Jan M. Davies MSc MD FRCPC FRAeS, Steinke RRT BHS (RT) Carmella MPA, W. Ward Flemons MD FRCPC

Fatal Solution (eBook, PDF)

How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture

• Format: PDF

Produktbeschreibung

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.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 274
• Erscheinungstermin: 10. Mai 2022
• Englisch
• ISBN-13: 9781000577037
• Artikelnr.: 63643174

Autorenporträt

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