Mistake in the care of patient with diabetes while hospitalized
Authors:
R. Chlup; J. Ehrmann; S. Loyka
Authors place of work:
Univerzita Palackého v Olomouci, Lékařská fakulta a Fakultní nemocnice Olomouc
Published in the journal:
Reviz. posud. Lék., 22, 2019, č. 4, s. 99-101
Category:
Original Articles • Review Articles • Case Reports
Summary
This case report demonstrates a series of small deviations from the routine diabetes care which resulted in a fatal outcome with forensic consequences. A 75-year old man with type 2 diabetes was referred to a hospital due to acute pain in his right hip. The omitting of insulin prescription resulted in a fatal outcome. The experts concluded, various mishaps and such a critical medical error may occure in any healthcare institution at any time. The purpose of this report is reduce the risk of such pitfalls in the future.
Keywords:
diabetes mellitus – insulin therapy – cooperation between physicians and nurses – professional responsibility – competence – mishaps
Štítky
Medical assessment Occupational medicineČlánok vyšiel v časopise
Medical Revision
2019 Číslo 4
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