It may seem bizarre, even surreal, but sometimes people intentionally use therapeutic pharmaceutical products as weapons to kill other people. Lethal medications can be readily obtained from a community or hospital pharmacy where they are stocked with the intent that they be used in patient care. This book describes how pharmaceutical products under the control of licensed pharmacies, and intended for use in therapy for patients, are sometimes used instead by criminals to commit murder. A surprisingly large number of healthcare professionals have committed serial killings of patients within healthcare settings. Healthcare professionals have also stolen pharmaceuticals from practice sites and have used them outside a healthcare setting to kill relatives, friends, and acquaintances. The widespread availability of pharmaceutical products in households provides the means to commit what is often thought to be “the perfect crime” by poisoning a victim with an overdose of medication. This book explores the means through which pharmaceutical homicide can be committed, and the strategies that can be utilized to recognize and prevent murder with medication.

Foreword
Chapter 1: Patient Safety and Healthcare Killings
Chapter 2: Foundations of Pharmaceutical Forensics
Chapter 3: Pharmaceutical Homicide Investigations
Chapter 4: The Forensic Pharmacy Expert
Chapter 5: Notorious Pharmaceutical Serial Murderers
Chapter 6: Unexpected Death? Rule Out Homicide!
Chapter 7: The Medication Zone of Danger
Chapter 8: Poisoning as a Cause of Death
Chapter 9: Family, Friends, and Betrayed Trust
Chapter 10: Opioid-Related Mortality
Chapter 11: Lethal but Lawful Pharmaceuticals
Chapter 12: Fatalities From Unapproved Drugs
Chapter 13: Distinguishing Mercy from Murder
Chapter 14: Liability for Fatal Healthcare Practices
Chapter 15: Criminalization of Medication Errors
Afterword
David
Brushwood
David Brushwood is a lawyer and a pharmacist who currently is a Senior Lecturer at the University of Wyoming where he teaches online courses. David served on the faculties of the Philadelphia College of Pharmacy and West Virginia University, before joining the faculty at the University of Florida where he served for 25 years prior to his retirement. David's teaching and research interests are patient safety, pharmaceutical regulation, and professional responsibilities in healthcare. David now lives in Wenatchee Washington with his wife Chris, after having moved there to be closer to their children and grandchildren.