A 26-year-old man with abdominal pain was admitted to the Vsetín Hospital on July 31, 2017. Doctors diagnosed biliary tract obstruction, probably with gallstones. The so-called the first-choice procedure – ERCP, during which the bile ducts are cleared, but they could not be performed in the Vsetín hospital, so the attending physician tried to arrange it at a “higher” workplace.
The next date was the next morning. The young man’s health condition no longer allowed him to be transported, so he died in the afternoon at the Vsetín Hospital. As the Constitutional Court reported, the grandfather fought for justice after his grandson’s death. He filed a criminal complaint on suspicion of being killed through negligence.
After receiving the medical documentation, the police had an expert report prepared, but according to the expert, the hospital acted in accordance with medical procedures and thus did not commit any mistakes. He commented on whether the examinations, and therefore the operation, could not have taken place faster, but concluded that “since these examinations were not feasible at the hospital in Vsetín, their faster implementation was not possible,” the Constitutional Court said.
The police therefore postponed the case on the grounds that no crime had been committed. However, my grandfather did not accept this and had his own expert opinion prepared by a surgical consultant of the Slovak Office for the Supervision of Health Care in Bratislava. He came to the opposite conclusion.
“Due to the unavailability of the first and second choice, it was appropriate to perform a timely surgical intervention with a complete bile duct service directly in the hospital – in which case the patient would have a chance of survival,” the Constitutional Court said. Therefore, the police turned to the expert again, who again came to the conclusion that the doctors of the Vsetín Hospital did not make a mistake.
And because his grandfather failed neither in the district nor in the regional courts, he filed a complaint with the Constitutional Court, which now sided with him and informed the case this week. According to him, the suspected death was not investigated quickly and effectively, on the contrary, the investigation was unreasonably protracted. He also criticized the authorities dealing with the case for not sufficiently clarifying the facts.
“In particular, they uncritically adopted the conclusions of the expert report, although it was internally contradictory, and did not accept the conclusions of the consultant’s expert opinion. Some key issues of criminal proceedings were not clarified at all, as no one even asked them. man in hospital due to a relatively common bile duct disease, alarming, “the Constitutional Court added.
The TN.cz editorial staff also asked the Vsetín Hospital for an opinion. “Above all, it must be said that the death of every patient is a very sad event for us, which deeply affects the nursing staff. In addition, if a young person dies, it is always a tragedy. okay, “said Egon Havrlant, a spokesman for the hospitals in the Zlín region.
“The attending physician telephoned a higher-level workplace at the Zlín hospital, where the procedure was arranged for the next morning. The patient did not show signs of sepsis, there was a sharp deterioration in the afternoon and evening, the patient was unstable for a short time. bile ducts, or to transport him to another medical facility of a higher type. Unfortunately, his condition turned out to be incompatible with life, “Havrlant described the event in 2017.
The Constitutional Court also wondered how it was possible that no one had solved that the hospital was unable to perform the procedure with completely normal and routine health problems and had to rely on a “higher” workplace.
“It is necessary to ask the question of how the management of the Vsetín Hospital handled communication with these” higher workplaces “, because the medical documentation shows that it was the so-called good word,” the Constitutional Court writes. According to him, the communication was probably not effective due to the fact that it was a situation where the patient’s life was seriously endangered.
“Endoscopic surgery (ERCP) with biliary tract remediation is not performed at Vsetínská Hospital and patients who need it are transferred to the workplace in Zlín. performance lasting about one hour, which unfortunately was not realistic in this case, “explains Havrlant.
According to the Constitutional Court, the expert should supplement his opinion with fundamental questions and, in addition, the police should request an audit opinion, given that the expert and the consultant came to completely conflicting conclusions.