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Clinical detective case study
Pages 6 (1506 words)
Report of the death of Vicky Margaret who died at Albany hospital Name: Course: Professor: Institution: City and State: Date: Contents Contents 2 1.0 Introduction 3 1.1 Objectives of the report 3 2.0 Background of the report 4 2.1 Analysis of the Case using the Human Factors Models 4 2.2 Analysis of the Case using the Swiss cheese model 4 3.1 Leadership styles 5 4.0 Discussion 6 4.1 Active faults 6 4.2 Latent conditions 7 4.2.1 Lack of specific hospital guidelines and inefficient procedures 7 4.2.2 Unskilled workers 7 4.2.3 Lack of an efficient communication system 7 5.0 Recommendations 7 5.1 Reconstruction of hospital guidelines 7 5.2 Training 8 5.3 Installation of efficient communication ch
Mrs. Greeuw was forty-five years old at the time of her death, and she had been admitted to the hospital involuntarily eleven days before she died. Vicky Margaret was involuntarily admitted at Albany Hospital because the doctors found out that she had a mental illness, which could not allow her to make an informed decision about whether to get treatment (Hope, 2009). The doctors discovered that Margaret had a mental illness according to the statement given by her mother. The statement argued that the patient was diagnosed with the mental disorder after giving birth to her two children. The hospital diagnosed Mrs. Greeuw with bipolar and schizoaffective disorders. The results of the post mortem conducted by the Chief Forensic Pathologist, Dr Cookie, however, indicated that Vicky died from bowel obstructions. ...
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