Infant Nashwa, paralysed after alleged wrong injection, passes away at Karachi hospital

[Abdullah719]

A 9-month-old girl suffered brain damage after allegedly being administered an excessive quantity of an injection at the Darul Sehat Hospital in Karachi, it emerged on Monday.

A case has been registered at Sharea Faisal police station against the administration of the hospital located in Gulistan-i-Jauhar locality on a complaint of the infant's father. It has been lodged under Sections 324, 337 and 34 of the Pakistan Penal Code.

According to the first information report (FIR) of the case that was registered today, the incident took place when Qaiser Ali took his twin 9-month-old daughters to the hospital for treatment of diarrhoea on April 6.

On the morning of April 7, one of the two children, identified as Nashwa, was allegedly administered an overdose of potassium chloride (KCL). The infant's father stated in his complaint that the injection was supposed to be administered through a drip and not intravenously.

Minutes after she was given the injection, the child's lips turned blue and she started to have trouble breathing, Ali said. She was then taken to the intensive care unit (ICU) and was administered CPR for 45 minutes, after which her breathing was restored. She was then put on a ventilator.

Ali said after his daughter was taken off the ventilator on April 12, doctors informed him that she "may have suffered brain injury" due to the CPR performed on her for 45 minutes.

According to the FIR, a subsequent CT scan of Nashwa revealed that due to the non-provision of oxygen to her brain, the child's hands, feet, eyes and mouth have been paralysed.

Doctors told DawnNewsTV some body parts of the child are "not functioning properly" due to the damage suffered by parts of her brain.

They said the child is currently not on ventilator but is being administered oxygen after being shifted to the Liaquat National Hospital. Several tests performed on the infant will further reveal her condition after their results are received later today.

In a case summary of the incident, Dr Shahzad Alam, the executive director of Darul Sehat Hospital, stated that there is a "suspicion of KCL overdose that is under investigation".

He added that "the whole scenario is under investigation [and the] involved people will be punished."

The person identified for administering the wrong dosage of the injection has been suspended, Dr Alam said, adding that the hospital management will bear all expenses of the child's treatment "in any country or city as per required".

Sindh Chief Minister Murad Ali Shah has taken notice of the incident and asked for an inquiry report, DawnNewsTV reported.

https://www.dawn.com/news/1476283/m...-damage-due-to-negligence-at-karachi-hospital

 

[Abdullah719]

Wrong injection case: Nishwa’s father receives serious threats from police officer

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KARACHI: An inhumane act of a high ranking police officer was exposed as Superintendent Police (SP) Gulshan Tahir Noorani threatened father of Nishwa, the nine-year-old girl who was paralysed due to the negligence of Darul Sehat Hospital’s administration, ARY News reported on Monday.

Instead of taking action against culprits, SP Gulshan Tahir Noorani allegedly threatened the father, Qaiser Ali, with severe consequences over raising voice against criminal negligence of the hospital administration which paralysed a minor girl due to the administration of wrong injection.

Qaiser Ali told ARY News that he received direct threats from the high ranking police officer, who forced him to withdraw his demands for action against the hospital.

Ali said, “The SP told me to thinks thoroughly before taking further action. He threatened me with severe consequences to me and my family if you have registered a First Investigation Report (FIR) [in this case] as nothing would have happened to the hospital. Even, the police officer was asking me to step back from registering the complaint.”

https://arynews.tv/en/wrong-injection-case-father-receives-threats-police/

 

[DRsohail]

what drug that was? need name.

 

[saeedhk]

Apparently, this hospital has been operating without a license for 10 years.

 

[cricketjoshila]

what drug that was? need name.

Kcl.

Apparently they gave a short IV and not through a titrated drip. Mostl likely that caused cardiac arrest and subsequent brain damage.

 

[Major]

will she heal?

Or is this permanent?

