Every doctor/hospital must have a good ‘Crisis Management Pl
Every doctor/hospital must have a good ‘Crisis Management Plan' - 13 Precautions advised by the Court
Every doctor/hospital must have a crisis management plan for unexpected complications, unusual occurrences, emergencies, accidents, mishaps, surgeries, critical patients, and so on.

Following precautions have been advised by the Court -
• All exigencies and contingencies must be taken into account in drafting such protocols and the same must be religiously followed

• At times, every second counts, especially in critical cases, mishaps, or accidents. Appropriate steps must be taken at the earliest

• Discrepancy in the time recorded by different departments/doctors of the same hospital or in different types of medical records (like bed-head ticket and discharge card) of the same patient could lead the court to an inference of negligence

• Medical records must be written completely and record the exact time, especially of important events

• Medical records must record important medical actions and the reason/s for the same must also clearly manifest therein

• Hospitals and nursing homes must ensure that the requisite equipments and infrastructure to deal with anticipated as well as unanticipated emergencies are present at the designated place, in working conditions, and are used at appropriate time. Deficiency/failure of any one of the aforesaid is negligence

• Withdrawing or withholding of life-support measures must be done cautiously

• Attendants/relatives of a dead patient signing a waiver, release deed, or any other such document can never be a legally valid justification for failure of the hospital/doctor to refer a dead body for post-mortem

• Autopsy/post-mortem must be suggested to the police authorities in all cases where the cause of death is not certain

• Death Certificate must record both the immediate cause of death and the antecedent cause

• Care, caution, and contemplation are required in deciding the drug and dose to induce anesthesia and in administering the same

• The responsibilities, duties, and liabilities of surgeons and anesthetists are independent of each other

• Hospitals are duty-bound to provide all the requsite facilities and assistance to the patients as well as to the doctors who are managing patients

Read the entire case where the anesthetist and the hospital (OPs) were held negligent by the court for Crisis Management Failure:
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