一名孕妇在联合王国一家医院的护理延误后死亡,以系统失灵和可能存在偏见为由进行调查。 A pregnant woman died after delays in care at a UK hospital, with an inquest citing systemic failures and possible bias.

2024年10月,一名33岁的孕妇Dhananji Dona在皇家斯托克大学医院急诊室长时间等待,她因化粪池休克而死亡。 A 33-year-old pregnant woman, Dhananji Dona, died from septic shock after a prolonged wait in the emergency department at Royal Stoke University Hospital in October 2024. 她带着沉重的出血和剧烈的痛苦抵达,但等待了两个多小时的伤痕,远远超过了15分钟的标准,尽管病情恶化,她仍没有接受身体检查。 She arrived with heavy bleeding and severe pain but waited over two hours for triage, far exceeding the 15-minute standard, and was not physically examined despite her worsening condition. 工作人员没有使用败血症筛查工具或经修改的产科警报分数,将治疗推迟3小时。 Staff failed to use sepsis screening tools or the modified obstetric warning score, delaying treatment by three hours. 调查发现「护理严重失灵」, 引证系统问题, 包括孕妇优先程度低、训练不足、以及因斯里兰卡背景可能的文化偏见等。 An inquest found a "gross failure of care," citing systemic issues including poor prioritization of pregnant patients, inadequate training, and possible cultural bias due to her Sri Lankan background. 一名产妇调查员查明了11个促成因素,一名妇科医生说,早先的干预很可能挽救了她的生命。 A maternity investigator identified 11 contributing factors, and a gynecologist said earlier intervention likely would have saved her life. 医院已被敦促实施变化, 包括更快的分组和更好的败血症协议. The hospital has been urged to implement changes, including faster triage and better sepsis protocols.