On the night of April 29, Shi Mouyuan, a child in Suining County, was sent to Suining County People's Hospital by his family due to a foreign body in his trachea. He was then transferred to Xuzhou New Health Hospital through Suining County Emergency Medical Station for treatment. He was rescued in the morning on April 30. Invalid death.

Xuzhou Municipal Party Committee, Municipal Government and Suining County Party Committee and County Government are deeply saddened by this incident, and established a joint investigation team composed of relevant departments such as the Municipal and County Commission for Discipline Inspection, Health, Public Security and other relevant departments and medical experts to carry out the diagnosis and treatment of the children. look deep into.

　　After investigation, Suining County People's Hospital admitted the child Shi Mouyuan (male, 1 year old and May, his aunt Shi Mouye sent him to the doctor) at 20:10 on April 29. Cut out half a shelled pumpkin seed from its mouth.

After inquiring about the medical history, lung auscultation and other tests, the receiving doctor initially judged that it was a foreign body in the trachea, and gave the child first aid measures such as oxygen inhalation and continuous monitoring of pulse oxygen.

Suining County People's Hospital, considering its own lack of ability to treat, issued a referral form at 21:00 that night, informing the relatives of the patient to refer the patient as soon as possible.

Because the patient's parents were not present, his aunt failed to make the decision to agree to the referral.

At 21:45, the parents of the children arrived at the hospital.

At about 22:00, the receiving doctor dealt with other cases after explaining the condition to the father of the child. At 23:00, he called the father of the child several times to inquire about his condition and urged him to be transferred to another hospital.

The Medical Department of Suining County People's Hospital contacted the duty room of Xuzhou New Health Hospital at 22:2 on the 29th to contact the transfer of the child.

At 1:08 on the 30th, the mother of the child called 120. At 1:22, the 120 ambulance of Suining County Emergency Medical Station rushed to the County People's Hospital and arrived at the emergency room of Xuzhou New Health Hospital at 2:30.

The doctor on duty completes the examination, opens the venous channel, gives oxygen inhalation, ECG monitoring and treatment, and auxiliary examinations such as CT and blood routine.

At 3:47, the child suddenly had apnea. The hospital immediately implemented rescue measures such as cardiopulmonary resuscitation, and organized expert consultation. At 4:56, the child died due to ineffective rescue.

　　The investigation showed that after the Suining County People's Hospital was admitted, the emergency treatment was carried out without the nucleic acid test results reported on the child, and a referral form was issued in time; Both Suining County People's Hospital and Xuzhou New Health Hospital did not require them to provide nucleic acid test results during the process of consultation, admission, and referral.

　　The investigation found that the Suining County People's Hospital did not strictly implement the responsibility system for the first diagnosis during the diagnosis and treatment of the child Shi Mouyuan, did not take relevant examinations in time to further clarify the diagnosis, communicated insufficiently with relatives, and had insufficient information on the child's condition and possible complications. Insufficient notification of serious consequences; in the process of referral, there are cases where the connection is not in place, and the detailed condition of the child is not fully informed to the receiving hospital in a timely manner.

　　According to the investigation results, in accordance with party discipline, government discipline and relevant laws and regulations, the units involved and the relevant responsible persons will be dealt with seriously:

　　1. The Xuzhou Municipal Health and Health Commission issued a warning to the Suining County People's Hospital, suspended the practice activities of the consulting doctor Zheng Mouxiang, and conducted further investigations.

Suining County People's Hospital was instructed to carry out a comprehensive internal rectification.

　　2. The Suining County Party Committee gave Wang Yanlong, the Secretary of the Party Committee of the County Health and Health Committee, an intra-party warning, and removed Zhang Tao, Secretary of the Party Committee and President of the Suining County People's Hospital, from both internal and external positions.

　　3. According to the relevant regulations on the management of medical institutions, report to the superior department to downgrade the Suining County People's Hospital.

　　In response to this incident, Xuzhou City and Suining County will learn a profound lesson, conscientiously summarize and reflect, and resolutely avoid similar situations.

　　Xuzhou City and Suining County Joint Investigation Team

　　May 5, 2022

　　(Headquarters reporter Yang Shouhua and Wu Rui)