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The Honolulu Advertiser
Posted on: Thursday, December 4, 2008

Court report cites risks at 'Ewa, Liliha hospitals

Advertiser Staff

A court-appointed patient ombudsman has raised concerns about some areas of care being provided at Hawaii Medical Center's two hospitals.

Ombudsman Dianne Okumura said she had concerns about the potential for serious harm in the care of hemodialysis patients, the lack of adequate and timely response to patient call bells, as well as practices in the hospitals' surgical and recovery suites.

The ombudsman's report is part of the on-going bankruptcy proceedings of Hawaii Medical Center, which took over the former St. Francis Medical Centers in 'Ewa and Liliha in January 2007 and filed for bankruptcy reorganization in August. Okumura was appointed to determine the quality of care being provided.

She reported:

  • Staff were instructed to keep hemodialysis patients in the emergency room instead of being admitted to the hospital. This ended at one of the hospitals.

  • Patients at the 'Ewa hospital sometimes faced waits of 30 minutes or an hour before a nurse would respond.

  • Occasionally staff in specialty units lacked qualifications or experience in the settings.

  • Post-surgical patients were being placed in the intensive care unit after hours, something the staff said was inconsistent with national standards.

  • There were indications of questionable sterilization practices for instruments in surgery because of a lack of sufficient surgical supply sets.

    Hawaii Medical Center released a statement saying it believed patients have not experienced undue risk.

    It said when hemodialysis patients were in emergency rooms they received appropriate treatment and that long response times by nurses aren't uncommon in hospitals. It said it is working on improving this.

    Hawaii Medical Center said patients receive appropriate specialty services and that it consistently takes measures to ensure patient care meets national standards. As for sterilization practices, the hospitals follow strict infection control practices and that it was purchasing more equipment.