Tuen Mun Hospital today (5th) announced an accident involving a 57-year-old male patient suffering from high blood pressure, heart disease and stroke.
On the night of November 30, the male patient was rushed to Tuen Mun Hospital by ambulance due to cramps and chest discomfort. He was classified as critical. During his stay in the hospital, his condition was stable for a time. After the diagnosis of "infarction", the patient suffered from heartache again the next day, and his condition took a turn for the worse, and he died later.
Tuen Mun Hospital admitted that the clinical judgment of the patient's myocardial infarction was wrong, and the attending doctor apologized for not fully taking into account the family's feelings when notifying the family members of the illness, and promised to actively follow up and propose improvement measures to avoid similar incidents from happening again.
The deceased involved in the incident had been vaccinated against the new crown within 14 days before admission. Tuen Mun Hospital has notified the Center for Health Protection according to the mechanism.
Tuen Mun Hospital today announced an incident of "clinical misjudgement of myocardial infarction" involving a 57-year-old male patient suffering from hypertension, heart disease and a stroke.
(Photo by Ou Jiale)
Tuen Mun Hospital today announced an incident of "clinical misjudgement of myocardial infarction" involving a 57-year-old male patient suffering from hypertension, heart disease and a stroke.
He was rushed to Tuen Mun Hospital by ambulance at about 7:30 pm on November 30 due to cramps and chest discomfort.
After arriving at the Accident and Emergency Department, he suffered cramps again and was classified as a critical case. After the initial treatment, the patient's condition improved slightly. He was transferred to the internal medicine ward at about 8:15 p.m. for hospitalization and required examinations.
The ECG has been abnormal in the middle of the night The doctor on duty only prescribes vomiting drugs
According to the examination report, the patient's brain scan, electrocardiogram, heart enzyme index, blood pressure, and blood oxygen readings showed no abnormalities.
At about 4:30 in the morning, the staff in the ward arranged the patient to take an electrocardiogram according to the instructions. This time the electrocardiogram showed an abnormality. The doctor on duty then reviewed other clinical signs and blood test reports, but failed to make a diagnosis of myocardial infarction in a timely manner based on the abnormal electrocardiogram; Only in response to the patient's vomiting at the time, prescribe anti-emetic drugs and continue to observe the patient.
At about 11 o'clock in the morning, the patient expressed chest discomfort to the attending doctor. The doctor immediately reviewed the patient's medical records, arranged blood draws, emergency electrocardiogram examinations, and prescribed nitroglycerin.
The cardiologist participating in the consultation decided to arrange for the patient to be transferred to the Cardiology Intensive Care Unit and undergo the Tong Bo Tsai Surgery.
However, the patient's condition deteriorated rapidly, with cardiac arrest and loss of consciousness at 1 pm, and he needed immediate first aid and arranged intubation to assist breathing.
The attending doctor had asked the family not to make an apology from the hospital for cardiopulmonary resuscitation
The attending doctor called the family members to inform the patient that the patient's condition had deteriorated rapidly, and asked the family members to consider whether to not perform CPR at the moment. The hospital admitted that the practice disappointed the family members.
The patient suffered cardiac arrest again at 2 pm. The doctor continued to give him cardiopulmonary resuscitation and cardiotonic injections, but the patient passed away at 2:32 pm.
Tuen Mun Hospital stated that it was very concerned about the accident. The hospital representative had met with the family of the deceased on the 3rd of this month and admitted that Tuen Mun Hospital had made an error in clinical judgment regarding the patient’s myocardial infarction, and had not fully taken care of the attending doctor’s notification of the family’s condition. The family members expressed their deep apologies.
The case has been transferred to the Coroner for follow-up and notified to the HA Head Office through the Early Incident Notification System.
Tuen Mun Hospital promised to actively follow up and propose improvement measures to avoid similar incidents, including the internal medicine department promptly reminding doctors to pay close attention to changes in the patient's ECG, and doctors and nurses to strengthen communication and provide appropriate treatment for serious cases.
In the emergency arrangements for critically ill patients, family worries must be fully considered.
The male patient had been vaccinated 14 days before admission
In addition, the relevant patient had been vaccinated against the new crown 14 days before admission. Tuen Mun Hospital has notified the Centre for Health Protection according to the mechanism.
Omicron｜Zhong Nanshan: Not so terrible, the existing vaccines are still protective of the new crown pneumonia｜The former Queen of the Netherlands was 83 years old and had been vaccinated before the diagnosis. Bolsonaro said that vaccinations are more susceptible to AIDS. The Brazilian court ordered an investigation of the president’s new crown vaccine｜Taiwan Hospital Announced the results of the high-end AZ mixed-beating test. The antibody is more than twice as high as the two doses of AZ. The survey group does not recommend that the resumption of full-time schooling be linked to the vaccination rate.
