![]() The taking of vital signs and observations to calculate the EWS were also poorly adhered to overall. on two occasions the woman's care was not escalated in line with Te Whatu Ora's Early Warning Score (EWS) Mandatory Escalation Pathway. "There was no senior doctor meaningfully involved in her care in the first 13 hours of her admission. "Despite the woman's blood results and clinical features pointing to sepsis and the need to escalate her care, there were delays by a number of staff in recognising and appropriately responding to the situation," Caldwell said. Staff did not recognise signs of sepsis until 12 hours after the patient's admission, when she was taken to the High Dependency Unit.Ĭommissioner Dr Vanessa Caldwell expressed her sincere sympathy to the patient's family for their loss.įailings by hospital staff included a lengthy delay in seeing a doctor, and some vital observations being recorded wrong, she said. ![]() ![]() The patient fell ill following overseas cancer treatment in 2019, with her GP referring her to Taranaki Base Hospital's Emergency Department (ED). The Health and Disability Commissioner has found Te Whatu Ora Taranaki staff failed to recognise a patient had sepsis. Many Te Whatu Ora Taranaki staff missed opportunities to recognise and respond to the woman's serious illness, Vanessa Caldwell says.
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