Children's Hospital Boston (A) Case Solution
Assumed Decisions:
They witnessed for the very first time someone with post-surgery seizures and they decided to assume the solution without even evaluating or analyzing the critical consequences.
- Risk:If you make assumptions without assessing the consequences; it can create massive problems, because if your assumed decision goes wrong;you will be putting not just the hospital’s reputation but also the patient’s life at stake.
- Solutions:Take pre-calculated risk decisions and get them approved by a senior member-before implementing them rather than just relying on your basic instinct.
Blaming Culture:
Instead of owning up to their mistakes and carelessness; the entire staff members involved in Matty’s case, started to blame each other for his death.
- Risk:If all the people start to blame each other, it would become extremely difficult to examine the main problem and the examination procedure would then just get stuck in a circle, without any positive solution.
- Solution: Hire people who are meticulous of their actions and are less likely to commit any severe error, and if they do, they must have the ability to accept their mistakes so that they could improve their performances and reduce the chances of errors in future.
Miscommunication:
When Matty was facing unstoppable seizures; the relevant Doctor was not well informed about the situation and was getting information quite late, which was the reason why the doctor was not able to make appropriate decisions at the right time.
- Risk: If people are not freely able to communicate the problems;the solutions will get delayed, making it difficulty to cater the patient’s needs because of the confusions created by the miscommunication or lack of communication.
- Solution: Make people comfortable with each other and ask them to inform right on time to the relevant person, instead of waiting till the last moment.
Missing Post-Surgery Plans:
After the surgery; the staff handling the patient was not aware of the situation and there were no particular guidelines mentioned regarding the proper care of the patient so they were unable to handle the emergency situation.
- Risk:Not guiding the junior staff properly will end up causing problems to the organization, because you cannot rely on the basic instinct of your junior staff on dealing with the problems.
- Solutions:Make up to date plans for every kind of problem and in case the staff encounters a new problem; they should be completely fully aware who to contact for the sound plan to deal with problematic situation.........................
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