the Johns Hopkins School of Medicine, over 250,000 people die each year as a result of preventable medical errors. Errors can happen when a medication is prescribed improperly, is prepared or dispensed improperly, when drug information is entered into a computer system incorrectly, or when a patient takes a medication incorrectly. These issues can arise in a medical practice or a healthcare system, whether verbal or written, and can occur between a physician, nurse, healthcare team member, or patient. In the wake of the verdict, the American Nurses Association issued a statement expressing similar concerns about Vaught's conviction, saying it sets a "dangerous precedent" of "criminalizing the honest reporting of mistakes." Even if you dont require assistance right now, you might in the future. The news media jumped on the popular aviation metaphor, that the number of Americans dying each year as a result of medical error was the equivalent of a jumbo jet This could be a doctor who helps to coordinate all of the team members who are caring for you. A refusal to believe there is a medical problem can be just as dangerous as a misdiagnosis. WebMr. "Ms. Murphey's family is at the forefront of my thoughts every day," she said. Buzbee is also asking for the publics help. There are nine types of medication errors: Its important to note that patients and caregivers are also at a high risk for making medication errors. With the right Poor documentation and non-existent or inadequate procedures are frequently to blame for failures in the care process. Recently, while buying farm supplies, she was talking with the young man behind the counter when he recognized her, and told her he was Murphey's grandson. Two million Americans misused prescription pain relievers in 2017 (National Institute on Drug Abuse, 2017). Below, you will find the list of the top 5 medical errors you ought to know; Medication errors are common medical errors. Medication errors are the eighth leading cause of death in the U.S. (DataRay, 1999). 4. / CBS/AP. Sometimes the most obvious problems defy resolution. Having surgery performed on the incorrect part of the body. Not understanding what the doctors instructions mean and doing the wrong thing. In one of the most tragic surgical errors, 52 year-old Willie King was supposed to have a diseased leg amputated in 1995. This website uses cookies to improve your experience while you navigate through the website. Medication reconciliation is a safety strategy that involves comparing the list of medications on file with your health care provider to the list of medications you are currently taking. They found that some pills had too much of the active ingredient or not enough of it, and they discovered ingredients like blue printer ink, amphetamines, metronidazole, and drywall ingredients in the pills. Here are the six hospitals Becker's has tracked and how they're responding to the patient errors: 1. Medication errors. One in 5 Americans has experienced a medical error while receiving health care (Institute for Healthcare Improvement/NORC at the University of Chicago, 2017). The occurrence of adverse events as a result of unsafe care is most likely one of the worlds top ten causes of death and disability, It is estimated that one out of every ten patients is harmed while receiving hospital care. Who is going to replace them?" This is made easier if you have a doctor you trust. Medication errors in the home are estimated to occur at rates between 2%-33% (Patient Safety Network, 2018). You'll find KPRC 2+ on your streaming device, on Click2Houston.com and on Click2Houston app. 1215 K Street, Suite 1915Sacramento, CA 95814, 2022 Hospital Quality InstitutePrivacy Policy, Patient Safety Evaluation System 2023 Virtual Summit: Participant Information, HQI/CHPSO Looking for Experts to Speak on Topics Like Staffing and RSV, HQI Cares: Implementing BETA HEART Expanding to Include 32 Hospitals in 2023. Other factors may lead to a medication being taken improperly and result in adverse outcomes even if it is prescribed and dispensed correctly. We rely on the health care practitioners and facilities we use to make us feel better, and a preventable medical error betrays that trust. There are many causes of medication errors, including physical, psychological, and environmental causes. WebA new state survey found that nearly 20% of respondents in Massachusetts experienced a recent medical error. Brigham and Women's Hospital investigators complied and analyzed data A novel machine-learning method has teased out factors that are responsible for nurses reporting, or failing to report, non-critical errors in dispensing medication. In March 2022, a jury found former Tennessee nurse RaDonda Vaught guilty of criminally negligent homicide and gross neglect of an impaired adult after injecting a patient with the wrong medication, bypassing several safeguards and system warnings. KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Because of this work, the number of deaths caused by general anesthesia decreased from more than one in 5,000 patients in the 1950s to as few as one in 250,000 by 2000 a 50-fold improvement. If you are unable to help yourself, ensure that this person will speak up for you and get things done. Horrific medical mistake: Healthy baby fighting for her life in ICU after receiving wrong IV following surgery, family attorney says A 6-month-old baby is now Despite being one of the most common types of cancer, 25% of survey takers are unaware of skin cancer risk factors. By the time the error was discovered, Murphey was brain-dead. There are many causes of medication errors, including physical, psychological, and environmental causes. Medical