Libby Zion law

Infobox Person
name = Libby Zion


image_size =
caption =
birth_date = birth date|1965|11|30|mf=y
birth_place =
death_date = death date and age|1984|3|5|1965|11|30|mf=y
death_place = New York City, New York, U.S.A.
occupation = Student
spouse =
children =
website =

Libby Zion law or the Libby law refers to a regulation that limits the amount of residents' work in hospitals.

Libby Zion

Libby Zion (November 30, 1965 – March 5, 1984) was born to New York City journalist Sidney Zion and publishing executive, Elsa H. Zion. She had two siblings, Adam Zion and Jed Zion.

Zion died at age 18, shortly after being admitted to New York Hospital Cornell Medical Center with a high fever. cite news |first= |last= |authorlink= |coauthors= |title=Libby Zion |url= |quote= Libby Zion, a freshman at Bennington College in Vermont and the daughter of the writer and lawyer Sidney E. Zion and his wife, Elsa, died of cardiac arrest yesterday at New York Hospital after a brief illness. She was 18 years old and lived with her parents in Manhattan. Miss Zion, who had worked recently for the Manhattan Borough President, Andrew J. Stein, as part of a study project and was to have been employed next summer on the clerical staff of The New York Times, became ill several days ago with a flu-like ailment. The cause of the cardiac arrest was not immediately determined. Her father, a former reporter for The Times and former publisher of Scanlon's Magazine, is the author of "Read All About It." Her mother is a former publishing executive. Besides her parents, Miss Zion is survived by two brothers, Adam and Jed. |publisher=New York Times |date=March 6, 1984 |accessdate=2007-07-21 ]

She died from complications of Serotonin syndrome which, in her case, was caused by a combination of meperidine, phenelzine, and possibly cocaine. Although meperidine is for moderate pain and phenelzine is an MAOI, both are in the class of drugs which may cause the potentially fatal Serotonin Syndrome. Cocaine (which was found to be in her system in small amounts) can cause the syndrome because it increases serotonin levels in the brain and, in this case, could have exacerbated the effect. Although controversial, the defense's toxicologist testified she had likely snorted cocaine within hours of coming to the hospital. Ms. Zion had denied drug use when asked by hospital staff.

ubsequent trial and regulations

A grand jury determined that the long hours of often unsupervised interns and residents contributed to her death. While an appeals court exonerated the doctors, the subsequent investigation led New York State to form the Ad Hoc Advisory Committee on Emergency Services, more commonly known as the Bell Commission. This committee developed a series of regulations that addressed several patient care issues, including restraint usage, medication systems, and resident work hours. [cite news |first= |last= |authorlink= |coauthors= |title= Elsa Zion, 70; Helped Cut Doctor Workloads |url= |quote= Elsa H. Zion, a city official and former publishing executive who campaigned successfully to regulate the workload of interns and residents in New York State's hospitals after the highly publicized death of her daughter, Libby, in 1984, died on Thursday at Mount Sinai Hospital in New York. She was 70 and lived in Manhattan. The cause was complications of breast cancer, said her husband, the journalist Sidney Zion. |publisher=New York Times |date=March 5, 2005 |accessdate=2007-07-21 ]

One aspect of these regulations is commonly referred to in the medical community as "the Libby Zion Law" and "the Libby Law," setting limits to working hours for medical "post graduates" (commonly referred to as interns and residents) in NYS hospital training programs, and requiring physician supervision. Periodic follow-up audits have prompted the New York State Department of Health to crack down on violating hospitals.

Similar limits have since been adopted in numerous other states. [cite news
url=http://www.washingtonpost.com/wp-dyn/content/article/2006/11/24/AR2006112400985.html
title=A Case That Shook Medicine: How One Man's Rage Over His Daughter's Death Sped Reform of Doctor Training
author=Barron H. Lerner
publisher=The Washington Post
date=November 28, 2006
accessdate=2006-12-14]

Legacy

At the time of her death, she attended Bennington College in Vermont, where she is memorialized with the "Libby Zion Award for Dramatic Excellence."

Further reading

*"The Girl Who Died Twice" (ISBN 0440222672), published by writer Natalie Robins in 1996, describes the malpractice case that followed the young woman's death, and raises serious questions about the factors that contributed to the event.

References