CMS ac­cepts Van­der­bilt’s plan to im­prove care af­ter pa­tient’s death

Modern Healthcare - - Regional News - —Vir­gil Dick­son

The CMS said it has ac­cepted a plan of cor­rec­tive ac­tion sub­mit­ted by Nashville’s Van­der­bilt Univer­sity Med­i­cal Cen­ter af­ter the hos­pi­tal faced los­ing it’s Medi­care con­tract be­cause a pa­tient died af­ter re­ceiv­ing a large dose of the wrong med­i­ca­tion. Ter­mi­na­tion from

Medi­care would have taken place

Dec. 9 if Van­der­bilt didn’t take steps to make sure the mis­take didn’t hap­pen again, ac­cord­ing to a re­port given to Mod­ern Health­care by the CMS.

The pa­tient was ad­mit­ted to the hos­pi­tal in De­cem­ber 2017 suf­fer­ing from hematoma of the brain. A nurse mis­tak­enly gave the pa­tient 10 mil­ligrams of the anes­thetic ve­curo­nium, in­stead of what was pre­scribed, 2 mil­ligrams of the seda­tive Versed, to calm the pa­tient be­fore a scan. The pa­tient went into car­diac ar­rest and died. The nurse was fired, but the CMS said Van­der­bilt failed to re­port the in­ci­dent to the Ten­nessee Health De­part­ment, as is re­quired.

Van­der­bilt of­fi­cials be­lieve they took ap­pro­pri­ate ac­tions, in­clud­ing telling the pa­tient’s fam­ily about the er­ror and fir­ing the nurse.

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