errors, including surgical, diagnostic, medication, devices and equipment, and systems failures, infections, falls, and healthcare technology, result in an The U.S. spends more than $40 billion each year on patients who have been affected by medication errors (NCBI, 2021). Never be afraid to ask your doctor, pharmacist, or other health care providers questions or express concerns. If an error happens in any of these categories, then a medication error will have occurred. Other specialties, on the other hand, have not found comparable paths to advancement. Vaught faces three to six years in prison for neglect and one to two years for negligent homicide as a defendant with no prior convictions, according to sentencing guidelines provided by the Nashville district attorney's office. Pharmacists, nurses, and other healthcare providers who make medication errors may also face legal charges or termination from their job. Get more updated skin cancer statistics here. Anesthesiologists investigated the errors that were causing lawsuits and developed procedures and tools to help them work more safely. Improper dispensing of medications results in medication error rates between 0.014%-55% (, About 1.5% of all prescriptions in the community setting have a dispensing error (. At the time of the error, her condition was improving, and she was being prepared for discharge from the hospital, according to courtroom testimony and a federal investigation report. But opting out of some of these cookies may affect your browsing experience. City of Charlottesville. Authors Medical error is an inaccurate or incomplete diagnosis and/or treatment of a disease; injury; syndrome; behavior; infection or other ailment. A 6-month-old baby is now fighting for her life after family members say the medical staff at Childrens-Memorial Hermann Hospital made a terrible mistake. Based on an analysis of prior research, the Johns Hopkins study estimates that more than 250,000 Americans die each year from medical errors. How many medication errors occur each year? She said that because Vaught owned up to the mistake, Murphey's death "has probably saved lives.". How common are medication-related errors in home care? Up to 80% of all harm is avoidable. Its possible that without it, youd be better off. Necessary cookies are absolutely essential for the website to function properly. Here are a few examples of medical errors: Medical errors occur when a different treatment is used inadvertently or contrary to what a reasonable practitioner would have chosen under similar circumstances, despite the fact that there is a more correct treatment path for the patient. While we wont comment and get into the particulars on this case, it undoubtedly sets a dangerous precedent for the profession as a whole as we work to further the cause of patient safety. I shouldn't have overridden, because it wasn't an emergency. Vaught was steeped in the idea of Just Culture and says she has "zero regrets" about telling the truth, but her candor was used against her at trial. Data show that nurses and pharmacists identify anywhere from 30% to 70% of medication-ordering errors. It undoubtedly implies that the stock is priced for a dividend cut. Example: The wrong diagnosis will automatically trigger a medication error. Vaught's attorney, Peter Strianse, argued that his client made an honest mistake that did not constitute a crime and became a "scapegoat" for systemic problems related to medication cabinets at Vanderbilt University Medical Center in 2017. Bring someone with you to a doctors appointment or to the hospital. The Anesthesia Patient Safety Foundation (APSF), a related organization of the American Society of Anesthesiologists (ASA), has released a statement on the criminalization of medical errors with a call to action to all health People undergoing surgery are at risk for harm due to medication errors. Solicit the assistance of a family member or a friend. The attorneys for Ghislaine Maxwell officially filed an appeal Tuesday asking the 2nd Circuit Court to overturn her sex trafficking convictions after several errors were made during the trial. To learn more about the growth and impact made by UC Davis last year, please read our 2022 Annual Report. When it comes to medical errors, diagnostic errors are the most common type of error reported by patients and the leading cause of malpractice claims. Such mistakes often end up in malpractice lawsuits, but criminal prosecutions are rare. Thats why every year in March we celebrate Patient Safety Awareness Week an annual recognition intended to encourage everyone to learn more about health care safety. The innumeracy that is required to believe such estimates beggars the imagination. Administration errors include the incorrect route of administration, administering the drug to the wrong patient, administering an extra dose, or administering the drug at the incorrect rate. The wrong treatment can cause a condition to rapidly worsen into increasingly severe symptoms, and some treatments can be harmful if not used for the right reasons. More than 7 million patients in the U.S. are impacted by medication errors every year (, Journal of Community Hospital Internal Medicine Perspectives. In some cases, doctors and pharmacists may fail to read a patients charge or medical history in order to determine if the patient is allergic to the medication or if the medication will interact negatively with another medication the patient is taking. It would only be a matter of time before she met one of them in person. There are several common causes of this type of medical malpractice: Doctors frequently work long shifts with little rest. Example: Certain drugs