How could her death have been prevented

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After viewing the IHI's "What Happened to Josie?," one of the most compelling recent hospital error cases resulting in change, reflect back on Chapter 1's National Quality Strategy Six Priorities.

Of these three a) patient safety, b) person-and family-centered care and c) communication and coordination of care, discuss:

1. How did factors in this area contribute to Josie’s death?

2. Which factor do you consider the most crucial factor in Josie’s case? Why?

3. With those factors in mind, how could her death have been prevented?

4. This story is told from the mother’s perspective, which is her reality. However, from your learning, explain how reliability science could have been applied to prevent Josie’s death.

Reference no: EM132274959

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