Cath Lab Catastrophe: Person or Process Issue

  • Reference: DARDEN-OM-1673-E

  • Number of pages: 3

  • Publication Date: Dec 21, 2021

  • Fecha de edición: Dec 8, 2021

  • Source: Darden University of Virginia (USA)

  • Type of Document: Case

Grouped product items
Format Language Reference Use Qty Price
pdf English DARDEN-OM-1673-E
As low as €8.20

You already have a subscription

To order please contact the person in charge of academic purchases in your university.
You'll be able to order once your profile has been validated.

Description

This case follows fictional Baby Girl Jones, born with a life-threatening condition: cyanotic heart disease (not enough oxygen in the blood). Her initial evaluation revealed transposition of the great arteries, a condition in which the two main arteries carrying blood away from the heart are reversed. The doctors also realized that the baby’s heart had a hole between the pumping chambers. The baby’s condition worsened and the doctors decided to perform an emergency balloon septostomy, but it had been years since they had done the procedure and it did not go well. Students must consider how this situation could have been avoided, and what could be done to prevent this in the future.

Related Documents

Keywords

cardiac catheterization emergency surgery medical mistake