eISSN: 1689-1716
ISSN: 0324-8267
Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology
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2/2015
vol. 65
 
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abstract:
Case report

Pharyngitis – fatal infectious disease or medical error?

Marta Rorat
,
Tomasz Jurek

Arch Med Sąd Kryminol 2015; 65 (2): 90–98
Online publish date: 2015/08/03
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Reporting on adverse events is essential to create a culture of safety, which focuses on protecting doctors and patients from medical errors. We present a fatal case of Streptococcus C pharyngitis in a 56-year-old man. The clinical course and the results of additional diagnostics and autopsy showed that sepsis followed by multiple organ failure was the ultimate cause of death. The clinical course appeared fatal due to a chain of adverse events, including errors made by the physicians caring for the patient for 10 days.
keywords:

clinical negligence, criminal law, deaths in hospital, drug prescribing

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