Hubei peach of immortality " Left and right sides are not divided " The malpractice is followed the trail of

Hubei peach of immortality " Left and right sides are not divided " The malpractice is followed the trail of
Hubei peach of immortality " Left and right sides are not divided " The malpractice is followed the trail of
Staff reporter Liu Ping'an "While drawing the area of operation, I have not asked, she has not said either. " Hu AiMin says. On November 16, some 29 -year-old woman patient's moustache because the first department of general surgery of the People's Hospital of peach of immortality market in Hubei lives in left groin oblique hernia. On November 18, attending physician Hu AiMin violates and encloses checking the system in the standardard management of period of operation, do not have and anaesthetize the doctor, assistant, nurse and check patient's operation position, have not asked the patient a word either while having an operation, has done the inguinal hernia of right side and mended the skill for the patient wrongly. Afterwards, Hu AiMin explained the mistake including revising case history. While giving an interview, he who almost collapses says to reporters: "I have got ' the bad smell duck's egg ', turn into ' atomic bomb ' now. " Just one days before surgery of this example, far the intersection of Tongcheng and the intersection of county and for the intersection of old man and surgery that fracture in right leg when the treatment institute of traditional Chinese medicine apart, plant on its left leg into a 5000 yuan worth of titanium alloy stencil plate wrongly. " left and right sides are not divided " Operation,perform at platform of connecting with, it is tremble with fear to last the public. It is not accidental that such extraordinary medical mistake happens. The expert thinks, the doctor substitutes standardard management of operation and system with experience and feeling, simplify even omit key checking the procedure at will, in addition, the hospital operating room is fluffy in management, various restriction mechanism perform practically no function, it is to present such rudimentary and wrong seed of trouble. Not pulling out this seed of trouble, there is the next handful of " bad smell duck's eggs " Turn into " atomic bomb " Person. The fault, the reporter comes to peach of immortality market first the People's Hospital to interview, see the floor gate of this courtyard of clinics and hang " One hundred national good demonstration hospitals of hospital province " Brand. The medical matters subject section chief Tang ZhongBins of this institute tell reporters: "The assistant that the accident cause is Hu AiMin sterilizes and spreads the piece of cloth to make a mistake in the position. This assistant rotates in each department of the hospital for 45 years, the speciality just made. At that time, Hu AiMin was making another peritoneoscope operation, by assistant's preparation in order that he did the skill. After the patient finishes anaesthetizing and lies down on the operating table, this assistant finds there is dislocated upwarping on the right of patients, afford to assume as a matter of course. " "For stopping this kind mistake,it last operation standardard management period to skill ago, in skill, strict regulation postoperative each link, every link has corresponding checking the system. Anaesthesia doctor, nurse, doctors of the superior and the subordinate demanding to participate in the operation check the patient's name, operation name, cut-out the position, operation apparatus etc.. Last system these already from initial ' check by seven three times to ' develop into ' check by 12 six times to '. As being in charge of a bed doctor, Hu AiMin finds out about the patient's condition most. The assistant has made mistakes, he can find. But in operation of this example, these norms and systems are all forgotten completely, have caused irretrievable losses finally. " Tang ZhongBin says, operation next day, the patient finds it unnatural. She asks a doctor, aches on the left on ordinary days, how on the right is the blade of operation? Realize wrong Hu AiMin and patient assign privately into an agreement, report does not for medical matters subject. Later, the patient's relative, friend participated in, it was the larger that the thing made a noise, the hospital knew all course. The subject attitude of the medical matters is very clear: First, inguinal hernia mend surgery go on free for patient; Second, carry on the appropriate economic compensation to the patient according to the medical crash handling regulations. Finally, suffer from and then accept the compensation scheme of 30,000 yuan of this institute, come back home to recuperate temporarily. Tang ZhongBin says, institute this stress medical the intersection of quality and safety management since 2007, find, have the intersection of rules and regulations and outmoded medical document write unstandard lacking, making a diagnosis problems such as the routine,etc. at that time. But for various reasons, the norm was not set up till now. The anaesthetist, doctor, nurse are scarce to cooperate Ones that participate in operation of this example, besides Hu AiMin and assistant of he, still anaesthetize doctor and operating room circuit nurse. Anaesthetizing head of the department Ge YaoXin to clarify at first, someone thought the anesthetic needle had got the wrong number, this is incorrect. Unless anaesthesia is it for lumbar vertebrae what has been in charge of nerved, be divided by level from head to foot only,no matter about. "The duty of anaesthetizing the doctor is to monitor situations such as patient's blood pressure, pulse, breathing, heartbeat, blood transfusion, infusion,etc. in the skill, have not checked the responsibility of the operation position. " Operating room nurse grow tall HuanXin say they nurse of department reach the intersection of Wuhan and loud hospital of city find while practising, there are a set of management systems there, namely stop for one minute before operation, is checked to the patient, condition and operation content finally. "But this kind of way has not formed the rule in our hospital, has not carried out yet. " Deputy Director of department of general surgery and concurrently inpatient area director Pei ZhiQiang say distressedly, will be better if everybody could remind each other before the skill. Each performs its own functions not to go wrong to anaesthetize doctor, operator and doctor, nurse, the question is not to cooperate, afraid of meeting accident and undertaking the responsibility, so each stare at. Recalling the operation course, Hu AiMin is too late to repent. "On the same day, I just finished a peritoneoscope operation. Can't leaf through the case history after entering the operating room and getting dressed, wearing gloves. Have not asked other people, have not asked a patient either at the time of the operation. I should do more than 200 in one year in this kind of operation. Because minor operation, appear on the stage nurse, there is circuit nurse of operating room. And what the circuit nurse paid close attention to is the apparatus of operation, including