The patient had been identified as a high fall risk and, at times, required one-on-one supervision. Despite these known risks, it was alleged that appropriate precautions were not maintained to prevent the patient from getting out of bed or to alert providers if he attempted to do so. Required bed alarms were not set, and no provider was alerted when the patient got out of bed.
The patient was later found unresponsive after getting out of bed, with his breathing support device dislodged. Despite efforts to revive him, he died.
Why This Case Matters
The patient had been identified as a high fall risk, making appropriate monitoring and fall-prevention measures critical to his safety. His need for one-on-one supervision at times further demonstrated the level of risk known to the hospital staff.
The case raised significant questions about whether appropriate safety precautions were maintained during the hours before the patient's death. In particular, the evidence raised concerns about whether required bed alarms were properly set and whether adequate monitoring was in place to alert providers if the patient attempted to leave his bed.
The patient's death occurred after he was able to get out of bed without providers being alerted and his breathing support device became dislodged. The case centered on whether appropriate fall-risk interventions and monitoring could have prevented the events that ultimately led to his death.
