The second step of a RCA is gathering information or the facts. The facts of this event are: Mr. B came to the emergency department after a fall, during the course of his health care stay he received medication that sedated him, he was not monitored according to the “conscious sedation” policy, which in turn resulted to the death of Mr. B. In step three of conducting a root cause I identify possible causal factors. The sequence of events that led up to this sentinel event is Mr.
4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS. Within two months, he is in a wheelchair with a surgically placed feeding tube. Six months after being diagnosed, he passes away in his sleep from respiratory failure. He was
Suddenly, Mr. Smith was experiencing cognitive impairment known as psychosis. Due to emergency and presenting unordinary circumstances, the psychiatric nurse, Ms. Veering contacted Dr. Krauskopf, the psychiatrist at John Marshall Hospital. Dr. Krauskopf placed Mr. Smith on medication in order to calm him down and transferred him out of the ICU. Mr. Smith was placed on one-to-one nursing. At four a.m. on July 5, 2009, Mr. Smith was found in the bathroom hung by another patient.
The next day when the client awoke his family and agent were in his room. His jaw was wired shut and he could not talk so he wrote on a piece of paper; “GET ME OUT OF HERE – I WANT TO GO TO A REAL HOSPITAL!!! !” His agent had his transferred to a “real” hospital; Metropolitan Memorial Hospital in Chicago. The
Unsurprisingly, he falls to his death because he is not able to fly. 3. The opening scene reveals that the characters are living in a time of discrimination and racism. For example, the call the hospital “No
While Alyson and Lynn stayed in 6A, Logan and Jason moved into the nearby Ronald McDonald House, a place to stay for families receiving treatment for serious illnesses. Two days before Christmas, Jason caught the Norwalk virus, throwing the whole process off-track as doctors kept him quarantined, waiting for him to recover. If Jason was no longer a suitable match—if his health wasn’t good enough or there was something wrong with his liver—the chances of finding another donor in time were extremely slim. He lay in bed, worrying every wasted day was putting his daughter one step closer to
Tans image of a girl trapped inside a bottle is one such image, tan has trapped his character inside of a bottle to symbolise how often when someone is moving forward to the person they believe they can be they can become lost in an obsession where they are trapped alone with thoughts that have tried hard to forget like fears and memories from the past of who they where or who they could have been often cause a person to withdraw themselves from society and alienate themself from anybody around them that doesn’t have them same ideals and plans as
Furthermore, it shows that the lack of communication is coming through the isolation and difficulty of the foreign environment. “I cannot speak. Breathing, in this heavy air, grows more difficult. When the paralysis reaches my chest I shall die: probably tonight.” (Le Guin, 144). The environment that the protagonist is in, impacts his psyche.
A famous wheelchair-using trumpet player named John Henry Giles loses his breath and collapses from a lack of oxygen while playing. At the hospital, House is intrigued that John Henry has been paralyzed for two years without sufficient explanation. Cuddy tells House that they are only treating John Henry for pneumonia, since his paralysis is treated by his doctor in California, Marty Hamilton. Foreman, who did a residency with Hamilton, is requested to lead the case. Hamilton had already diagnosed the paralysis as an effect of ALS, which would explain the pneumonia.