 

[Bewal Express]

Wrong injection case: Nishwa’s father receives serious threats from police officer

<iframe width="560" height="315" src="https://www.youtube.com/embed/Xcj3N3-6bnA" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>

KARACHI: An inhumane act of a high ranking police officer was exposed as Superintendent Police (SP) Gulshan Tahir Noorani threatened father of Nishwa, the nine-year-old girl who was paralysed due to the negligence of Darul Sehat Hospital’s administration, ARY News reported on Monday.

Instead of taking action against culprits, SP Gulshan Tahir Noorani allegedly threatened the father, Qaiser Ali, with severe consequences over raising voice against criminal negligence of the hospital administration which paralysed a minor girl due to the administration of wrong injection.

Qaiser Ali told ARY News that he received direct threats from the high ranking police officer, who forced him to withdraw his demands for action against the hospital.

Ali said, “The SP told me to thinks thoroughly before taking further action. He threatened me with severe consequences to me and my family if you have registered a First Investigation Report (FIR) [in this case] as nothing would have happened to the hospital. Even, the police officer was asking me to step back from registering the complaint.”

https://arynews.tv/en/wrong-injection-case-father-receives-threats-police/

Gangsters in uniform. What is the point of having a Police that sees itself as the paid henchman of the mafia.

 

[Bewal Express]

will she heal?

Or is this permanent?

[MENTION=140234]DRsohail[/MENTION]

 

[Major]

Gangsters in uniform. What is the point of having a Police that sees itself as the paid henchman of the mafia.

wow this is just sad and pathetic.

 

[Bewal Express]

wow this is just sad and pathetic.

I would hang this policeman by the balls. What a disgusting human being, at what point did this cretin part with his humanity.

 

[Syed1]

I would hang this policeman by the balls. What a disgusting human being, at what point did this cretin part with his humanity.

Bhai this is how police operates all over Pakistan. Remember the poor girl Zainab, when her body was found the police officers were demanding money from the father as "reward" for finding her dead body.


Pathetic state of affairs. We are truly in an abyss wherever you look there is so much wrong.

 

[Syed1]

The other day there was a video viral on social media where a couple in Karachi were going in their car and they were forcibly stopped by some police cars for no reason. They were being swarmed by police officers to come out of the car and come talk to Additional IG who was seated in the car ahead. The couple kept insisting who the hell is this AIG that we have to get out of the car to come talk to him. Then the video ended, later there was news that the video landed the AIG in hot water. These police officers act as gangsters and 9 times of 10 are complicit with all criminals.

This is what happens when for 70 years political parties have inducted just their loyalists in the police.

 

[Bewal Express]

Bhai this is how police operates all over Pakistan. Remember the poor girl Zainab, when her body was found the police officers were demanding money from the father as "reward" for finding her dead body.


Pathetic state of affairs. We are truly in an abyss wherever you look there is so much wrong.

Even the worse people have some good in them but I am beginning to wonder if our Police are totally beyond redemption.

 

[Syed1]

Even the worse people have some good in them but I am beginning to wonder if our Police are totally beyond redemption.

Really disappointed with PTI government's lack of effort of reforming police in Punjab. They said they reformed it in KPK, IDK how much truth there is in it, but Punjab is 50% of Pak if they make substantial improvements in police there it will go along way in solving the problems of majority of Pakistanis. Yet I have not heard any news regarding it. Buzdar has been a total failure. I hope IK realizes it soon, he cannot govern a country and a province by himself. Needs to delegate someone competent.

 

[Bewal Express]

Really disappointed with PTI government's lack of effort of reforming police in Punjab. They said they reformed it in KPK, IDK how much truth there is in it, but Punjab is 50% of Pak if they make substantial improvements in police there it will go along way in solving the problems of majority of Pakistanis. Yet I have not heard any news regarding it. Buzdar has been a total failure. I hope IK realizes it soon, he cannot govern a country and a province by himself. Needs to delegate someone competent.

This is where the PTI have been too anemic and others have expressed similar. The Punjab police should have been changed beyond recognition, it is a chance to get rid of the gangsters in uniform but so far only one attempt was made to get rid of corrupt coppers and guess what the Noora high court shot it down straight away.

