Report: Ascension Saint Thomas incident was due to a “culture of overall nonconformance”

A state investigation details the drug mix-up at Ascension Saint Thomas Midtown last month that paralyzed four patients.

The hospital had already publicly confirmed its staff had accidentally given orthopedic surgery patients potassium phosphate in their epidural injections instead of an anesthetic. And for weeks, bits of information have trickled into public view. TV news stations like News Channel 5 and WSMV were among the first on the story, publishing interviews with patients’ families. Then the hospital issued statements with some specifics.

But this report offers a level of detail unavailable to the public until now. It compiled interviews with the staff involved in the accident. Investigators reviewed surveillance footage of the staff while they made the mistakes. They spoke at length with patients, as well as with experts who weighed in on what should have happened differently…

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