Two sentinel events happened in a hospital in 1 month.

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Two sentinel events happened in a hospital in 1 month.

A. 50 year old male in ICU passed away after suffering from Ventilator associated Pneumonia. Patient was vented after surgical removal of right lung lobe. It was post op day #9.

B. 45 year old female passed away from overdose of patient controlled analgesic (PCA). Patient was placed on PCA after laparoscopic bowel resection. It was post op day #3

How to prevent any future such sentinel events.

 
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