{"id":148,"date":"2016-01-07T13:28:39","date_gmt":"2016-01-07T11:28:39","guid":{"rendered":"http:\/\/test01.georgebaciu.pro\/?p=148"},"modified":"2016-03-31T14:21:14","modified_gmt":"2016-03-31T12:21:14","slug":"never-events","status":"publish","type":"post","link":"https:\/\/blog.georgebaciu.pro\/?p=148","title":{"rendered":"never events"},"content":{"rendered":"<p>Am aflat c\u0103 \u00een sistemul sanitar american nu exist\u0103 scuze pentru doctori sau ceilal\u021bi din sistem dac\u0103 se \u00eent\u00eempl\u0103 una din situa\u021biile de mai jos:<\/p>\n<ul>\n<li>\u00eenseminarea artificial\u0103 de la un donor gre\u0219it (fie\u00a0c\u0103 e spermatozoidul gre\u0219it, fie c\u0103 e ovulul gree\u0219it)<\/li>\n<li>uitarea\/l\u0103sarea\/introducerea \u00een pacient a unor obiecte care nu fac obiectul procedurii (chirurgicale sau de alt\u0103 natur\u0103)<\/li>\n<li>c\u00eet timp e\u0219ti \u00een spital s\u00eent r\u0103spunz\u0103tori pentru ce \u021bi se-nt\u00eempl\u0103\n<ul>\n<li>medica\u021bie eronat\u0103 (au gre\u0219it medicamentul, au gre\u0219it pacientul, au gre\u0219it administrarea, au gre\u0219it cantitatea \u0219amd)<\/li>\n<li>transfuzie eronat\u0103 (au gre\u0219it grupa de s\u00eenge sau HLA sau te-au infectat cu HIV)<\/li>\n<li>embolie (astuparea unui vas sanguin cu o bul\u0103 de aer)<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 \u00een urma unui \u0219oc electric (exits\u0103 o procedur\u0103 \u00een care inimii i se aplic\u0103 un \u0219oc pentru reglarea ritmului)<\/li>\n<li>arsuri<\/li>\n<li>alte ulcera\u021bii de gradul 3 sau 4 (r\u0103ni grave legate de chimicale, temperatur\u0103, frecare \u0219amd)<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 \u00een urma unei c\u0103deri (cam birocratic\u0103 acest\u0103 idee)<\/li>\n<li>sinuciderea pacientului (cam stupid\u0103)<\/li>\n<li>agresiune fizic\u0103 sau sexual\u0103<\/li>\n<li>dispari\u021bia sau r\u0103pirea pacientului<\/li>\n<\/ul>\n<\/li>\n<li>gre\u0219eli chirurcicale\n<ul>\n<li>au gre\u0219it pacientul!<\/li>\n<li>au gre\u0219it opera\u021bia (fie au gre\u0219it piciorul, fie au f\u0103cut alt\u0103 opera\u021bie, fie nu au respectat protocolul)<\/li>\n<li>moartea intraoperatorie sau post operatorie dup\u0103 o opera\u021bie simpl\u0103 (avem un caz cu unul care s-a dus cu m\u00eena rupt\u0103 \u0219i n-a mai ie\u0219it viu din spital)<\/li>\n<\/ul>\n<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 \u00een urma contamin\u0103rii din spital, legat\u0103 de unelte, medicamente sau oricealtceva<\/li>\n<li>folosirea uneltelor \u00een alt scop dec\u00eet au fost create<\/li>\n<li>\u021bi-au\u00a0dat alt\u00a0copil sau l-au dat p-al t\u0103u altuia<\/li>\n<li>moartea mamei la o na\u0219tere low-risk<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 asociat\u0103 hipoglicemiei (m\u0103car o perfuzie cu glucoz\u0103 pot s\u0103-\u021bi fac\u0103!)<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 a f\u0103tului legate de hyperbilirubinemia (ceva legat de icter la copii)<\/li>\n<li>moarte sau r\u0103nirea grav\u0103\u00a0\u00een urma <em>spinal manipulative therapy<\/em><\/li>\n<li>\u00ee\u021bi bag\u0103 pe g\u00eet alt gaz dec\u00eet cel prescris (la anestezie \u00eencurc\u0103 gazul)<\/li>\n<li>moartea sau r\u0103nirea grav\u0103 a pacientului legat de pat<\/li>\n<li>orice incident legat de un fals\u00a0doctor\u00a0(sau orice alt rol din sistem)<\/li>\n<\/ul>\n<p>Par de bun sim\u021b, de ce nu avem \u0219i noi astfel de reguli \u00een sistemul sanitar? Sau m\u0103car s\u0103 fie considerate de bun sim\u021b la judacat\u0103?<\/p>\n<p><span id=\"dnn_ctr435_MainView_ViewEntry_lblEntry\"><\/span>G.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Am aflat c\u0103 \u00een sistemul sanitar american nu exist\u0103 scuze pentru doctori sau ceilal\u021bi din sistem dac\u0103 se \u00eent\u00eempl\u0103 una din situa\u021biile de mai jos: \u00eenseminarea artificial\u0103 de la un donor gre\u0219it (fie\u00a0c\u0103 e spermatozoidul gre\u0219it, fie c\u0103 e ovulul gree\u0219it) uitarea\/l\u0103sarea\/introducerea \u00een pacient a unor obiecte care nu fac obiectul procedurii (chirurgicale sau de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/posts\/148"}],"collection":[{"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=148"}],"version-history":[{"count":3,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/posts\/148\/revisions"}],"predecessor-version":[{"id":170,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=\/wp\/v2\/posts\/148\/revisions\/170"}],"wp:attachment":[{"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.georgebaciu.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}