Fri. Feb 23rd, 2024

Emergencies singled out by coroners for 25 years

Open in full screen mode

Quebec hospitals record around 3.5 million visits per year.

  • Daniel Boily (View profile)Daniel Boily
  • Davide Gentile (View profile)Davide Gentile

Speech synthesis, based on artificial intelligence, makes it possible to generate spoken text from written text.

The death of patients in the emergency room, like those that occurred at Anna-Laberge hospital which recently made the headlines, is not a rare phenomenon. In fact, deaths in emergency rooms are not exceptional situations.

Every year, more than 6,000 deaths occur there for all kinds of reasons, according to data from the Ministry of Health. This corresponds to approximately 0.20% of the millions of emergency room visits in Quebec each year.

Some of these deaths are sometimes the subject of coroner's inquests, as in the case of the Anna-Laberge hospital, in order to highlight the reasons for the deaths, the circumstances, and make recommendations, if necessary.

To date, in 2023 , the Coroner's Office specifies that it has published three reports, two of which contain recommendations.

We've looked through several products over the years, including one in 2021 linked to Hull Hospital.

LoadingBill 15 on health reform adopted this morning in Quebec

ELSE ON NEWS: The bill 15 on health reform adopted this morning in Quebec

Arriving by ambulance, the 60-year-old man was found without signs of life in his stretcher by the doctor who was going to meet him for the very first time almost seven hours after his admission to the emergency room.

The patient died of acute myocardial failure. He had a lengthy medical file and according to the coroner, he should have been reassessed twice as often by the nurses. The latter will also recommend improving medical treatment times in the emergency room to move towards the times recommended by professional orders.

The question of the delay in medical care is not new. Already in 1997, a coroner had criticized the Jonquière hospital for delaying taking care of a 55-year-old patient who died of a massive hemopericardium secondary to a ruptured aneurysm.

I find that a delay of seven hours after a patient has been referred to an emergency by another doctor, before he is seen by the emergency doctor, is difficult acceptable, he wrote.

In a more recent case at Granby hospital, in 2022, a 66-year-old patient was discovered lifeless almost two hours after being placed in a room. Classified P2 in triage, his situation was considered very urgent, which should have required rapid treatment and patient monitoring carried out every 15 minutes.

The lady died of a massive brain hemorrhage. Recommendations were made to the establishment which triggered an internal audit.

Open in full screen mode

The average time it takes to be seen by a doctor after triage is currently three hours.

In Ontario, an emergency audit report released this week by the Office of the Auditor General of Ontario cited an Ontario study from the Institute for Healthcare Research.

Patients who wait longer for an initial evaluation by a doctor are more likely to require hospitalization, it is written.

The study also found a slightly higher risk of death for every hour of emergency room waits

A quote from Office of the Auditor General of Ontario

Redirecting patients to GMF family doctors during emergency triage can also be risky for some patients.

In 2022, a 65-year-old patient from Trois-Rivières will be found unconscious at home the next morning after presenting herself to the emergency room of the Trois-Rivières Regional Affiliated University Hospital Center (CHAUR). The lady, who died of acute bronchopneumonia, had a history of pulmonary disease in addition to being followed at CHAUR.

Considering the lady's symptoms (high temperature, cough, weakness, low saturation) and in light of her history, there was a potential link with the diagnosis of pneumonia, a diagnosis which was made at the end of the autopsy and which is causal cause of death, the coroner will conclude.

At the triage stage, it is essential to properly document the history to better establish the risk that the patient present.

In other cases, the death will be linked to a medical error, as at the Cité-de-la-Santé in Laval in 2022 where a 76-year-old man died of Propofol poisoning, in the context of a dosage error.

Other reports that we consulted do not lead to any recommendation from the coroner.

  • Daniel Boily (View profile)Daniel BoilyFollow
  • Davide Gentile (View profile)Davide GentileFollow

By admin

Related Post