In this provocative true story of tragedy the authors recount the journey travelled and what was learned by, at the time, Canada's largest fully integrated health region. They weave this story together with the theory about why things fall apart and how to put them back together again.
In this provocative true story of tragedy the authors recount the journey travelled and what was learned by, at the time, Canada's largest fully integrated health region. They weave this story together with the theory about why things fall apart and how to put them back together again.
Jan M. Davies MD MSc FRCPC; Carmella Steinke, RRT, BHS(RT), MPA; W. Flemons, MD, FRCPC
Inhaltsangabe
Chapter 1: "Two patients are dead and Foothills Hospital staff are to blame." Chapter 2: "And she died because of one of the most dreadful medical mistakes ever revealed in Alberta, or all of Canada." Chapter 3: "Don't make me sue you." Chapter 4: "All Intensive Care Units in Calgary were notified to look out for similar difficulties." Chapter 5: "But what are we going to do? Hang a pharmacist?" Chapter 6: "It is vital we learn from these mistakes." Chapter 7: "Get something positive out of this tragedy." Chapter 8: "A major shake-up." Afterword #1 - Jack Davis MSc Afterword #2 - Deborah E Prowse QC
Chapter 1: "Two patients are dead and Foothills Hospital staff are to blame." Chapter 2: "And she died because of one of the most dreadful medical mistakes ever revealed in Alberta, or all of Canada." Chapter 3: "Don't make me sue you." Chapter 4: "All Intensive Care Units in Calgary were notified to look out for similar difficulties." Chapter 5: "But what are we going to do? Hang a pharmacist?" Chapter 6: "It is vital we learn from these mistakes." Chapter 7: "Get something positive out of this tragedy." Chapter 8: "A major shake-up." Afterword #1 - Jack Davis MSc Afterword #2 - Deborah E Prowse QC
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