Top hospital in Jeddah closed temporarily after fatal error

Top hospital in Jeddah closed temporarily after fatal error
Updated 20 November 2012
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Top hospital in Jeddah closed temporarily after fatal error

Top hospital in Jeddah closed temporarily after fatal error

JEDDAH: Dr. Erfan & Bagedo Hospital has started transferring patients to other hospitals today after it was served a temporary closure order from the Ministry of Health, employees of the premier medical institution in Jeddah said today.

Hospital employees, who asked not to be named as they were not authorized to speak for management, told Arab News that the hospital has stopped admitting new patients and the transfer of 280 inpatients was going on. Forty-five of the inpatients are under intensive care and and 39 under dialysis.

The hospital has around 3,000 employees, with Saudis accounting for more than half the number. The rest of the hospital staff are expatriates, notably Egyptians, Indians and Filipinos.

Health Minister Dr. Abdullah Al-Rabeeah had earlier ordered the hospital closed for two months following the death of Salah Al-Deen, an eight-year-old son of a prominent businessman, Sheikh Yusuf Jameel, due to a fatal medical error during a surgery.

A Ministry of Health official has said the hospital will remain closed for two months "until the hospital regularizes its medical and technical functions in accordance with set medical standards."

The recommentation was made by a medical committee composed of consultants in intensive care, surgeons and anesthetesiologists, which studied the case of the deceased child upon receipt of the complaint made by the aggrieved parents.

During its inquiry, the committee, listenined to the testimony of doctors, paramedics and technicians involved in the case.

As found by the committee, the boy was taken to the hospital on Thursday for a checkup after he developed symptoms of swollen lymphatic glands, following a two-week-long bout of fever. The child's mother gave her consent to doctors to perform the necessary surgery after she was reassured that it was a simple operation that would only last for 30 minutes.

However, the doctors reportedly operated upon the boy in an X-ray lab that was not equipped for surgical operations. In the course of anesthesia procedure, the boy was administered nitrogen instead of oxygen. By the time surgeons had discovered the mistake, the circulatory system had been completely damaged. The situation was further exacerbated because the X-ray room was not equipped for emergency cardiac resuscitation.

In announcing the suspension of the hospital's operation, the MOH earlier noted previous complaints of irregularities practiced in the hospital have rendered it unsafe for patients. An official from the MOH said the committee had noted repeated violations by the hospital since 2008.

In its recommendation, the committee said remedial measures should satisfy the health authorities to ensure that the hospital is safe and secure for treating patients and fit for re-opening. 

The committee had also found that the cardiopulmonary resuscitation team at the hospital did not work in a scientific manner in dealing with crisis situations such as this one.  
The operating theater was not adequately equipped with personnel and apparatus for anesthesia and cardiopulmonary resuscitation (CPR).
The committee also noted that the there was a lack of supervision by the management over the functions of the hospital, especially in  the maintenance of equipment used for surgery.
The official said that the decision for the closure of the hospital is a clear indication of the MOH's keenness in maintaining high health and safety standards for the patients.  
"The ministry will not tolerate any medical blunders on any patient. We will continue to impose penalties and take legal action against any health institution that does not adhere to quality standards required by the ministry of  health.”
The ministry also expressed its sincere condolences to the members of the family of the deceased child.
The hospital administration has blamed a technical maintenance company for the fatal error and has filed a complaint to the police department against the company for bungling the medical equipment system. 
“The mistake happened inside the x-ray room when the maintenance company mixed up the oxygen and nitrogen inlets. The company carried out its routine maintenance without the knowledge of authorities at the hospital,” the hospital statement said on Thursday.
The hospital offered condolences to the bereaved relatives on behalf of the administration and staff members. 
Health Minister Al-Rabeeah has been personally following the case and has called for an urgent report about the cause of the child’s death. The hospital said it would cooperate fully with MOH officials and that it has handed over the files related to the medical error to the health directorate in Jeddah.