HLT-313V Topic 2 DQ 1

Using the GCU Library, locate and summarize an allied health malpractice or negligence case study. If possible, select a case within your chosen field of study. What went wrong? What workplace safety, risk management, and/or quality improvement steps were involved? What could have been done differently? If you were in charge of making sure this type of event never occurred again, what steps would you implement into the risk management plan?
You are required to use and cite a minimum of two references from the GCU Library to support your response.

Solution

I chose to discuss the negligence case studies pertaining to lead extractions for patients with cardiac devices. I work in the procedural area of cardiac procedures and have done extractions of leads in the past. This case study went over the complications that come with lead extractions, from vessel tears to open heart surgery to death. Pulling out hardware that is encapsulated in the body is very dangerous when it is adhered to the great vessels of the body, it can cause one to bleed out in a matter of seconds. Not having backup ready to step in is a huge mistake that organizations nd providers make as seen in the reported malpractice papers. It is a risk management step to always perform these procedures in an OR suite with the open heart team and physician on standby and blood transfusion ready in the room in case of the worst. Otherwise a patient will not be able to survive such a complication of a vessel tear in the body that is not accessible. Though it is impossible to guarantee that these complications do not ever occur as it is dependent on every patient differently, to make sure these kinds of the result of such a complication is not severe, I would always make sure that I use every tool that would benefit the patient. I would have anesthesia perform general sedation on the patients. Also, I would make sure that I always had blood transfusion bags in the room by the anesthesia provider ready and make sure they have a central line within ready reach. I would have the OR team on stand by and have them have their packs ready for open heart surgery if the need presented itself and have the open heart surgeon ready outside the room. All these steps would aid in the stabilization of the patient and help them walk away from such a procedure.

Kristina Peregudov

References

Jowers Jr., G. D. (2015). Getting to the Heart of Wrongful Deaths in Catheterization Labs. Trial: The National Legal Newsmagazine, 51(10), 38–40.

Montisci, R., Licciardi, M., Cecchi, R., Kondo, T., Gerosa, G., Casula, R., Cecchetto, G., & Montisci, M. (2023). Malpratice claims in cardiology and cardiac surgery: A medico-legal issue. Legal Medicine (Tokyo, Japan), 65, 102319. https://doi-org.lopes.idm.oclc.org/10.1016/j.legalmed.2023.102319

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