 

[DRsohail]

[MENTION=140234]DRsohail[/MENTION]

Brain damage is almost always permanent.

 

[DRsohail]

Kcl.

Apparently they gave a short IV and not through a titrated drip. Mostl likely that caused cardiac arrest and subsequent brain damage.

Got it,,Iv Potassium is so dangerous.......one of the dangerous drug to have in emergency tray.

 

[Bewal Express]

Brain damage is almost always permanent.

I am lost for words.

 

[Major]

Brain damage is almost always permanent.

oh man, im lost for words.

its events like these that makes you wonder how this nation has survived this long.

 

[cricketjoshila]

Got it,,Iv Potassium is so dangerous.......one of the dangerous drug to have in emergency tray.

It is to be given via a syringe pump or to be mixed in a NaCl bottle and given over 8-10hrs.

It most likely caused sudden cardiac arrest.

Dont know why it was given like this.

 

[DRsohail]

It is to be given via a syringe pump or to be mixed in a NaCl bottle and given over 8-10hrs.

It most likely caused sudden cardiac arrest.

Dont know why it was given like this.

Yes slow IV pump or dial flow , it was negligence.

 

[Bewal Express]

Yes slow IV pump or dial flow , it was negligence.

The Dr that administered it and the hospital managers should both be charged with gross negligence.

 

[cricketjoshila]

Yes slow IV pump or dial flow , it was negligence.

Did the doctor give it or waa it the nurse? How can a doctor make this mistake?

 

[cricketjoshila]

[MENTION=43242]Dr_Bassim[/MENTION]
[MENTION=131701]Mamoon[/MENTION]
[MENTION=133135]kaayal[/MENTION]

Guys if this is true, this is gross negligence.

 

[DRsohail]

Did the doctor give it or waa it the nurse? How can a doctor make this mistake?

In pak The 25% dextrose and KCl has almost the same vial so it loks like they given her it as dextrose, . can say after investigation,it has happened in KP hospitals in the past as well.

 

[Dr_Bassim]

I think you have to look at the ground realities of why this happened.

The injection KCL is a lethal injection given in USA for causing death by cardiac arrest in IV form.

In drip from mixed with NS, it is used to replenish electrolytes for a period of 8-10 hours.

Everyone is pointing blame at the nurse, the doctor, the staff, the person who injected this but this is not the solution. Blaming will hardly stop such incidents.

In the United States and all other developed countries, the trend has shifted from blaming a particular individual to blaming the hospital/health management system (HMS).

I doubt Pakistan has the HMS system to such a level that it can be blamed and the solution can be duly accorded to the grieved.

That is not to say no one is liable. The liability in the West and developed world is on the HMS system and the hospital has to pay the aggrieved party the monetary and other compensation as necessary and the hospital will also take the necessary action against the staff if required.

But here, the problem is since no such HMS system exists, blame will go back and forth till this issue is forgotten forever with no real justice.

HMS system basically realizes that the mistake has been made, why the mistake has been made (understaffing, tiredness, not labelling, not following instructions etc.,) and then makes sure THE SAME MISTAKE is not repeated FOR THE SAME REASON.

Will it happen in Pakistan?

Unlikely.

 

[cricketjoshila]

In pak The 25% dextrose and KCl has almost the same vial so it loks like they given her it as dextrose, . can say after investigation,it has happened in KP hospitals in the past as well.

Isnt KCl solution coloured as pink? 25%D is a clear solution.

 

[cricketjoshila]

I think you have to look at the ground realities of why this happened.

The injection KCL is a lethal injection given in USA for causing death by cardiac arrest in IV form.

In drip from mixed with NS, it is used to replenish electrolytes for a period of 8-10 hours.

Everyone is pointing blame at the nurse, the doctor, the staff, the person who injected this but this is not the solution. Blaming will hardly stop such incidents.

