Hospital fined NT$500,000 after surgeon operates on wrong patient
Hospital fined NT$500,000 after surgeon operates on wrong patient
2024-04-12
Kaohsiung Municipal Min-Sheng Hospital has been slapped with a fine of half a million New Taiwan dollars after it was found that a surgery had been performed on the wrong patient earlier this month. The medical personnel involved, including the surgeon, had skipped the SOP and failed to confirm the patient’s identity before the operation. It was also later found that the surgeon involved had asked the patient to sign a surgery consent form after the matter. Needless to say, the surgeon in question has been fired.
The patient had been transferred from a care center to Kaohsiung Municipal Min-Sheng Hospital, where he was confused for another patient in his ward. In the operating theater, neither the nurses, the anesthesiologist nor the surgeon confirmed the patient’s identity as required.
Chang Ko
Kaohsiung Municipal Min-Sheng Hospital
Usually, you have to wait until the nurses in the operating room call the ward staff. If the procedures aren’t followed, that could throw the whole process into disarray. The patient affected didn’t have any relatives with him, and didn’t have resources to hire a caregiver. He’s a stroke patient, so he also couldn’t speak.
Kaohsiung Mayor Chen Chi-mai and Premier Chen Chien-jen have condemned the incident.
Chen Chi-mai
Kaohsiung mayor
This was a very basic mistake on the part of Min-Sheng hospital. It’s very unprofessional. It shows that there were oversights on the management front.
Chen Chien-jen
Premier
Min-Sheng Hospital performed an operation on the wrong patient. This is unforgivable. It is unimaginable that the standard operating procedures were not followed. We will continue to improve medical staff training. In medical settings every single step of the established standard procedures has to be followed.
It was also found that the surgeon had asked the patient to sign the operation consent form after surgery had already been performed.
Pan Chao-ying
Kaohsiung Department of Health
We found that the surgeon had not only operated on the wrong patient, but also falsified the patient’s medical records. After a review, the surgeon received another major demerit, for a total of two, and was dismissed.
All consultations for the surgeon involved in the incident have been canceled. The city’s health department has issued the hospital a fine of NT$500,000, taken disciplinary action against management and removed the superintendent from his post.
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高雄民生醫院"開錯刀" 撤換院長.主刀醫師2大過免職
2024-04-12
高雄市立民生醫院，驚傳開刀開錯人的離譜醫療疏失。一名執刀外科醫師，跳過程序要求病房送病患進開刀房，沒有確認病患身分，導致送錯病患開錯刀。執刀醫師還被查出手術同意書是事後讓病人補簽，涉嫌偽造登載不實，遭到衛生局重罰免職。
高雄一名從養護中心，轉送到民生醫院的患者，竟被當成同房另一名病患，進了開刀房，包括護理師、麻醉科醫師，到最後主刀的主治醫師都未依規定明確辨識病患身分。
[[高雄市立民生醫院醫療副院長 張科]]
“照理來說應該是要等開刀房的護理人員，去打電話給病房的人員。主治醫師不按照這個流程，整個的流程程序就會變成是有一些錯亂。他(錯遭開刀病患)沒有家屬，那他也没有能力去請看護，他中風的病人他沒辦法說話。”
市長陳其邁和行政院長陳建仁，都痛批這場疏失。
[[高雄市長 陳其邁]]
“民生醫院發生的這個錯誤是屬於低級錯誤，很不應該，也代表著說管理上，其實也有這個缺失。”
[[行政院長 陳建仁]]
“高雄醫院開錯刀這件事情，實在是不可以原諒，這件事情竟然沒有按照標準作業流程來進行，實在是令人難以想像。我們會再繼續加強醫護人員，所有醫療照顧上，應該要遵守的標準作業流程，都要一一遵守。”
另外，執刀醫師還被查出手術同意書是事後讓病人補簽。
[[高雄市衛生局副局長 潘炤穎]]
“發現主治醫師不但開錯刀，且事後涉嫌病例登載偽造，經人審會議處，再記一大過，共計兩大過，予以免職。”
事發後執刀醫師在民生醫院的看診已經全部停止。衛生局也重罰醫院50萬，管理層連坐處分，並撤換院長。
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