We thank Dr Lu for his interest in our study1 and for his useful comments. We have often reflected on the issues he raises. In our article, we demonstrated a steep 360% increase in the US death rate from FMEs between 1983 and 2004. We also showed an even steeper 3196% increase in the FME death rate when the FME occurred at home in combination with the use of alcohol and/or street drugs.
Phillips DP, Barker GEC. A Closer Look at Fatal Medication Errors—Reply. Arch Intern Med. 2009;169(7):718-719. doi:10.1001/archinternmed.2009.33