serena
Assignment1
300745000 Seunghyo Hong
Case1
1. What happened to Claire Lewis?
She had a surgery to remove tumor at Hamilton General Hospital. Then she was transferred to McMaster University Medical Center to recover. However, that time to transfer her between hospital, her medical records did not go with her. MUMC`s staff did not know what drug she had gotten and how much, she was misdiagnosed with diabetes insipidus. As a result, her brain stem was crushed by excessive fluid and she was brain dead.
2. What factors led up to Claire`s death?
When she transfers to MUMC, her records did not go with her and MUMC`s misdiagnosis kill her.
3. What role did poor documentation or poor record-keeping play in Claire`s death?
When a patient is transfer to other hospital, the patient`s records have to transfer with patient. I do not know whether that is poor documentation, but HGH did not send her record. And it is the factor leading up to her death.
4. Could Claire`s death have been prevented? If so, how?
I think that definitely she could alive. She got successful surgery to remove the tumor at HGH, she transferred to MUMC to recover, but she died next 46 hours because of not sending her records and poor decision. The reason why I think she could live is that although her records did not go with her, before doctor diagnose to inject DDAVP, the doctor was able to check whether it is right. And if the doctor did check, think again, call to HGH to get information about her treatment or require her prescription, that kind of death would not happen.
5. How did the hospital respond to the situation?
Hamilton Health Science Chief of Staff Dr. Andrew McCallum offered written six-page apology with chief nursing officer Margaret Keatings and chief executive Murray Martin that is included about their responsibility and new culture of disclosure in health care.
6. How did the family respond to the situation?
The family did not try to get hospital`s apology willingly.
7.
300745000 Seunghyo Hong
Case1
1. What happened to Claire Lewis?
She had a surgery to remove tumor at Hamilton General Hospital. Then she was transferred to McMaster University Medical Center to recover. However, that time to transfer her between hospital, her medical records did not go with her. MUMC`s staff did not know what drug she had gotten and how much, she was misdiagnosed with diabetes insipidus. As a result, her brain stem was crushed by excessive fluid and she was brain dead.
2. What factors led up to Claire`s death?
When she transfers to MUMC, her records did not go with her and MUMC`s misdiagnosis kill her.
3. What role did poor documentation or poor record-keeping play in Claire`s death?
When a patient is transfer to other hospital, the patient`s records have to transfer with patient. I do not know whether that is poor documentation, but HGH did not send her record. And it is the factor leading up to her death.
4. Could Claire`s death have been prevented? If so, how?
I think that definitely she could alive. She got successful surgery to remove the tumor at HGH, she transferred to MUMC to recover, but she died next 46 hours because of not sending her records and poor decision. The reason why I think she could live is that although her records did not go with her, before doctor diagnose to inject DDAVP, the doctor was able to check whether it is right. And if the doctor did check, think again, call to HGH to get information about her treatment or require her prescription, that kind of death would not happen.
5. How did the hospital respond to the situation?
Hamilton Health Science Chief of Staff Dr. Andrew McCallum offered written six-page apology with chief nursing officer Margaret Keatings and chief executive Murray Martin that is included about their responsibility and new culture of disclosure in health care.
6. How did the family respond to the situation?
The family did not try to get hospital`s apology willingly.
7.