Serious Patient Errors at California Hospitals Disclosed in State Filings

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Serious patient errors at California Email | Print | Text | Single Page | RSS ADVERTISEMENT hospitals disclosed in state filings California/Local About 100 Californians a month are being harmed in adverse events considered preventable. A lawmaker proposes banning reimbursements to hospitals for some types of injuries. Columnists: » Steve Lopez By Jordan Rau, Los Angeles Times Staff Writer » Sandy Banks June 30, 2008 » Patt Morrison » Discuss Article SACRAMENTO -- Last October, a technician at the children's » George Skelton hospital at Stanford University improperly connected a ventilator hose, accidentally » Dana Parsons pumping too little oxygen into a 9-day-old infant's lungs. » Steve Harvey » Steve Hymon A month later, technicians at Dominican Hospital in Santa Cruz unintentionally placed Community a CT scan of one patient into the electronic file of another, leading physicians to Papers: remove the wrong person’s appendix. » Burbank » Newport Beach » Laguna Beach Last March, Virginia » Huntington Hospital errors Fahres, 76, died at Beach Celebrity-snooping ex- Pomona Valley Hospital Most Viewed Most E-mailed UCLA Medical Center Medical Center in » Glendale 1. Elton Brand agrees to go to the 76ers; Corey staffer is indicted Pomona after a nurse Maggette has deal with the Warriors UC willing to discuss gave her two drugs, News 2. Obama shows signs of trail-weariness operating King-Harbor neither of which her 3. It will cost more to watch Lakers California | Local hospital doctor had prescribed. National After livers, cash to 4. Donald Sterling can't be blamed for Elton Brand's departure World UCLA Those incidents were 5. Saga of Omar Sharif and the valet he struck winds Entertainment among 1,002 cases of toward a conclusion Business serious medical harm 6. Motorist dies in crash on the 210 Sports disclosed by California hospitals between July 2007 and May of this year. The Campaign '08 disclosures are the first under a state law that requires hospitals to inform health 7. Forced servitude in America? Science regulators of all substantial injuries to their patients. 8. Cheney's office tried to alter greenhouse gas Environment testimony, former official says Opinion Officially called “adverse events,” those accidents are also known as "never events" 9. Undocumented students have a degree of anxiety Columnists because they are considered preventable, and many safety experts say they should 10. Fire destroys 40 homes in Northern California Print Edition never happen. California patients are being injured at a rate of about 100 a month, Readers' Rep according to data compiled by the state Department of Public Health. Corrections "I think the never events are a wake-up call to everyone about the safety of California The Guide hospitals," said Beth Capell, a lobbyist for Health Access California, a consumer The Envelope group. Travel Magazine Revelations of such errors have led lawmakers and hospital associations in at least Home & Garden seven states to protect patients from having to pay for the cost of care that went awry. Health In Sacramento, an assemblyman proposed a ban on reimbursing hospitals for the Food types of injuries tracked by the state. But when lobbyists for doctors and hospitals Autos objected, he scaled it back to cover far fewer errors. Books Image Four million people were admitted to California hospitals last year. State investigators Arts & Culture found some errors occurred because hospitals failed to follow safeguards designed Living Green specifically to prevent harm. Video Photography Last July at UC San Diego Medical Center, a patient died after a nurse incorrectly Obituaries programmed a medicine pump that then delivered more than twice the appropriate Crossword, Sudoku dose of a specialized blood pressure drug. Regulators found that the hospital's Your Scene administration had been warned earlier by its own safety committee that "errors Blogs continue to occur" with that type of pump but had not taken sufficient corrective action, All Sections according to a state probe.

Buy, Sell & More UC San Diego officials said they have since held repeat drills with staffers who treat patients with Flolan and examined every step in the process. Jobs Cars Dr. Angela Scioscia, the center's senior medical director, said the public reporting Real Estate requirement is "a great opportunity to make rapid improvements" because hospitals

Apartments can learn from one another's problems. "We don't want people to be afraid when they Personals come into hospitals, because they are becoming safer and safer all the time," Deals at Local Stores Scioscia said. Coupons Newspaper Ads Under the 2006 disclosure law by state Sen. Elaine Alquist (D-Santa Clara), hospitals must inform state regulators of every occurrence of 28 different types of dangerous Place an Ad mistakes. Those include deaths during labor, medication errors, suicide attempts and sexual assaults. In the Newspaper Online The public health department has until 2015 to begin posting the information on the Internet, although officials said they hope to begin publishing it earlier. The most recent Settings & Services figures available cover the 10 months since July 2007. In that time, 466 patients developed bedsores so severe that the dead skin formed a crater or rotted through to Sign In the muscle or bone. Register Personalized News Another 145 patients had foreign objects such as surgical equipment left in their E-Mail Newsletters bodies. Thirty-four died while under anesthesia. In 41 surgeries, doctors performed the RSS Feeds wrong procedure or operated on the wrong body part or on the wrong patient. Help Contact Us So far, the state Department of Public Health has levied $25,000 fines against 10 L.A. Times Archives hospitals that reported adverse events. Officials said other investigations are still under Sports Headlines Reprint Requests way. 1. Kobe Bryant's time has arrived Work for Us 2. Doping case against Tour de France winner Landis One hospital, Scripps Memorial in La Jolla, was fined twice for two errors that occurred is upheld last November with the same patient. First, as the patient was recovering from surgery, Home Delivery 3. Angels avoid being swept by Dodgers she was given a painkiller that is not supposed to be used after operations. When she Customer Support went into respiratory arrest, the pharmacist provided a corrective medication at a dose 4. Track's future rests on sprinters' tests Subscribe 10 times too weak to be effective. 5. Anita Ortega's drive at UCLA pays off for LAPD

The patient survived. State investigators discovered that the hospital's pharmacists had not been properly instructed in the use of 10 medications, including the corrective drug, that the hospital stocked for emergencies. Lotus flowers in peril

The ventilator error at Stanford's Lucile Packard Children's Hospital occurred because It's likely that there a therapist had assembled the machine by following a diagram that had been drawn will be no lotus at all backward. Dr. Christy Sandborg, the hospital's chief of staff, said the medical team for the first time in quickly noticed that the ventilator wasn't working correctly and stopped using it. The the 31-year history of Echo Park's annual child recovered, she said, and the hospital has made changes to prevent future Lotus Festival. occurrences.

Overcrowded emergency rooms are another factor behind patient injuries. A 2006 study found that California had fewer emergency rooms per resident than any other state. Your Scene: Reader Photos

At Kaiser Foundation Hospital San Jose in March, staffers left a patient waiting in the emergency room for more than an hour after a test showed that his blood sugar was View our readers' photos of Weird Warnings and share your own at Your higher than the maximum measurable with a glucometer. The medics determined that Scene. he needed immediate care, but all 25 treatment bays were full. He passed out in the Submit your photo » waiting room and died from heart failure.

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