The consequences for a Miami doctor accused of malpractice in a Jackson patient’s death

The state Board of Drugs ordered a Miami physician to pay $5,920.45 and attend three hours of constant medical schooling after analyzing a Florida Division of Well being grievance regarding a coronary heart surgical procedure affected person’s dying.

There additionally can be a letter of concern issued by the Board of Drugs to Dr. John Sciarra, in line with the ultimate order, which got here down Thursday.

In keeping with Sciarra’s on-line Florida Division of Well being profile, that is the primary disciplinary motion towards the anesthesiologist since he grew to become licensed in 1997. Sciarra’s profile says his official handle is Larkin Group Hospital in South Miami and he has employees privileges at College of Miami hospitals and clinics.

The fatality occurred at Jackson Memorial Hospital, as described within the administrative grievance. The ultimate order says Sciarra was represented by legal professional June Hoffman and “the details aren’t in dispute.”

From the executive grievance, beforehand described in a Might 2021 Miami Herald story:

Coronary heart surgical procedure on 57-year-old man “P.S.” went advantageous on Jan. 18,2018, however throughout switch from the working room to the mattress, “the affected person’s air flow machine was disconnected from the circuit.”

The grievance stated Sciarra ought to’ve prevented the issue and, when it occurred, acknowledged the issue in order that P.S. “wasn’t well-ventilated for 2 to 9 minutes.”

This brought about a slowed coronary heart fee adopted by cardiac arrest. The minimize within the sternum used for the surgical procedure was reopened for a cardiac therapeutic massage, throughout which the suitable ventricle was punctured. P.S. was placed on a cardio pulmonary pump, then taken to intensive care on extracorporeal membrane oxygenation, then recognized as mind useless. P.S. died on Jan. 23, 2019.

The ultimate order stated mitigating elements in Sciarra’s self-discipline have been:

▪ “Not all of the vents surrounding the circumstances which can be the topic of this disciplinary motion” have been inside Sciarra’s management.

▪ “The affected person’s dying was, at the least partially, attributable to a system error.”

▪ Sciarra “voluntarily participated in a root trigger evaluation subsequent to the vent that result in this disciplinary motion.”