Overview

A medication mix-up at Ascension Saint Thomas Hospital Midtown in Nashville has left one patient paralyzed and three others harmed, according to multiple reports. On August 14, four patients undergoing joint replacement procedures were supposed to receive an anesthetic but were instead administered potassium phosphate, leading to adverse health reactions.

The Incident

The hospital admitted that the patients received potassium phosphate instead of the anesthetic mepivacaine, as reported by multiple outlets. The mix-up occurred in the hospital's pharmacy, where syringes intended to hold bupivacaine were filled with potassium, according to The Independent, citing News Channel 5 Investigates. Potassium is vital for bodily functions but can lead to heart attacks in excessive amounts and is used in lethal injections, the outlet noted.

The Patient's Story

The paralyzed patient was later identified by WZTV as Glenda Dorton, a 72-year-old woman from Centerville, Tennessee, who was admitted for a routine knee replacement. Her daughter-in-law, Kristina Dorton, told WKRN that she woke up after surgery unable to feel or move from the sternum down, diagnosed with T-6 paralysis. "The joint replacement went wonderful," Dorton said. "Her knee is great. The rest of her is not." She emphasized the uncertainty of recovery: "We don't know what recovery looks like or if there is recovery. This is life-changing."

Hospital Response

The hospital acknowledged the mistake and issued an apology. "Our hearts remain entirely with the four patients and families impacted by the recent event," said Dr. Shubhada Jagasia, president and CEO, in a statement. "On behalf of our leadership and care teams, we extend our deepest apologies for the harm caused." The hospital self-reported the error to state health regulators the same day and implemented changes, including separating "high-alert" medications and having a second pharmacist conduct a visual and physical check of the medication. It also engaged independent quality experts for a review.

Investigations

State regulators launched an investigation into the incident, according to The Independent. Fox News reported that the Tennessee Bureau of Investigation is investigating after receiving information from the Tennessee Healthcare Facilities Commission.

Perspectives

The hospital has apologized and stated that the four patients received immediate medical care. Meanwhile, the family of Glenda Dorton is consulting legal counsel, as The Independent reported. They are awaiting potential recovery but are uncertain, as expressed by Kristina Dorton. The hospital also said that a full review confirmed no other patients were affected beyond the initial four.