Medical malpractice | 62 days old baby undergoes surgery to treat bile duct occlusion catheter protective sleeve left in the body

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Written by: Zheng Cuibi

2020-07-31 22:43

Public hospitals reported four medical risk warning events in the first quarter of this year, all of which were cases where medical materials were left behind in patients after surgery or interventional procedures. Among them was a 62-day-old baby with bile duct occlusion. , It was found that the protective sleeve of the catheter was left in the body.

In addition, some doctors left a 1.5 cm long drill tip or a metal fragment of a suture device in the patient's body, and some patients had a dressing of more than 7 cm hidden in the patient's body, but none was found.

X-rays after surgery revealed that the catheter protective sleeve was inside the BB body

The Hospital Authority issued the latest issue of the "Risk Bulletin", disclosing that a 62-day-old baby suffered from bile duct occlusion and was scheduled to undergo a "Kasai operation". The medical staff inserted the peripheral vein into the central venous catheter (Peripherally When inserting a central catheter), part of the wire was cut off and the operation was finally completed. However, when X-rays were taken after the operation, there was an unknown object inside the catheter. Finally, the doctor needed to take out the entire device and found that the unknown object was the outer protective sleeve of the catheter. The "Risk Bulletin" pointed out that the doctors and nurses did not intentionally cut the wires to cause the protective sheath to fall off, reminding doctors not to cut some of the wires when inserting the catheter.

The tip of the 1.5 cm long drill bit remains in the bone of the fracture patient

In addition, a patient with a closed fracture at the tip of the left elbow due to acute trauma received a repair operation and a doctor left a 1.5 cm long drill tip in his bone, and finally decided not to undergo surgery to remove the object. "Risk Bulletin" stated that the incident was caused by medical staff not familiar with borrowed equipment.

Another patient underwent anterior cruciate ligament reconstruction and left knee meniscus reconstruction surgery. The doctor suddenly requested the use of a suture device during the operation. After the operation, it was found that some metal fragments of the suture device remained in the patient’s left knee. Retrieve the fragments by hand.

Medical malpractice│Eight cases of nasal, stomach and throat accidentally inserted into the left lung in the fourth quarter of last year. The victim died two days later

In the third quarter, there were 12 cases of medical accidents with urinary catheter fragments.

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In the second season, 8 cases of medical accidents occurred in patients with gastric cancer who died of surgical errors and gauze remained in the vagina on the 9th

Medical Failure Hospital Authority