Monday Accident and Lessons NOT Learned - Doctor’s Mistake Kills Patient in UK - Now What?

Dr. Ubani was NOT intentionally trying to kill the patient (this wasn’t a premeditated homicide).
What do we do next?
Criminal prosecution!
Will this improve the system? You tell me…
The UK Guardian reported on the sentinel event. Read about the political response here:
http://www.guardian.co.uk/society/2009/may/04/german-doctor-overdose-david-gray
There’s more information in this article:
http://www.guardian.co.uk/society/2009/may/04/german-doctor-patient-overdose
Read the Doctor’s apology letter to the family here:
http://www.guardian.co.uk/society/2009/may/04/letter-ubani-doctor-dose-apology
Hear the radio story here:
http://www.guardian.co.uk/society/audio/2009/may/04/foreign-doctor-patient-overdose
One year later, I’m not sure there’s been action to fix “the system.” One person interviewed did say that they had removed the 100 mg bottles of diamorphine from the bags that doctors carry on house calls.
But have they addressed fatigue? The language issues? Doctor qualifications? What about the reasons why the patient hadn’t been treated for the kidney stones so that he wasn’t in pain (and didn’t require a house call)? No mention is made of any of these issues.
Instead, they are arguing about whether a criminal prosecution in Germany is adequate or if the Doctor should have been prosecuted in the UK.


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