[Exposure to the risk of loss of life or detriment to health as a consequence of an organizational error--a case report]. / Narazenie na niebezpieczenstwo utraty 2ycia lub ciezkiego uszczerbku na zdrowiu, jako konsekwencja bledu organizacyjnego - analiza przypadku.

ABSTRACT

Frequent changes in organization of the Polish health care sector observed over the past few years may lead to disruption of work in health care institutions, particularly in tertiary, highly specialist centers. Such a situation may result in decreasing the quality of services, what may potentially cause exposing the patient to the risk of death or severe detriment to health. To illustrate the problem, the authors present a case of a 45-year old man, where some organizational errors led to a delay in rendering medical care and in consequence to a poorer therapeutic outcome and poorer prognosis.