checking cutter and needle and line,etc., have not looked out for the operation position. " "After opening on the right, really have defect. I have mended, have not realized the questions of Left deviation, Right deviation at all. After the operation, I write course of disease record, find at the case history writing on the left of being. Until at that time, I did not realize that misplacing puts, thought it is a case history that is wrongly written, then make ' left ' into ' right ', and signed. " Professor of hospital of Shandong University Shandong department of general surgery Niu Jun says, should not merely mend the flawed or damaged position in hernia operation, also handle the hernia bag. Open on the right and find without a hernia bag, should think of Left deviation, right to get wrong. Doctor Hu sews up after mending on the right, not careless. The norms and systems are that ox armies brought with the cost of the blood say, a lot of organs of the human body are symmetrical, if management lax, about emergence that does not divide can very much high in probability in the operation. For example, actually the nephropathy patient's kidney on the left loses the function because of tuberculosis, the doctor excised the good kidney of the right. Breast cancer has the one that obscures, cuts by mistake from side to side too. Even the thing of obscuring the patient has happened in some hospitals. "Because ' left ' and ' right ' in Chinese characters is not easy to recognize to write, it is apt to obscure, so our department requires that writes Left deviation and right in English while writing and checking recording and case history, or abbreviate as ' L ' (the left) With ' R ' (on the right) . Before entering the operating room, want an operation The position mark knows. After entering the operating room, nurses should check patient's name, age, condition, cut-out the position again. " Ox's army thinks, the nurse is unstandard that peach of immortality market first the People's Hospital appears on the stage in minor operation, reflect there are problems in managing in this institute. Fangshan district Liangxiang hospital medical matters head of the department Zeng FanEn of Beijing says, the past 10 years, it is very swift and violent that the hospital at the basic level develops, the increase of doubling of the operation amount. There are more than 6000 in the operation amount in one year in Liangxiang hospital. The operating room is usually connected with the platform and rotated, choosing date for operation, emergency call operation, various patients carry on the operation in an operating room. It is lax to control, it is very apt to make mistakes. So, internal management must keep up with. The core of management is to hand over and check the system strictly. Medical science is to practise science. Ministry of Public Health encloses checking the systems and all bringing with the cost of the blood in the standardard management of period of operation, even bring with the life. Checking on each link is reasonable, can not omit at will. Zeng FanEn says: "For take precautions against ' about to divide ', surgery position indicated in front of skill with the painted thing, and wear the hand ring for the patient and indicate key information such as the patient's name, operation name above. Confirm that sends the operation notice to the department of anesthesia after the operation. Anaesthetized a doctor to visit and look at before having skills, further defined operation indication, position and anaesthesia scheme. All is ready and after entering the operating room, operator and doctor, assistant, anaesthesia doctor, nurse should confirm checking the patient again. If the operation request slip is marked indeterminately, anaesthetize and a nurse all have power and responsibility to call and stop the operation. " Ox's army and once all kindness think, each side was while devoting more efforts to supervising, should help the doctor to reinvent job spirit, but not punish briefly. Reporter's written notes Indifferently than " Left and right sides are not divided " " draw operation at the area, I did not ask, she did not say either. " Second of Hubei " Left and right sides are not divided " After the operation takes place, operate doctor Hu AiMin to the memory of the operation, has let us feel a burst of " cold " in the operating room . As to the surgeon, perhaps hernia is a very small regular operation; But to patient, it should not be so relaxed that experience the psychology. And operation difficult to explain the speech even more in injury that mistake bring. While interviewing, someone says to reporters, some surgeons are after driving a light carriage on a familiar road, have formed the absolutely self-confident psychology. And such abnormal self-confidence is paid attention to, the origin is exactly cold and detached. Just think, without doctor's care and warmth from the deep of the heart to the patient, what is there to distinguish operating room and repair shop? Trace to the source to those low-grade mistakes in the hospital, often find it is in the basic norm, for example check the fall that imposes on system,etc.. Are these systems very difficult, very complicated to implement? A president thinks, the doctor neglects the implementation of these systems, it will be probably in consideration of ones that raised the efficiency. However, the fact is not like this. A expert of department of general surgery says, in the operation group that is cooperated tacitly, " check 12 pairs six times " It only takes several minutes. If a hospital causes these norms brought with blood to be " neglected " to the bigoted pursuit of efficiency ,Then, what we felt is collective indifference. We can't help asking what's the meaning that by sacrificing the safe efficiency as the cost of medical treatment? Mend the fold after the sheep have been stolen, it is still not late but also. After the incident happens, the department of public health of Hubei holds the medical quality safety video-and teleconference of the whole province, hope the health care system of the whole province can draw the lesson from the painful incident, learn a lesson. Unfortunately, what we saw is the awkward silence that should not appear. In the meeting-place, someone is late, someone is absent-minded, someone sleeps while hearing, the clear-cut collectives of some places are absent. Such a scene let indifference that people feel, than " about to divide " Wrong operation terrible. This kind of administration and supervision authorities treats the safe cold and detached psychology of medical treatment, how could let the public rest assured? " regard patient as the centre " Say for many years, but tragedy and all sorts of indifference that there shouldn't be behind the tragedy that take place brief on, we have sure distances from these good goal. If can't clear up this kind of indifference out completely from the medical organization, " regard patient as the centre " Will only stay on the wall and in the file. Only reinventing job spirit, the medical worker will be treading on thin ice constantly, return a medical environment resting assured safely to the patient.


|