Friday, June 27, 2008

NHS hospital pronounces ten-month-old girl dead -- despite her being alive

An investigation has begun into how a ten-month-old girl, feared drowned in the Thames, was wrongly pronounced dead by hospital staff. It was believed that the child had died after she fell in during an outing to feed the ducks with her mother and three-year-old sister. She was airlifted to John Radcliffe Hospital, Oxford, but after efforts to resuscitate her, doctors declared her dead. Police confirmed the tragedy at 11am, more than an hour after officers were first called to the scene on the towpath at Goring-on-Thames, Oxfordshire, yesterday morning.

A faint heartbeat was discovered later, and the girl remains in hospital in a critical condition. Neither the hospital nor the police would give details of how long it took hospital staff to discover that the child was still alive, nor could they confirm how the child got into difficulty in the water.

A spokeswoman for John Radcliffe Hospital said: “A full paediatric clinical team immediately attempted to resuscitate the child in the emergency department of the John Radcliffe. “After a lengthy period of resuscitation, a unanimous decision was made by the clinical team to stop treatment, in the best interests of the child. [It's in her best interests to be dead?????]

“Subsequently, the child showed very fragile signs of life. This does occasionally happen and the child was moved to the paediatric intensive care unit of the hospital. She remains there in an extremely serious and critical condition.”

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Crass Australian public hospital management kills little girl

Exhausted doctor didn't notice brain bleed. What was the hospital management thinking of to assume that a doctor did not need sleep? It's a wonder this sort of disaster does not come to light more often. The hospital manager should be sued for manslaughter

DOCTOR fatigue and the safety of bunk beds are among the issues being probed by an inquest into a girl who died hours after she was sent home from hospital. Elise Neville, then 10, struck her head in a fall from a bunk bed while on a family holiday at Caloundra, in Queensland, in January 2002. Bleeding in her brain went unnoticed by Dr Andrew Doneman, who was in the 20th hour of his 24-hour shift at Caloundra Hospital. The hospital had a policy of not admitting children and the Toowong, West Brisbane, schoolgirl was discharged.

She went to sleep on her parents' bed in Caloundra but was critically ill when her family woke at 7am. An unconscious Elise was flown to Brisbane for treatment. and died days later.

The court was told that in 2004, Dr Doneman pleaded guilty to unsatisfactory professional conduct but the issue of fatigue was raised. Health Practitioners Tribunal judge Debbie Richards said then that it seemed "extraordinary" that anyone should be working such long hours. "If this tragedy does nothing else, it should lead to the abolition of such brutally long shift hours," she said.

Queensland Health's acting director of medical workforce advice Suzanne Le Boutillier said an "alert doctors" strategy was being rolled out to help make doctors aware of fatigue. "Focusing solely on the hours of work does not make patients safe," she said. "There are a whole range of other factors that contribute to fatigue." Ms Le Boutillier said the strategy had gained support among doctors. "The great successes are where doctors drive this on the ground," she said.

The safety of bunk beds will also come under the scope of the inquest and how future deaths might be prevented.

Outside court, Elise's parents Gerard and Lorraine, said they hoped the inquest would identify and improve deficiencies in the health system. "There's been changes, that's great, but I need to see more," Mr Neville said. He said many Queenslanders lived in places removed from Brisbane and the bigger centres and they needed care too. "We were only one hour from Brisbane - one hour - and this is what happens," he said. Mrs Neville said: "I want people to see how beautiful she was and she's just always going to be a part of our lives. "We're Elise's voice and we'll see it through."

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