In the United States and all other developed countries, the trend has shifted from blaming a particular individual to blaming the hospital/health management system (HMS).

I doubt Pakistan has the HMS system to such a level that it can be blamed and the solution can be duly accorded to the grieved.

That is not to say no one is liable. The liability in the West and developed world is on the HMS system and the hospital has to pay the aggrieved party the monetary and other compensation as necessary and the hospital will also take the necessary action against the staff if required.

But here, the problem is since no such HMS system exists, blame will go back and forth till this issue is forgotten forever with no real justice.

HMS system basically realizes that the mistake has been made, why the mistake has been made (understaffing, tiredness, not labelling, not following instructions etc.,) and then makes sure THE SAME MISTAKE is not repeated FOR THE SAME REASON.

Will it happen in Pakistan?

Unlikely.

Point is even in a HMS system, this is gross negligence.

KCl is one of the most lethal drug. I am sure some kind of vial tagging was there.

This may be a case of understaffing or incompetence.

Though i agree that in the subcontinent the blame usually lies with the individual and not the organisation.

 

[WhenSultansBowled]

I think you have to look at the ground realities of why this happened.

The injection KCL is a lethal injection given in USA for causing death by cardiac arrest in IV form.

In drip from mixed with NS, it is used to replenish electrolytes for a period of 8-10 hours.

Everyone is pointing blame at the nurse, the doctor, the staff, the person who injected this but this is not the solution. Blaming will hardly stop such incidents.

In the United States and all other developed countries, the trend has shifted from blaming a particular individual to blaming the hospital/health management system (HMS).

I doubt Pakistan has the HMS system to such a level that it can be blamed and the solution can be duly accorded to the grieved.

That is not to say no one is liable. The liability in the West and developed world is on the HMS system and the hospital has to pay the aggrieved party the monetary and other compensation as necessary and the hospital will also take the necessary action against the staff if required.

But here, the problem is since no such HMS system exists, blame will go back and forth till this issue is forgotten forever with no real justice.

HMS system basically realizes that the mistake has been made, why the mistake has been made (understaffing, tiredness, not labelling, not following instructions etc.,) and then makes sure THE SAME MISTAKE is not repeated FOR THE SAME REASON.

Will it happen in Pakistan?

Unlikely.

They should sue ministry of health or government of Pakistan or even Imran Khan himself.

If a massive fine is paid then believe me it won't happen again with same pattern. This matter shouldn't be swept under the rug.

 

[cricketjoshila]

Btw is this a private or public hospital?

 

[DRsohail]

Isnt KCl solution coloured as pink? 25%D is a clear solution.

Both are transparent.

 

[cricketjoshila]

Both are transparent.

Here in most cases either the bottle of the Kcl is coloured or the actual solution is. Just so that it is not injected in confusion.

I am talking govt supply here.

 

[DRsohail]

Here in most cases either the bottle of the Kcl is coloured or the actual solution is. Just so that it is not injected in confusion.

I am talking govt supply here.

KCL is yellow lavel ok it but both can be confused.

 

[cricketjoshila]

KCL is yellow lavel ok it but both can be confused.

Ok. Whats the latest on this? This is govt hospital?

I was wondering if it was worth opening a thread for discussing medical issues that come on the media.

You ok with it?
[MENTION=43242]Dr_Bassim[/MENTION]
[MENTION=131701]Mamoon[/MENTION]
[MENTION=133135]kaayal[/MENTION]

 

[The intelligent Supporter]

sad

 

[The intelligent Supporter]

[MENTION=43242]Dr_Bassim[/MENTION]
[MENTION=131701]Mamoon[/MENTION]
[MENTION=133135]kaayal[/MENTION]

Guys if this is true, this is gross negligence.

Dont really get the point of trying to hype it up more and call people in as there is not argument here. Pretty much unanimously agreed that it was gross negligence.

 

[cricketjoshila]

Dont really get the point of trying to hype it up more and call people in as there is not argument here. Pretty much unanimously agreed that it was gross negligence.

