The Mayo Clinic has decided to phase out use of Ambien, the prescription sleeping pill, over concerns that patients on the drug have a higher rate fall rate than those who are not on it.
In a study conducted by the Mayo Clinic in Rochester, MN and published in the Journal of Hospital Medicine (11/19/12), researchers reviewed fall data from more than 16,000 patients who were hospitalized. The study found that patients who were given Ambien while hospitalized experienced falls more than four times greater than those who were not given Ambien. According to the study, the fall rate for patients given Ambien was just over 3 percent compared to a fall rate of 0.7 percent for patients not given Ambien.
What’s interesting about the Mayo Clinic Ambien study as well is that the fall rate associated with the drug was greater than that associated with factors such as age, mental impairment, insomnia or delirium. And, that held true no matter what the Ambien dosage was.
According to a report at HealthDay News, the Mayo Clinic’s chief patient safety officer, Dr. Timothy Morgenthaler stated via news release, “As a result of our study, we are now phasing out [Ambien] and moving toward sleep enhancement techniques that are not based on drugs and which we believe are safer and probably as effective.”
While the Mayo Clinic is clearly backing off of Ambien as a sleep aid for in-patient care, the study did not find a cause and effect relationship between taking Ambien and falling; however, the association found between the two in the study was enough for the Mayo Clinic to begin to phase the drug out of use.
This latest settlement—the PetSmart dog poop slip and fall settlement—reminds me of a post we did a while ago where we mentioned the PooTrap. Kind of a ridiculous looking contraption, but if whatever dog it was who pooped on the PetSmart floor had been wearing one of these, well, who knows…
See, back in January, 2009, a patron at PetSmart in Newport News, VA—a Robbert Holloway—apparently took a spill while in the store. A pretty bad spill from the sounds of it—he claimed he injured his back badly, hit his head and knocked out four teeth when he went crashing to the floor after slipping on dog poop.
So, he sued.
His lawsuit against PetSmart—a slip and fall premises liability lawsuit that claimed negligence on the part of PetSmart, sought $1 million in damages. The negligence allegation being due to his charge that the store manager should have protected him from the hazardous condition that allowing pets to poop on the floor creates.
Now, aside from the fact that yes, PetSmart and most other larger pet-centric retail establishments do have pets afoot in store aisles en route to a hair trim, nail clipping or other service—and yes, they pretty much “go” when and where the urge arises—this lawsuit begs the question of not only PetSmart employee roles and responsibilities, but also those of the pet owners who bring in their pooches and parakeets.
Seems to me that while PetSmart sales employees should have a sense of urgency regarding poop and pee pickups in their store aisles, customers-cum-pets also have a responsibility to clean up after their canine and feline charges. How is it that there are pooper scooper laws for sidewalks—as in OUTdoors ‘aisles’—and not the same or greater level of poop removal oversight for a linoleum floor indoors? Why, even Barbie had the sense to have a pooper scooper on hand for walks with Tanner (see video).
While I feel quite badly for Mr. Holloway—let’s face it, the combination of being physically hurt along with non-diminishing aroma of dog poop on your clothes would cause even the most apathetic of individuals to wince a bit—I think it’s time to not only hold PetSmart accountable where they ought to be, but it’s also time for pet owners to pick up after themselves—er, their pets.