HARTFORD — - The surgery was supposed to repair the patient's heart, but more than five hours into the procedure, something went wrong — a "catastrophic" failure of the pump meant to keep blood and oxygen flowing through the patient's body. The patient sustained a brain injury and died a month later.
But that wasn't the only thing that went wrong at St. Francis Hospital and Medical Center after the device failed, according to state health officials.
Under federal law and hospital policy, the hospital should have notified the federal government or the device manufacturer of the problem, but that did not happen, according to an investigation report by state regulators. Hospital policy called for the device to be impounded and for the director of clinical engineering to be notified without delay, but he wasn't told for more than two weeks, the report said. And, it stated, the device itself was put back into use within three to four days, even though it had not been examined by the required staff.
........Interviews with the director of clinical engineering indicated that the department was short-staffed and did not ask for resources to keep up with the required preventive maintenance, the report said.
Profit takes Precedence!!
Hidden Mistakes In Hospitals
But even when hospitals notify the state, the health department keeps most of those reports secret.
......That secrecy was written into the law after hospitals balked at the state's original adverse-event legislation, which gave the public broad access to reports of medical errors and accidents.
The legislature in 2002 ordered hospitals to disclose all serious patient injuries "associated with medical management." But after the first reports were made public, hospital lobbyists persuaded lawmakers to rewrite the statute in 2004, limiting the types of adverse events that must be divulged and promising to keep reports secret unless they led to an investigation.
Hospital Lobbyists?? Now it's.... LET'S MAKE A DEAL with hospital lobbyists thank you very much Mr. President!