Because its highly unlikely that a trained doctor will make such a mistake.

 

[Abdullah719]

Fire at Karachi’s Darul Sehat Hospital extinguished

The fire that broke out at the Darul Sehat Hospital in Karachi's Gulistan-e-Jauhar has been extinguished.

The fire broke out on the first floor at the front of the hospital's building.

It was extinguished by the hospital administration but the two fire trucks that arrived at the scene went in later to make sure it was completely doused.

The fire department said it will be conducting an investigation into the fire to determine its cause but so far they believe it was caused by a short circuit.

The hospital administration says no one was injured in the blaze.

https://www.samaa.tv/news/local/2019/04/fire-at-karachis-darul-sehat-hospital-extinguished/

 

[Major]

the kid passed away today

 

[Angrez Pakistani]

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr"><a href="https://twitter.com/hashtag/Nishwa?src=hash&ref_src=twsrc%5Etfw">#Nishwa</a> Ali, injected with the wrong injection, passed away after battling for her life. Here is some insight into this case and similar cases from the past. <a href="https://t.co/fZhtRf5qcQ">pic.twitter.com/fZhtRf5qcQ</a></p>— The Centrum Media (@thecentrummedia) <a href="https://twitter.com/thecentrummedia/status/1120218400381440001?ref_src=twsrc%5Etfw">April 22, 2019</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

 

[Angrez Pakistani]

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">This is Heart Breaking <br><br>Hum Ache Mulk main Nahi Rehte yaar<a href="https://twitter.com/hashtag/Nishwa?src=hash&ref_src=twsrc%5Etfw">#Nishwa</a> <a href="https://twitter.com/hashtag/Father?src=hash&ref_src=twsrc%5Etfw">#Father</a> <a href="https://t.co/Eo4bSztS8B">pic.twitter.com/Eo4bSztS8B</a></p>— ٰImran Siddique (@imransiddique89) <a href="https://twitter.com/imransiddique89/status/1120222702437056514?ref_src=twsrc%5Etfw">April 22, 2019</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

I'm lost for words here.

 

[Abdullah719]

Devastating. Inna lillahi wa inna ilayhi rajiun.

 

[Abdullah719]

<iframe width="560" height="315" src="https://www.youtube.com/embed/Iq43oVCShFI" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>.

 

[mmkextreme_1]

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">This is Heart Breaking <br><br>Hum Ache Mulk main Nahi Rehte yaar<a href="https://twitter.com/hashtag/Nishwa?src=hash&ref_src=twsrc%5Etfw">#Nishwa</a> <a href="https://twitter.com/hashtag/Father?src=hash&ref_src=twsrc%5Etfw">#Father</a> <a href="https://t.co/Eo4bSztS8B">pic.twitter.com/Eo4bSztS8B</a></p>— ٰImran Siddique (@imransiddique89) <a href="https://twitter.com/imransiddique89/status/1120222702437056514?ref_src=twsrc%5Etfw">April 22, 2019</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

I'm lost for words here.

Inna lillahi wa inna ilayhi rajiun.

Extremely sad. Really hope the responsible people are brought to justice.

 

[Hitman]

Watching the father speak really, really breaks my heart.

RIP, precious soul!

 

[adil_909]

Would like to add a couple points to the discussion. I am a pediatrician and work at a hospital in the US.

People who are saying KCl is never given via IV injection and has to be run over 8-10 hours are not correct. KCl is just potassium supplement. You can absolutely give KCl over 1 hour and it is perfectly safe. BUT you guys are right that it is a dangerous medicine and can cause cardiac arrest and stop the heart. So the questions in this case are:

Why was she given KCl? Was her potassium low? If so, what dose of potassium was given and how long was it given over? If it is pushed rapidly (over few minutes) via an IV at a high dose, then yes absolutely this is neglicence because this is the same way prisoners are executed in prisons as another poster said above. But if her potassium level was low and the doctor was trying to replace it over 1-2 hours via an IV at a normal dose, and she just happened to have a bad reaction to it, then it's not automatically negligence in that case. Another possibility is that the doctors ordered medicine A but the nurse accidentally administered medicine B which happened to be KCl, which is also bad. So more details are needed about what happened and in what circumstances she received KCl.

