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Mount Sinai Hospital
has delivered a "plan of correction" to New York State
Health officials designed to address the state's finding that
poor postsurgical care in the transplant unit was involved in
the death of a healthy liver donor (see earlier Transplant
Week story).
The hospital said it
no longer would assign first-year residents to the transplant
unit, and said patients would be seen by teams of doctors making
rounds every day. The hospital also said staff members would be
instructed to answer their electronic pages within five minutes.
"I think,
unfortunately, it sometimes takes a tragedy to force people to
review and to look at things and make changes that may have been
overdue," said Dr. Myron Schwartz, the director of the adult
liver transplant unit at Mount Sinai. "We all have to acknowledge
that the transplant program here had gotten to be an extremely
large, busy unit. And not all aspects of how we functioned kept
up with the growth. I think we had to step back and reassess."
Mount Sinai
told the health department it had already made some changes to
improve patient care, including upgrading the method used to chart
patients' progress and adding a second physician assistant to
the transplant ward. It said it planned to hire more physician
assistants.
Dr. Gary Rosenberg,
Mount Sinai's senior vice president, said the hospital was working
as fast as possible to implement the changes outlined in the plan
of correction.
"There
is already a tangible difference in the feeling on the floor,"
he said.
Mount Sinai
officials expressed hope that as a result of the changes in staffing
and patient supervision, the state would shorten the six-month
ban on living-donor liver transplants that was imposed on March
12th.
"Mount
Sinai is hoping the ban will be lifted early," hospital spokeswoman
Joan Lebow said. "There are many patients who need and want
these transplants." She said about 25 people were waiting
for transplants at Mount Sinai using livers from relatives or
friends.
But John Signor,
a spokesperson for the New York Health Department, indicated that
the ban would not end before the full six months had passed. "It
won't be any earlier," he said.
Other
sources: New YorkTimes, NY Post, Newsday, NY Health Department
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