Question

Hospital Administration Expert Comments on Delay in Critical
Surgery
This case involves a female patient that was hit by a car while riding on her motor scooter. She
was taken to a local hospital, where she was diagnosed with multiple fractures in her spine, as
well as a minor fracture to her facial bones. She was transported from the local hospital to a
larger facility that was better equipped to treat her injuries. There, she was first seen by a
neurosurgeon, who diagnosed her with a small carotid artery dissection, who then
instructed hospital staff to give the patient aspirin and signed off the case. She was then seen by
an orthopedic surgeon who decided that her spinal fractures needed surgical repair. However, the
surgery was scheduled several days in the future, allegedly due to staffing issues. The procedure
was then pushed back again because several routine procedures were taking precedence. At some
point while waiting for surgery to be performed, the patient became a quadriplegic. An MRI was
performed for the first time since the accident, at which point it was discovered that the fracture
had been displaced, cutting off blood supply to her spinal chord. As a result of the delays in
surgical intervention, the patient now lives with severe mobility limitations and will require a
lifetime of ongoing care.
Analyze the case.​

Answer 1

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