Inna lillahi wa inna ilahi rajioon. No doubt this is a very sad case, anytime a child dies it is tragic, especially if it seems like the death was preventable. Hopefully more details are released so we can properly understand if a deliberate error was made

 

[Abdullah719]

Karachi court orders arrest of doctor in Nashwa case

A local court ordered on Thursday to arrest and produce Dr Attiya and five other accused before the court in Nashwa case. The court also extended the physical remand of three accused until April 28.

The East judicial magistrate heard the case in the Karachi city court. Police produced the arrested accused, Nursing Manager Atif, duty administration officer Ahmed Shehzad and Moiz before the court while nurse Sobia was produced by jail officials.

Nine-month-old Nashwa was administered the wrong dose of injection at Darul Sehat Hospital that paralysed her brain and later caused her death. The investigation officer (IO) requested an extension of the remand of three accused. The IO said that the police were trying to arrest five other accused but have not been able to locate them yet.
The petitioner’s counsel argued that Section 302 of Pakistan Penal Code (PPC), which deals with punishment for murder, should be included in the case. The hospital administration kept Nashwa in their custody for seven days. They intended to kill Nashwa, the counsel stated, adding that the antidote to the potassium chloride injection was to be administered but it couldn’t be done.

The counsel for the accused argued that it was not a murder case and said that the petitioner was trying to turn it into a high-profile case.

The government lawyer expressed dissatisfaction over the progress of investigation and argued that the prime suspect in the case, including Dr Attiya, hadn’t been arrested as yet and the IO had yet to submit a progress report. The lawyer added that the four accused who have been arrested up till now were from the hospital’s lower staff.

The court sought the prescription of injection which was administered to Nashwa and ordered the IO to investigate the qualification of Darul Sehat Hospital’s staff. The court remarked that it should be investigated if a children’s ICU was there at the hospital or not.

The petitioner’s counsel argued that Nashwa was kept in Darul Sehat Hospital for seven days by the administration because they were waiting for her to die there and this way the situation would not escalate. The counsel requested to include the section of murder in the case, adding that it was not a case of unintentional murder.

The court ordered the inclusion of Section 322 (murder due to negligence and carelessness) in the case.

https://tribune.com.pk/story/1959570/1-karachi-court-orders-arrest-doctor-nashwa-case/

 

[Abdullah719]

Nashwa's parents, hospital admin reach out-of-court settlement

The administration of Darul Sehat Hospital and parents of Nashwa — a minor who passed away last month after being injected with the wrong dosage of a solution at the said facility — have reached an out-of-court settlement, Dawn.com reported on Wednesday.

The written agreement dated May 18, was signed between Nashwa's parents Qaiser Ali and Shumaila Qaiser, and Darul Sehat hospital through its Chairman Amir Waliuddin Chishti and Vice Chairman Syed Ali Farhan.

As per the agreement, Nashwa's parents will not claim any damages or compensation as long as the hospital abides by the conditions of the agreement. The family will also not pursue the case lodged at the Shahrah-i-Faisal police station.

Furthermore, if the police investigation against the hospital's nurse Sobia and nursing assistant Agha Moiz leads to a court case, it "shall be withdrawn or compounded" by Nashwa's family. It is not yet clear if the family has submitted a formal request to the police to call off the investigation.

Meanwhile, the hospital will build a paediatric intensive care unit (PICU), which is only available in a few hospitals in Pakistan by May 31, 2020. The unit will be named Baby Nashwa PICU. The hospital, as part of the settlement, will also set aside Rs5 million annually in the "Nashwa Fund" to provide free treatment to the "poor and needy patients".

