The California Department of Public Health has weighed in on the Nov. 18 accidental overdose of twins Zoe Grace and Thomas Boone, 9-weeks, at Cedars-Sinai Medical Center in Los Angeles.

In a new report, state regulators revealed that the then-newborn babies — born Nov. 8 via gestational surrogate to Dennis and Kimberly Quaid — were given 1,000 times the recommended dosage of the blood-thinning drug Heparin not once, but twice. Dennis, while "relieved" to finally hear a detailed account of what went wrong, nonetheless expressed anger that the hospital told the couple the overdose was administered just one time.

According to the report, on the morning of Nov. 18 two pharmacy technicians delivered the wrong vials of heparin to the pediatric unit. Shortly thereafter, the hospital staff was attempting to flush the twin’s intravenous lines with their initial dose of the drug; A second dose was administered approximately eight hours later. Nurses told regulators that they could not recall reading the heparin labels. At some point, a doctor was alerted that the twins were oozing blood from the site of their IV’s as well as the heels of their feet, where nurses had earlier drawn blood. Once the mistake had been recognized, the twins were given an antidote to reverse the effects of the blood thinner. Said state regulators,

Known as a ‘deficiency’ report, the state’s findings do not carry with them an automatic fine. The hospital has 10-days to respond to the report, and state regulators can issue a fine at some point in the future if it is deemed appropriate. The Quaids have already filed a lawsuit against the makers of Heparin, claiming that the labels are confusingly similar despite the drastically different dosages.

Source: LA Times