[seanicus]

Thanks for the insight. re:#3 how do mistakes not get reported? Is it because this incident resulted in a police report and is unusual in this context?

[bookofjoe]

Deaths in the OR like cardiac arrests, fatal hemorrhage from burst aneurysms, etc. are always reported within the hospital. Whether others outside learn about such things is often a matter of persistent family and relatives demanding to see the actual death report and contemporaneous notes.

Fatal mistakes usually stay within hospital departments and are discussed at length in regular confidential Morbidity and Mortality conferences.

[rscho]

This time it killed someone. Usually, it's just a bed or a respirator that ends up stuck in the ring.

[Wistar]

Back in 2001 a 6-year-old boy undergoing an MRI was killed when an unsecured oxygen tank was pulled in to the machine.

https://www.psqh.com/analysis/mri-safety-10-years-later/