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. 2000 Nov 11;321(7270):1212–1216. doi: 10.1136/bmj.321.7270.1212

Table.

Doctors accused of manslaughter after deaths due to errors in drug treatment or anaesthesia, United Kingdom 1970-99

Case no Doctor's origin Doctor's age and sex* Position Patient's age and sex Where death occurred Agent Nature of problem Outcome of case Year
1 South Asian M Locum anaesthetist 9 M Hospital Anaesthesia Mistake: nasotracheal tube passed orally Convicted 1974
2 South Asian 28 F Junior doctor 4 M Hospital Methotrexate Slip: drug given intracerebrally in intravenous dose Acquitted 1978
3 European 36 M Private general practitioner 42 M Surgery Methohexitone Unclear, possible slip: methohexitone given for diazepam Acquitted 1981
4 South Asian 37 Locum junior anaesthetist 33 M Intensive care unit Dopamine, verapamil, and β blocker Mistakes: failure to regulate dosage and lack of knowledge of drug interaction Abandoned before trial 1986
5 African 49 M Locum junior anaesthetist 33 M Operating theatre Lack of oxygen Mistakes: failure to recognise clinical signs; mistake in interpreting alarm Convicted 1990
6 European 68 M Locum anaesthetist 55 F Operating theatre Excessive oxygen Probable slip: tube connected to wrong oxygen supply Convicted 1990
7 South Asian 54 M Police surgeon 23 M Police custody Opiates and sedatives Mistakes: lack of accurate drug history and failure of communication between doctors Both convicted, one pardoned on appeal 1992
South Asian 54 M Police surgeon
8 European 25 M Junior doctor 16 M Hospital Vincristine Slip: vincristine for intravenous use given intrathecally Both convicted, both pardoned on appeal 1991
European 27 M Junior doctor
9 European F Consultant 1 F Paediatrics department Insulin/glucose Mistake: overzealous correction of hypoglycaemia Trial abandoned at committal 1994
South African (white) M Locum junior doctor
10 South Asian 59 M General practitioner 9 M Surgery Opiate Possible slip: confusing diamorphine and dihydrocodeine Pleaded guilty 1994
11 South Asian 39 M General practitioner 30 F Home β blocker Mistake: prescribing without adequate knowledge of patient Acquitted (convicted of another offence) 1994
12 South East Asian 25 F Junior doctor 36 M Hospital Penicillin Slip: confusing intracerebral and intravenous lines Acquitted 1995
13 South Asian 55 M General practitioner 41 F Home Opiate Slip: given diamorphine in a dosage appropriate to pethidine Convicted 1998
14 South Asian 70 M Police surgeon 22 M Custody Opiate Unknown: dosage error Too ill to stand trial 1999
15 South Asian 65 M Anaesthetist 14 M Dentist's surgery Nitrous oxide Mistakes: failure to check equipment and failure to obtain relevant medical history Convicted 1999
16 South East Asian 34 M Junior doctor 12 M Pediatrics department Vincristine Series of errors leading to a slip: vincristine for intravenous use given intrathecally No evidence offered 1999
European 34 M Junior doctor
17 European 46 F General practitioner 77 M Nursing home Opiate Slip by nurse: correct (large) dose of morphine given to wrong patient plus other errors Judge ordered acquittal 1999
*

Where stated. Classified as mistakes (errors in planning an action) and slips (errors in its execution).