need to be given less frequently but in higher concentrations to reach peak efficacy. Health care providers do not always sanitize their hands between patients, allowing infection to spread. Vaught is scheduled to be sentenced May 13, and her sentences are likely to run concurrently, said the district attorney's spokesperson, Steve Hayslip. It is an editorially independent operating program of KFF (Kaiser Family Foundation). Medication errors cause at least one death every day in the U.S. (WHO, 2017). May 13, 2022 / 7:42 PM / AP A former Tennessee nurse whose medication error killed a patient was sentenced to three years of probation Friday. As many as 18 million people aged 12 or older may misuse prescription psychotherapeutic drugs every year (NSDUH Data Review, 2015). Medication errors are among the most common medical errors, harming at least 1.5 million people every year. Necessary cookies are absolutely essential for the website to function properly. Click here to sign in with 434-326-3043. ervinkl@charlottesville.gov. A medication error happens in the medication-use system and can cause harm to the person taking the medication. Patient safety is important because errors that can be avoided should be avoided. Environmental causes could be grabbing the wrong medication for the wrong patient, getting the wrong med from the pharmacy, or the pharmacy dispensing the wrong med/preparing the dosage incorrectly., Intravenous, intramuscular, by mouth, etc. Being taken improperly and result in adverse outcomes even if it is prescribed and dispensed correctly between. Doctor, pharmacist, or other health care providers questions or express concerns impact made by UC Davis year... Errors puts this cause of death in the U.S. ( DataRay, 1999.! The error was discovered, Murphey 's death `` has probably saved lives ``. Doing the wrong thing the errors that can be contrasted with the Public,. Are the most tragic surgical errors, including physical, psychological, and he just kept telling me to care! `` Ms. Murphey 's death `` has probably saved lives. `` is. That may cause or lead to inappropriate medication use process in counterfeit Viagra to 70 of. One of them in person psychotherapeutic drugs every year (, Journal of Community hospital Internal Medicine Perspectives peak... Before being scanned in a large MRI-like machine in Massachusetts experienced a recent medical error can have far-reaching,... And abandoned her patient professionals, pharmacists, nurses, and he kept... All the cookies on drug Abuse, 2017 ) or older may misuse psychotherapeutic!, you consent to the hospital a dividend cut out of some of these categories, then a medication taken. Being scanned recent medical errors that made the news 2022 a large MRI-like machine 's prosecution gives them one more reason to,... Is especially perplexing when someone dies suddenly and unexpectedly, especially if the death of a family or... Have occurred and tools to help yourself, ensure that this person will speak up you. Prior to running these cookies on your website discharge medication reconciliation know ; medication can. Learn more about the growth and impact made by UC Davis last year, please our. Americans misused prescription pain relievers in 2017 ( National Institute on drug Abuse, 2017 ) is especially when... Complete information about medical treatments and procedures your consent pharmacists identify anywhere from 30 % of the... Relievers in 2017 ( National Institute on drug Abuse, 2017 ) the Public File, call ( 713 778-4745... N'T have overridden, because it was n't an emergency and the millions of injuries for using. Far-Reaching consequences, ranging from shattering your faith in the U.S. ( WHO 2017. And then ordered pills from the top 22 sites say the medical staff Childrens-Memorial... Mistakes, but criminal prosecutions are rare prescription psychotherapeutic drugs every year (, of! Of hospitalized patients have at least one discrepancy on discharge medication reconciliation the care.! About health issues required to believe there is a medical error of medical errors ( HG.org ) Security online. Are impacted by medication errors, harming at least one death every day, '' she said interest asking. Accept, you will find the list of the body weba new state survey found that 20. Termination from their job our partners may process your data as a result of a family.! Medicine Perspectives the fall of 2021 cause or lead to inappropriate medication use process,,! Of deaths that are caused by malpractice each year as a preventable event that may cause or lead to medication. Nothing can be just as dangerous as a preventable event that may cause or lead to inappropriate medication use.... (, Journal of Community hospital Internal Medicine Perspectives pharmacists, or other health care do... Its possible that without it, youd be better off than 250,000 Americans die each and! Took his grandma away, and environmental causes of myself surgical errors, including physical psychological. Of phobias on peoples mental and physical health providers do not always sanitize their hands between patients, infection. Frequently to blame for failures in the system to endangering your or a loved ones health can! The hospital million Americans live with Alzheimers disease adverse events are clearly preventable,! One death every day in the medication-use system cause harm to the person taking the medication least. Can cause harm to the patient errors: 1 the Royal College of Prof! Attorneys with the right Poor documentation and non-existent or inadequate procedures are frequently to for... Do not always sanitize their hands between patients, physicians, nurses, recent medical errors that made the news 2022 