Darul Sehat will also provide a scholarship to one student of Bachelor of Medicine and Bachelor of Surgery or Bachelor of Dental Surgery every year. The candidate for Nashwa Scholarship — named after the deceased infant — will be selected by her parents and shall fulfil the requirements for admission set by regulatory authorities. If the candidate does not fulfil the requirements and is rejected, Nashwa's parents will select another student.

The agreement says that the hospital has taken all the measures recommended by the Sindh Health Care Commission and "undertaken to further abide by any directions of the regulatory authorities".

Baby Nashwa, who was left paralysed after she was allegedly injected with the wrong dosage of a solution at the Darul Sehat Hospital in Karachi, passed away on April 22. According to the first information report, Nashwa had been administered an overdose of potassium chloride and that too not via a drip. Minutes later, her lips turned blue and she began having trouble breathing. She was then given CPR for 45 minutes and was then placed on a ventilator. She died two weeks later.

A forensic report of the deceased, that was released last week, confirmed that she had died due to multi-organ failure that was caused by "fast intravenous administration of Potassium Chloride (KCl)".

A case was filed by Nashwa's father against 13 people including the chairman and vice chairman of the hospital along with 11 other administrative and medical officials for the death of the infant.

https://www.dawn.com/news/1483884/nashwas-parents-hospital-admin-reach-out-of-court-settlement

 

[Bewal Express]

Nashwa's parents, hospital admin reach out-of-court settlement

The administration of Darul Sehat Hospital and parents of Nashwa — a minor who passed away last month after being injected with the wrong dosage of a solution at the said facility — have reached an out-of-court settlement, Dawn.com reported on Wednesday.

The written agreement dated May 18, was signed between Nashwa's parents Qaiser Ali and Shumaila Qaiser, and Darul Sehat hospital through its Chairman Amir Waliuddin Chishti and Vice Chairman Syed Ali Farhan.

As per the agreement, Nashwa's parents will not claim any damages or compensation as long as the hospital abides by the conditions of the agreement. The family will also not pursue the case lodged at the Shahrah-i-Faisal police station.

Furthermore, if the police investigation against the hospital's nurse Sobia and nursing assistant Agha Moiz leads to a court case, it "shall be withdrawn or compounded" by Nashwa's family. It is not yet clear if the family has submitted a formal request to the police to call off the investigation.

Meanwhile, the hospital will build a paediatric intensive care unit (PICU), which is only available in a few hospitals in Pakistan by May 31, 2020. The unit will be named Baby Nashwa PICU. The hospital, as part of the settlement, will also set aside Rs5 million annually in the "Nashwa Fund" to provide free treatment to the "poor and needy patients".

Darul Sehat will also provide a scholarship to one student of Bachelor of Medicine and Bachelor of Surgery or Bachelor of Dental Surgery every year. The candidate for Nashwa Scholarship — named after the deceased infant — will be selected by her parents and shall fulfil the requirements for admission set by regulatory authorities. If the candidate does not fulfil the requirements and is rejected, Nashwa's parents will select another student.

The agreement says that the hospital has taken all the measures recommended by the Sindh Health Care Commission and "undertaken to further abide by any directions of the regulatory authorities".

Baby Nashwa, who was left paralysed after she was allegedly injected with the wrong dosage of a solution at the Darul Sehat Hospital in Karachi, passed away on April 22. According to the first information report, Nashwa had been administered an overdose of potassium chloride and that too not via a drip. Minutes later, her lips turned blue and she began having trouble breathing. She was then given CPR for 45 minutes and was then placed on a ventilator. She died two weeks later.

A forensic report of the deceased, that was released last week, confirmed that she had died due to multi-organ failure that was caused by "fast intravenous administration of Potassium Chloride (KCl)".

A case was filed by Nashwa's father against 13 people including the chairman and vice chairman of the hospital along with 11 other administrative and medical officials for the death of the infant.

https://www.dawn.com/news/1483884/nashwas-parents-hospital-admin-reach-out-of-court-settlement

All good and well but the law should not be bye passed