Bristol Wrong
經過我們分析後,我們認為Bristol RVI犯了多項嚴重錯誤,引起多宗不必要的死亡和不合標準的醫療事故出現,要為多宗事故負上大部份責任.
我們在報告中得知接受心臟手術的兒童有三分之一得不到足夠的照顧,該心臟單位被分成兩個站點，沒有專門的兒童重症監護病床，沒有辦法監控質量和組織不力。
而且醫院沒有監管機制,醫生沒有足夠實習和資歷令1988至1995年間29位兒童在不當操作下死亡.
此外,醫生的專業操守有問題,掩蓋醫院死亡率,導至多宗醫療事故被掩蓋.
最後,醫院內醫護人員短缺,經驗不足,竟然不遵守程序,不通知病人的家屬,直接燒毀死者的屍體,可見培訓不足,機制混亂.
After our analysis, we believe that Bristol RVI committed a number of serious errors, causing unnecessary deaths and cases in sub-standard medical malpractice appears to be as much a negative incident on most responsibility.
We learned that in the report of children undergoing cardiac surgery do not get enough to take care of one-third of the cardiac unit is divided into two sites, there is no specific pediatric intensive care beds, there is no way to monitor the quality and poor organization.
And there is no regulatory mechanism hospital, doctors do not have enough training and qualifications so that from 1988 to 1995 among 29 children died in improper operation.
In addition, the doctor's professional conduct in question, conceal hospital mortality, the guide was covered up cases of medical malpractice.
Finally, the hospital staff shortages, lack of experience, did not comply with the program, do not inform the patient's family, the direct burning of dead bodies, showing lack of training, mechanisms confusion.
我們在報告中得知接受心臟手術的兒童有三分之一得不到足夠的照顧,該心臟單位被分成兩個站點，沒有專門的兒童重症監護病床，沒有辦法監控質量和組織不力。
而且醫院沒有監管機制,醫生沒有足夠實習和資歷令1988至1995年間29位兒童在不當操作下死亡.
此外,醫生的專業操守有問題,掩蓋醫院死亡率,導至多宗醫療事故被掩蓋.
最後,醫院內醫護人員短缺,經驗不足,竟然不遵守程序,不通知病人的家屬,直接燒毀死者的屍體,可見培訓不足,機制混亂.
After our analysis, we believe that Bristol RVI committed a number of serious errors, causing unnecessary deaths and cases in sub-standard medical malpractice appears to be as much a negative incident on most responsibility.
We learned that in the report of children undergoing cardiac surgery do not get enough to take care of one-third of the cardiac unit is divided into two sites, there is no specific pediatric intensive care beds, there is no way to monitor the quality and poor organization.
And there is no regulatory mechanism hospital, doctors do not have enough training and qualifications so that from 1988 to 1995 among 29 children died in improper operation.
In addition, the doctor's professional conduct in question, conceal hospital mortality, the guide was covered up cases of medical malpractice.
Finally, the hospital staff shortages, lack of experience, did not comply with the program, do not inform the patient's family, the direct burning of dead bodies, showing lack of training, mechanisms confusion.