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发表于 2014-12-7 14:05:29 | 只看该作者 回帖奖励 |倒序浏览 |阅读模式
The families of the question: Why are "a care" patients, died four hours but did not care records
The hospital responded: suggested that the family medical identification
Just a year old  (a pseudonym), after four days in hospital, died.
Because fever suspected to be suffering from measles, she on September 6 to Fuzhou hospital treatment of infectious diseases. The first three days in hospital, her condition was stable until September 10 morning, the nightmare begins.
Who do not know, from the beginning to the end of life of a short fever over six hours, Hsuan little body, how to withstand pain. Hsuan  dad said that in a few hours before the death of a child,sito peuterey, the medical staff did not attend to understand the child's condition. He also repeatedly after the child has a fever,http://www.egk.org, seek the help of doctors and nurses, but they did not appear in time.
[Family questioned]
Children with persistent fever levels of care to 40 ℃ Why did the medical staff?
According to Lin Youmin introduced as persistent fever for three days, September 6, a year-old daughter Hsuan from Ningde, Fuzhou hospital to hospital for treatment of infectious diseases. In the afternoon, was diagnosed with "fever, rash of unknown origin:? Measles" will Hsuan received hospital.
After admission, Hsuan's condition was stable. At 19:00 on September 9, Hsuan after hanging drip sleep. But I never thought, at 0:30 on September 10 Xu, Hsuan has a fever, 38.7 ℃. Linyou Min immediately report the nurse, who gave the children to eat a 3 ml of ibuprofen suspension fever.
To 5:40 Xu, Lin Youmin feel wrong, give the child to measure body temperature,moncler bady, found that children burn up 40.2 ℃. He felt something bad, quickly found the doctor on duty, did not find it, went to see the nurse on duty. Nurse on duty to let him cool down with ice physics. He got the ice with a cloth wrap it in Hsuan armpit to cool. After a few minutes,http://www.matsue-yado.com/otoku/clip.cgi, he measured the children axillary temperature of 38 ℃. He is not assured, and then after a few minutes, he measured the child's temperature and found that promoted 38.5 ℃.
Linyou Min again went to the nurse, who advised him to find a doctor. So he went to the doctor's office to find someone quickly, the doctor advised him to give the child to eat three milliliters of ibuprofen suspension, in addition to no longer have any treatment.
Unexpectedly, this one feeds the drug, the children flew pale body felt weak. Parents say the same ward, this is not right. He hastened to take their children straight to the Doctor's office. Doctors found serious immediate implementation of the rescue. This time the child not breathing, doctors save more than an hour did not work. At 7:00 on the 10th, the doctor announced Hsuan died. Cause of death: cardiac and respiratory arrest.
Death of a child, let Lin Youmin a difficult to accept. Hsuan's family questioned the hospital's management and problem diagnosis and treatment of the patient, so that his children, a primary care needs of patients from the day 2:00 to 6:00, persistent fever to 40.2 ℃, but no medical personnel to the scene inspection and treatment, resulting in the tragic death of a child occurred. He said that according to the provisions of primary care patients, health care workers must be inspected once an hour to the child's condition, if the medical staff do to responsibility, to discover the child's condition changes, timely measures, perhaps the child will not die.
[Respond] hospital
The day of admission notice has been under heavy incidence
Patients with high fever temperature drops to four hours after the test
For the families of the patients questioned,giubbini moncler donna, infectious disease hospital in Fuzhou sent to reporters a "medical procedure on ### note."
Explained that: ill children admitted to hospital the same day issued a notice that his father Linyou Min personally signed and confirmed by medical records in the original records.
Why did four hours of care a missing nurse to check? Hospital responded that after the nurse on duty at the time at 00:00 on September 10 shift seen in children, in strict accordance with the norms primary care ward rounds once every hour, and patrol the case recorded in the "seriously ill, primary care tour card "on; according to conventional treatment, patients' body temperature above 38.5 ℃ to take antipyretics. When the children at 00:30 am on a fever 38.7 ℃ taking ibuprofen, nearly 6:00 am on fever to 40.2 ℃, the drug half-life of less than six hours, the first to take physical cooling ice that form, and the children recurrent fever during hospitalization, the maximum temperature had reached 40.2 ℃, after oral administration of ibuprofen and ice to cool the temperature can drop physics; 2:00 when the temperature drops to 37.5 ℃ in children and sleep, decreased to care routine based on patient body temperature 37.5 ℃, the temperature can be measured after four hours. 06:00 nurse notified body temperature in children with fathers to the children, does not violate the norms of care, care for children in place.
Hospital that: they attach great importance to the event, which was held in the Committee of Experts Meeting hospital September 10, 2012 afternoon,http://www.welt-urlaub.de/cgi-bin/links/add.cgi, after forensic investigation, serious discussion, agreed that within the hospital for treatment of infectious diseases in children in Fuzhou, nearly 90 hours diagnosis specifically, in the medical, nursing without any fault of their death is in critical condition,woolrich online shop, a result of rapid development. As families have objections,http://bbs.yidaban.com/forum.php?mod=viewthread&tid=52953, recommended that its medical identification through the legal process.
