Comments on: Losing a central line guide wire http://www.kevinmd.com/blog/2008/02/losing-central-line-guide-wire.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Gasmanhttp://www.kevinmd.com/blog/2008/02/losing-central-line-guide-wire.html#comment-83482 Gasman Sun, 10 Feb 2008 16:26:00 +0000 http://clients.emmense.com/kevinmd/2008/02/losing-a-central-line-guide-wire.html#comment-83482 At least he fessed up immediatly and this resulted in the wire being easily (without invasive interventional radiology procedure or the services of a vascular surgeon). <br/>What makes my blood boil is the almost yearly presentation at M and M conference of a wire found in the patient some days later on x-ray. The person who floated the wire into the blood stream wished the problem away and said nothing. <br/><br/>Floating the wire in, bad medicine, inadequate supervision, but momentary lapses of attention make this inevitable; but should be much more rare than it is.<br/>Floating the wire in and covering up the problem; character flaw. Requires transfer to a career where no body's life is on the life; assembling widgets in a factory perhaps. At least he fessed up immediatly and this resulted in the wire being easily (without invasive interventional radiology procedure or the services of a vascular surgeon).
What makes my blood boil is the almost yearly presentation at M and M conference of a wire found in the patient some days later on x-ray. The person who floated the wire into the blood stream wished the problem away and said nothing.

Floating the wire in, bad medicine, inadequate supervision, but momentary lapses of attention make this inevitable; but should be much more rare than it is.
Floating the wire in and covering up the problem; character flaw. Requires transfer to a career where no body’s life is on the life; assembling widgets in a factory perhaps.

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