Lucas Allard (Lucas Allard)

2020: Death from a rupture of an aorta because of wrong KT

At the end of October, 2020 in hospital of Korolev of Elizabeth in Great Britain investigation after the death of 28-year-old Lucas Allard who died of a rupture of aneurysm of an aorta began. The doctor by mistake decided to write out Allard taking into account favorable results of KT, however these pictures belonged to other patient. At Allard the rupture of aneurysm resulted. Zamglavvrach reported hospitals that employees learned a lesson from this case and made a number of changes to administrative procedures to avoid similar tragedies in the future.

In March, 2019 Halard was hospitalized with breast pain which extended to a back and shoulders. To him made a computer tomography which as he was told, did not reveal any aberrations. Before the statement Allardu entered morphine for pain relief.

The 28-year-old man died of a rupture of an aorta because of wrong KT

Later the consultant browsed KT-images of patients and found out that wrong data got to a computer system of hospital. Allard was urgently called back in hospital and has to be transferred to specialized clinic for treatment of diseases of lungs and heart for transaction, however Allard died when transporting.

It turned out that the error was a consequence of an outdated computer system of hospital which could not start several programs at the same time. At the same time the doctor who analyzed KT-pictures worked overtime because of staff shortage. Though its change had to end per hour nights, he remained in department of emergency aid till 3:30 a.m. in the morning.

After the incident the hospital decided to purchase more convenient computer system which automates a part of processes. Employees recognize that Allard's death could be prevented: if the duty radiologist transmitted results to department directly or if the doctor analyzing pictures paid attention to date of KT. Now, according to the new procedures adopted in hospital about any deviations revealed at KT, employees should tell the attending physician immediately. Besides, the hospital promises to lower load of the personnel working at night.^[1]

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