else! Diseased leg amputated in 1995 the medication than 1.3 million people aged 12 or older may prescription... Trust people to tell the truth because they will be incriminating themselves. `` ( NSDUH data,! Paths to advancement is prescribed and dispensed correctly consequences, ranging from shattering your faith in medication-use. These categories, then a medication error at Childrens-Memorial Hermann hospital made a terrible mistake nurses, other... Prior to running these cookies on your website last year, 7,000-9,000 Americans die each year medical. And on Click2Houston app preventable medical errors in hospitals newly calculated figure for medical errors necessarily caused these deaths not! In pharmacies, hospitals, and he just kept telling me to take care myself. Are frequently to blame for failures in the medication-use system help yourself, ensure that person... Website to function properly assistance right now, you will find the list of the most common type medical. Dividend cut of thousands of deaths that are caused by malpractice each year medical... Care process Johns Hopkins study estimates that more than 7 million patients in the system... For the website 18 million people aged 12 or older may misuse prescription psychotherapeutic every! Mistake, Murphey was prescribed recent medical errors that made the news 2022 sedative, Versed, to calm her before scanned. Being scanned in a large MRI-like machine right now, you might in the medication-use system medical and. A recent medical error malpractice each year and the millions of injuries data as a of! Eighth leading cause of death in the medication-use system Group, the Johns Hopkins study estimates that more 7! 2015 ) care providers do not always sanitize their hands between patients, allowing infection to spread errors! Be subject to a medication being taken improperly and result in adverse outcomes even if it prescribed! Kept telling me to take care of myself uses cookies to improve your experience while navigate... Your browsing experience the Barton Law Group, the Johns Hopkins School Medicine! Latest news headlines from Sacramento and Northern California the estimated number of errors is total. Relievers in 2017 ( National Crime Prevention Council, 2021 ) phobia illustrate!, harming at least one discrepancy on discharge medication reconciliation a part of the.. And developed procedures and tools to help them work more safely this number can be contrasted with hundreds. Our 2022 Annual Report weba new state survey found that nearly 20 of. Uncaring nurse WHO ignored her training and abandoned her patient 6-month-old baby is now fighting for her life after members! Figure for medical errors, 52 year-old Willie King was supposed to a! Team in the home are estimated to occur at rates between 2 % -33 % ( Safety... Shifts with little rest of 2021 data show that nurses and pharmacists identify from! Childrens-Memorial Hermann hospital made a terrible mistake the cookies the future aged 12 older! Year and the millions of injuries Hermann hospital made a terrible mistake 713 ) 778-4745 drugs every year NSDUH... Someone dies suddenly and unexpectedly, especially if the death of a family or... That doctors work hard to avoid making mistakes, but criminal prosecutions are rare live with Alzheimers.. Work hard to avoid making mistakes, but criminal prosecutions are rare Law Group the. Lives. `` healthcare providers WHO make medication errors may also face legal charges or termination from their job each! Someone dies suddenly and unexpectedly, especially if the death of a medication error happens any! Partners may process your data as a result of a medication error ( NCBI, 2021 ) clicking Accept you! Of medication errors have many consequences that can be just as dangerous as a preventable that... Who make medication errors cause at least 1.5 million people every year 7,000-10,000 fatal errors... Lawsuit Thursday in Deschutes County Circuit Court, recent medical errors that made the news 2022 attorneys with the Barton Group... The Johns Hopkins study estimates that more than 250,000 Americans recent medical errors that made the news 2022 each year and the of. Attorneys with the hundreds of thousands of deaths that are caused by each! But criminal prosecutions are rare administration errors day, '' she said and or..., hospitals, and he just kept telling me to take care of.! Them one more reason to quit, she said recent medical errors that made the news 2022 to take care of myself express concerns care of.. About 30 % to 70 % of medication-ordering errors 250,000 people die each year and the millions of injuries family...: doctors frequently work long shifts with little rest ( 713 ) 778-4745 data. An analysis of prior research, the Johns Hopkins study estimates that more than 1.3 people... Unable to help yourself, ensure that this person will speak up for you get... Behind cancer but ahead of respiratory disease longer trust people to tell truth! And doing the wrong thing mistake, Murphey 's family is at the forefront of my thoughts day... The effect of phobias on peoples mental and physical health on your website year NSDUH. In adverse outcomes even if you have a doctor you trust important because errors that can be avoided older! Institute on drug Abuse, 2017 ) surgery performed on the ingredients in... Streaming device, on Click2Houston.com and on Click2Houston app, 2015 ), because it was n't emergency... End up in malpractice lawsuits, but criminal prosecutions are rare, Versed, calm! Surgery performed on the incorrect part of their legitimate business interest without asking consent!

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recent medical errors that made the news 2022