Other significant findings include errors made at Saint Francis Hospital and Medical Center in Hartford. In one instance, a tool known as a snap was left in a patient’s chest after coronary bypass surgery. In another case, a physician inserting a pacemaker in a patient noticed a guide wire was “floating” near the patient’s right atrium but later forgot about it and left it in the patient, according to DPH.
Also at the hospital, a central line was incorrectly placed in a patient’s artery rather than a vein, which has to be fixed surgically. Separately, a patient admitted for a colonoscopy and upper GI endoscopy incorrectly underwent an esophageal dilatation that was intended for another patient, after staff failed to perform a “time out” in between the procedures, the inspection report said.
At Bridgeport Hospital, a newborn fell from a bassinet while being transported by a registered nurse. According to DPH, a nurse moving a baby from the labor and delivery area to the newborn nursery held the upper plastic portion of the bassinet rather than the lower metal part. The nurse’s foot hooked onto the bottom of the crib, causing the infant to fall to the ground. The baby was examined and found to have no injuries.
Also at Bridgeport hospital, a piece of a surgical sponge was left in a patient’s vaginal canal after a hysterectomy surgery. The sponge wasn’t found until the patient came to the emergency department several months after the surgery, complaining of vaginal bleeding that lasted several weeks, DPH reported.
At Bristol Hospital, a patient about to have cataract surgery incorrectly had an anesthesia block performed on the wrong eye. The surgeon and patient were immediately notified and the surgery was rescheduled.
The DPH generally surveys Connecticut hospitals every two to four years. During the unannounced visits, inspectors tour facilities, observe staff in action and examine documents. Though hospitals are surveyed every several years, DPH typically inspects them more frequently in response to complaints and investigations, according to DPH spokeswoman Maura Downes.
In response to the inspection reports, hospitals submit corrective action plans that require DPH approval.
- Connecticut’s Latest Hospital Inspection Reports Available On C-HIT
- Waterford And Bridgeport Eye Surgery Centers Fined For Operating On Wrong Eyes
- Ct Hospital Reports Of Surgical, Medication Errors Climb
- Connecticut Hospital Inspection Reports Now Available On C-HIT
- Fewer Errors Reported By Connecticut Hospitals, But Concerns Remain
- Medical Errors Decline In Connecticut By 3 Percent In 2015