{"id":64312,"date":"2014-11-12T12:03:19","date_gmt":"2014-11-12T12:03:19","guid":{"rendered":"http:\/\/4cd.e16.myftpupload.com\/?p=64312"},"modified":"2014-11-12T09:44:34","modified_gmt":"2014-11-12T09:44:34","slug":"joan-rivers-clinic-cited-multiple-failings","status":"publish","type":"post","link":"https:\/\/citifmonline.com\/?p=64312","title":{"rendered":"Joan Rivers: Clinic cited for multiple failings"},"content":{"rendered":"<p id=\"story_continues_1\" class=\"introduction\">The New York clinic where Joan Rivers suffered a cardiac arrest during a medical procedure failed to follow standard protocols while treating her, state health investigators have said.<\/p>\n<p>The comedian died on 4 September, aged 81, a week after she stopped breathing at the Yorkville Endoscopy centre.<\/p>\n<p>A report released by the Department of Health cited multiple errors, including failing to detect Rivers&#8217; deteriorating vital signs during the procedure.<\/p>\n<p>Negligence has not been alleged.<\/p>\n<p>The New York medical examiner&#8217;s office ruled Rivers died of brain damage due to lack of oxygen during the procedure examining the back of her throat and vocal cords<\/p>\n<p>The death was classified as a &#8220;therapeutic complication&#8221;, meaning it was a known risk.<\/p>\n<p>The comic had been sedated with the anaesthetic propofol, however the report said there there were inconsistencies recorded in its dosage.<\/p>\n<p>It added there was no record staff at the clinic weighed Rivers before administering the drug.<\/p>\n<p><strong>&#8216;Misconduct and mismanagement&#8217;<\/strong><\/p>\n<p>Hypoxia &#8211; brain damage caused by lack of oxygen &#8211; and cardiac arrest are rare side effects of propofol, but patients usually sign a waiver before surgery to confirm they understand the risks.<\/p>\n<p>But the report said there were no records of medical consent for all the procedures performed.<\/p>\n<p>Investigators said the clinic &#8220;failed to identify deteriorating vital signs and provide timely intervention&#8221; in Rivers&#8217; case.<\/p>\n<p>They also noted a staff member took pictures of the comic without her consent while she was under anaesthesia, in violation of the clinic&#8217;s mobile phone policy.<\/p>\n<p>Rivers daughter Melissa said she was &#8220;outraged by the misconduct and mismanagement&#8221; that occurred and wanted to ensure it does not happen again with any other patient.<\/p>\n<p>Her lawyers are investigating the circumstances surrounding her mother&#8217;s death.<\/p>\n<p>As a result of the state investigation, the Department of Health and Human Services has given Yorkville Endoscopy until 7 January to correct deficiencies to avoid losing accreditation to the government&#8217;s Medicare programme covering the elderly.<\/p>\n<p>The clinic told NBC it had submitted a plan to officials addressing all the issues raised. It added the physicians referenced in the report no longer provided services there.<\/p>\n<p>&nbsp;<\/p>\n<p>Source: BBC<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The New York clinic where Joan Rivers suffered a cardiac arrest during a medical procedure failed to follow standard protocols while treating her, state health investigators have said. The comedian died on 4 September, aged 81, a week after she stopped breathing at the Yorkville Endoscopy centre. A report released by the Department of Health [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":64313,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":[],"jnews_primary_category":[],"jnews_social_meta":[],"jnews_override_counter":[],"footnotes":""},"categories":[32],"tags":[6],"class_list":["post-64312","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-business","tag-togbe-afede"],"_links":{"self":[{"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/posts\/64312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/citifmonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=64312"}],"version-history":[{"count":0,"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/posts\/64312\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/citifmonline.com\/index.php?rest_route=\/wp\/v2\/media\/64313"}],"wp:attachment":[{"href":"https:\/\/citifmonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/citifmonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/citifmonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}