Fuzhou Infectious Diseases Hospital Medical  in an interview, said, "If the results of the determination we are wrong, we are willing to bear the corresponding compensation. In the case of the hospital is not at fault, according to the patient's economic situation, the hospital can give some humanity aid doctrine. "
[Sound]
In the hands of families save a stack of medical records, according to family members copy medical records, some in the industry made a few comments. Family members also expressed their own voice.
Sound 1
Children's medical records "ill" is being modified,http://model-cafe.net? If the issue "seriously ill" Why no special care?
Insiders said that from the perspective of family members of the medical records,http://bbs.jxjingan.com/home.php?mod=space&uid=181474, details of which there are some contradictory.
At 14:00 on September 6, is displayed on the admission records, the child's body temperature is 37.5 ℃, this is not high,outlet moncler online italia, while the lungs and heart examination also showed no obvious abnormalities, mental, respond well to the initial diagnosis of normal development ...... The result: a fever, rash of unknown origin: Measles? 2. congenital deafness; 3. spiritual, sports retardation.
In general, the doctor for a physical examination of the most serious admission. "The spirit of good response, normal development,scarpe hogan interactive," and diagnosis, "the spirit of sport retardation", this oxymoron little people do not understand.
Meanwhile, in the doctor's advice, and September 6 two in the afternoon, the doctor under the "sick" of the doctor. This is clearly the result of the above cases, physical examination on admission does not match, the word used in the physical examination are "No", "No", but the doctor has shown "very ill." What is the basis for seriously ill? Patients look no dehydration, no coma, confusion, fever and other symptoms.
In addition, under doctor's orders to be signed notify families of seriously ill, no relevant medical records also the families of seriously ill notice signed. So 6 Kusakabe "sick" doctor a little non-compliance.
Insiders said that, based on the data analysis, there are two cases, one case of a child is indeed a problem, but doctors do not seriously neglected, no written records of admission. Another case is referred to as the parents, the child is really no problem, your doctor home afterwards made changes.
"The hospital is lying." For the day has been under a doctor notice something was seriously ill, the father Linyou Min said that when the children are very good indicators of physical examination on admission, he did not sign too fat "seriously ill" notice under the hospital, if Really sick child,moncler toulouse, in accordance with the requirements of care, it is not for the level of a patient's condition stabilized care, but should be a special care.
Sound 2
Fever seriously ill patients 6 hours no further measures are not consistent with common sense
The industry also suggested that if a statement by the hospital admission on the "ill", and lived four days still recurrent fever, the patient's condition is unstable, and in up to six hours a fever above 40 ℃,http://www.thecandyland.org/item/create_form/1592, the medical records are show only, simply take antipyretics and physical cooling, without further checks and measures, which is somewhat inconsistent with common sense, especially when medical care 2:00 to 6:00 in and there is no record.
In accordance with the relevant provisions of the Ministry of Health, by nurses objective record of critically ill patients in hospital care during the process according to medical advice and treatment. Where special care, dying, sick, special treatment, close observation of the patient's condition and needs major surgery within three days after the record should be used in critical care patients. Including patient name,giubbotto moncler uomo prezzo, divisions, hospital medical record number (or medical record number),http://hikumano.hama-med.ac.jp,moncler prezzo, bed number, page number, record the date and time, and out of the liquid volume, temperature, pulse, respiration, blood pressure and disease were observed,chaussures jordan femme pas cher, and the effect of nursing interventions, nurses signature and so on.
The industry sources said, time critical patient care records should be specific to the minutes, rather than four hours appear blank.
Sound 3
Hospital management in place
Insiders said that because not seen the complete medical records, hospital if there are mistakes, this is difficult to determine. But the hospital's medical staff work is not rigorous, management is not in place, this is obvious.
For example, according to relevant regulations, within 72 hours after admission to the hospital for the patient's condition would make a diagnosis, not find the cause, we are looking for other sections consultation, or to ask for higher hospital consultation, the patient is diagnosed. Can not go to the hospital, do not let the patient had to figure out what was wrong in the end. And Hsuan until death on the death certificate of her death is still a direct result of illness with fever, rash of unknown origin: Measles?
Sound 4
The families of the children said, "hospital in fake medical records"
"Hospitals in fake medical records." Said the families of the children, at 12:00 on September 10,cadriano outlet woolrich, he returned from the hospital,misure woolrich, the child's medical record copying, found taking 6:50 "ibuprofen suspension" and has for the records in their care Children with body temperature. In fact after 00:30 am on nurses and doctors did not even done any checks to the children, many children have been 6:00 in the rescue, how could stop breathing for a cool and patient about to stop taking the heartbeat and body temperature measuring it?
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