After viewing the IHI’s “What Happened to Josie?,” one of themost compelling recent hospital error cases resulting in change,reflect back on Chapter 1’s National Quality Strategy SixPriorities.
Of these three a) patient safety, b) person-and family-centeredcare and c) communication and coordination of care, discuss:
- How did factors in this area contribute to Josie’s death?
- Which factor do you consider the most crucial factor in Josie’scase? Why?
- With those factors in mind, how could her death have beenprevented?
- This story is told from the mother’s perspective, which is herreality. However, from your learning, explain how reliabilityscience could have been applied to prevent Josie’s death.
Expert Answer
answer-
How
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