Annalies Malm, a 45-year-old woman with cerebral palsy, severe intellectual disability, and epilepsy, died from a terminal epileptic seizure with aspiration pneumonia. She received incorrect medication on 7 May 2012 by a support worker; a GP and neurologist assessed her and advised monitoring. While the medication error was quickly identified and managed appropriately, toxicology found the accidentally administered drugs were within therapeutic ranges. Expert analysis concluded the medication error did not cause or contribute to death. The case highlights that despite appropriate immediate response to medication errors and reasonable medical assessment, seizure-related deaths in people with epilepsy remain difficult to prevent. Staff at the disability facility demonstrated appropriate error management and genuine care.
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