What happens when the medical staff force you to undergo a procedure you don't want to have?
In this episode of the Med Disaster Podcast, Dr. Sam Rhee delves into a harrowing true story from 2002, where a series of 17 small mistakes at the University of California San Francisco Medical Center led to a 67-year-old woman named Joan Morris undergoing a wrong and potentially life-threatening cardiac electrophysiology study.
Through an intricate timeline and close examination of hospital protocols, the episode explores how similar-sounding names, miscommunications, and procedural oversights converged into a 'never event,' urging a reevaluation of patient safety systems. The incident serves as a stark reminder of the importance of transparency and vigilance in the healthcare system.
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