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Hospital discharge of woman at risk of stroke

Medication Error In Rest Home

Monday, 15 March 2021, 2:03 pm Deputy Health and Disability Commissioner Rose Wall today released a report finding a rest home provider and two registered nurses in breach of the Code of Health and Disability Services Consumers’ Rights (the Code) for failures in the care of an elderly resident. The man, aged in his eighties at the time of events, had multiple existing health conditions and was prescribed morphine for worsening pain. One morning, a registered nurse and two caregivers were on duty. None of these staff members had met the medication competency requirements set out in the rest home’s Medication Management policy. Medication competency

Health Investigation – DHB s care of woman and her baby

Source: Health and Disability Commissioner Deputy Health and Disability Commissioner Rose Wall today released a report finding a district health board (DHB) in breach of the Code of Health and Disability Services Consumers’ Rights (the Code) for failures in the care of a woman and her baby. The woman, aged in her twenties at the time, had a difficult pregnancy. She lost weight and required multiple hospital admissions for severe morning sickness (hyperemesis), and her baby’s growth was restricted. However, her midwife did not record the woman’s weight or fundal height (a measurement taken to assess fetal growth) at every antenatal assessment. In the early months of the woman’s pregnancy the midwife continued to review the woman when the Obstetrics team at the DHB were involved. However, the midwife did not document when she formally handed over care to the Obstetrics team, and there was no documented plan later in the pregnancy when transfer was necessary.

Prescription Error For Woman With Respiratory Complaint

Monday, 8 March 2021, 2:03 pm Health and Disability Commissioner Morag McDowell today released a report finding a general practitioner (GP) in breach of the Code of Health and Disability Services Consumers’ Rights (the Code) for failures in the care of a woman who presented with a respiratory complaint. The woman, aged in her sixties at the time of events, had a history of asthma. She saw her GP after becoming unwell with symptoms of a tight chest, sore throat, and upset stomach. The GP prescribed the woman with prednisone, a steroid medication, at a dosage of 80mg a day for a week,

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