NEW YORK - City hospital officials agreed in court Tuesday to implement reforms at a psychiatric ward where surveillance footage showed a woman falling from her chair, writhing on the floor and dying as workers failed to help for more than an hour.
Esmin Green, 49, had been waiting in the emergency room for nearly 24 hours when she toppled from her seat at 5:32 a.m. on June 19, falling face down on the floor.
She was dead by 6:35, when someone on the medical staff, flagged down by a person in the waiting room, finally approached, nudged Green with her foot, and gently prodded her shoulder, as if to wake her. The staffer then left and returned with someone wearing a white lab coat who examined her and summoned help.
Until the staffer's appearance, Green's collapse barely caused a ripple. Other patients waiting a few feet away didn't react. Security guards and a member of the hospital's staff appeared to notice her prone body at least three times, but made no visible attempt to see if she needed help.
One guard didn't even leave his chair, rolling it around a corner to stare at the body, then rolling away a few moments later.
Green, who had been involuntarily committed the previous morning, and had waited overnight for a bed, stopped moving about half an hour after she collapsed.
The New York City Health and Hospitals Corporation, which runs the hospital, said six people have been fired as a result, including security personnel and members of the medical staff.
The psychiatric unit at Kings County Hospital in Brooklyn had already been a subject of complaints by advocates for the mentally ill.
A state agency, the New York State Mental Hygiene Legal Service, and the New York Civil Liberties Union filed a lawsuit a year ago, calling the psychiatric center "a chamber of filth, decay, indifference and danger."
Both sides in the dispute went before a federal judge Tuesday to jointly file papers in which the hospital system agreed to a series of reforms. Under the agreement, patients in the waiting room will now be checked every 15 minutes.
Over the next four months, the hospital will attempt to shorten the median waiting time to around 10 hours. A judge is scheduled to sign off on the agreement Wednesday.
The tape of Green's wait has also been turned over to prosecutors.
Green's medical records raised the possibility that someone might have tried to cover up the circumstances of the death.
One notation said that at 6 a.m., she was "awake, up and about" and had just used the restroom. Another said that at 6:20 a.m., she was sitting quietly in the waiting room, and had a normal blood pressure. During both of those times, Green was either in her death throes or already dead.
http://news.yahoo.com/s/ap/20080702/...l_ward_death_6
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