一名痴呆症患者在没有得到适当监测和推迟护理后,因低血糖在医院楼梯里死亡。 A dementia patient died in a hospital stairwell due to low blood sugar after being inadequately monitored and delayed care.

2019年12月,一名79岁患有痴呆症、糖尿病和心脏病的老人在韦卡托医院的一个楼梯里死去,当时他从一个冠状动脉科病房走出来。 A 79-year-old man with dementia, diabetes, and heart disease died in a Waikato Hospital stairwell in December 2019 after wandering from a coronary care unit. 在失踪76分钟之后,他被发现昏迷,血糖水平为1.8mmol/升。 He was found unconscious with a blood glucose level of 1.8 mmol/L after being missing for 76 minutes. 卫生和残疾事务专员认为,由于监测不力、反应迟缓、糖尿病护理差以及缺乏警报系统,该医院侵犯了病人的权利。 The Health and Disability Commissioner found the hospital breached patient rights due to inadequate monitoring, delayed response, poor diabetes care, and lack of alert systems. 尽管闭路电视显示他路过多人和一个冰箱没有糖尿病零食,但工作人员没有采取行动。 Staff failed to act despite CCTV showing him passing multiple personnel and a fridge lacking diabetic snacks. 此后,该医院实施了包括库存冰箱、工作人员培训、门警报和病人跟踪系统在内的变革。 The hospital has since implemented changes including stocked fridges, staff training, door alarms, and a patient-tracking system.